Myers, E. F. ; Trostler, N. ; Varsha, V. ; Voet, H. .
Insights From The Diabetes In India Nutrition Guidelines Study: Adopting Innovations Using A Knowledge Transfer Model.
Topics in Clinical Nutrition 2017,
32, 69-86.
Publisher's VersionAbstractThis 12-month prospective randomized cluster trial of 20 dietitians in India compared usual care (UC) and evidence-based nutrition practice guideline (EBNPG) care for patients with type 2 diabetes mellitus. Baseline, 6-month, and 12-month data from 238 patients were analyzed. EBNPG implementation was evaluated using the Ottawa Model for Knowledge Transfer. EBNPG and UC groups achieved significant hemoglobin A1C improvements. EBNPG-treated participants were significantly more likely to meet low-density lipoprotein, high-density lipoprotein, and triglyceride goals at 6 or 12 months. Dietitian dropout, implementation barriers, and undetermined EBNPG intervention fidelity are limitations. Future research should assess barriers/supports and degree of EBNPG use. © 2017 Wolters Kluwer Health, Inc.