干预措施以提高成年人预防和管理慢性病的饮食建议依从性：一项研究方案。
Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults: a study protocol.
机构信息
CHUQ Research Center (Centre Hospitalier Universitaire de Québec-Hôpital St-François-d'Assise), Québec, Canada.
出版信息
BMC Public Health. 2011 Feb 17;11:111. doi: 10.1186/1471-2458-11-111.
BACKGROUND
Adoption of a healthy diet has been identified as the cornerstone in the prevention and management of chronic diseases. However, non-adherence to lifestyle changes raises an important issue since adherence level to dietary advice is a key determinant of the effectiveness of dietary treatment. Therefore, based on the results of a Cochrane systematic review on interventions for enhancing adherence to dietary advice for preventing and managing chronic diseases in adults, the aim of this study is to assess the importance and applicability of interventions enhancing adherence to dietary advice in the Canadian context.
METHODS/DESIGN: In phase 1, dietitians' opinion will be assessed through a Delphi study regarding the importance and the applicability in the Canadian context of the interventions found the most effective to enhance adherence to dietary advice through a Cochrane systematic review. In phase 2, findings of the Cochrane systematic review assessing the effects of interventions for enhancing adherence to dietary advice will be reported in a practical format on an online knowledge translation tool for dietitians and other health professionals.
DISCUSSION
In recent years, there has been an increasing recognition of the failure to translate research findings into clinical practice. Therefore, knowledge translation efforts need to prioritize effective interventions that will be the most relevant for practice and end-users by adapting them to the local context. Our study will provide decision makers in the field of dietetic practice with essential knowledge on adherence for elaborating educational activities for academic or professional settings that will respond to dietitians' priorities in terms of importance and applicability to day-to-day practice.
背景
采用健康饮食已被确定为预防和管理慢性病的基石。然而，由于对生活方式改变的不依从性是饮食治疗效果的关键决定因素，因此，饮食建议的依从性水平是一个重要问题。因此，基于对成年人预防和管理慢性病的饮食建议依从性增强干预措施的 Cochrane 系统评价结果，本研究旨在评估在加拿大背景下增强饮食建议依从性的干预措施的重要性和适用性。
方法/设计：在第 1 阶段，营养师的意见将通过 Delphi 研究进行评估，以了解通过 Cochrane 系统评价发现的最有效的增强对饮食建议的依从性的干预措施的重要性和在加拿大背景下的适用性。在第 2 阶段，将在营养师和其他健康专业人员的在线知识转化工具上以实用格式报告 Cochrane 系统评价评估干预措施对增强饮食建议的依从性的影响。
讨论
近年来，人们越来越认识到未能将研究结果转化为临床实践。因此，知识转化工作需要优先考虑对实践和最终用户最相关的有效干预措施，通过适应当地情况来适应这些干预措施。我们的研究将为饮食实践领域的决策者提供关于依从性的重要知识，以制定针对学术或专业环境的教育活动，这些活动将满足营养师在重要性和适用性方面的日常实践优先事项。
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