Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model

Esther F Myers; Naomi Trostler; V Varsha; Hillary Voet

doi:10.1097/TIN.0000000000000089

Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model

Top Clin Nutr. 2017 Jan;32(1):69-86. doi: 10.1097/TIN.0000000000000089. Epub 2017 Jan 25.

Authors

Esther F Myers¹, Naomi Trostler¹, V Varsha¹, Hillary Voet¹

Affiliation

¹ Academy of Nutrition and Dietetics, Chicago, Illinois (Dr Myers); Institute of Biochemistry, Nutrition and Food Science, The Robert Smith Faculty of Agriculture, Food and Environmental Sciences, Hebrew University of Jerusalem, Rehovot, Israel (Dr Trostler); Indian Institute of Nutritional Sciences, c/o M/S PK Japee & Co "Ankur Manor," Kilpauk, Chennai, Tamil Nadu, India (Dr Varsha); and Department of Environmental Economics and Management, Faculty of Agricultural, Food and Environmental Sciences, Hebrew University of Jerusalem, Rehovot, Israel (Dr Voet).

Abstract

This 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 A_1C 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.

Keywords: clinical nutrition; diabetes mellitus; dietetics outcomes; evidence-based guidelines; nutrition; nutrition care process.