Senior Research Project Manager, Academy of Nutrition and Dietetics, Chicago, Illinois.
Senior Director, Data Science Center, Academy of Nutrition and Dietetics, Chicago, Illinois.
J Ren Nutr. 2022 Sep;32(5):613-625. doi: 10.1053/j.jrn.2021.09.006. Epub 2021 Oct 30.
Evidence-based nutrition practice guidelines (EBNPGs) inform registered dietitian nutritionist (RDN) care for patients with chronic kidney disease grade 5 treated by dialysis; however, there has been little evaluation of best practices for implementing EBNPGs. In this effectiveness-implementation hybrid study with a quasi-experimental design, United States RDNs in hemodialysis clinics will document initial and follow-up nutrition care for patients with chronic kidney disease grade 5 treated by dialysis using the Academy of Nutrition and Dietetics Health Informatics Infrastructure before and after being randomly assigned to a training model: (1) EBNPG knowledge training or (2) EBNPG knowledge training plus an implementation toolkit. The aims of the study include examining congruence of RDN documentation of nutrition care with the EBNPG; describing common RDN-reported EBNPG acceptability, adoption, and adaptation issues; and determining the feasibility of estimating the impact of RDN care on nutrition-related patient outcomes. The AUGmeNt study can inform effective development and implementation of future EBNPGs. Keywords: Chronic kidney diseases; medical nutrition therapy; implementation science; clinical practice guideline; nutrition care process terminology; dietitian.
循证营养实践指南（EBNPGs）为接受透析治疗的 5 期慢性肾脏病患者的注册营养师提供了营养护理信息；然而，对于实施 EBNPGs 的最佳实践，评估却很少。在这项具有准实验设计的有效性-实施混合研究中，美国血液透析诊所的注册营养师将使用营养与饮食学会健康信息基础设施在随机分配到以下两种培训模式之前和之后，记录接受透析治疗的 5 期慢性肾脏病患者的初始和后续营养护理：（1）EBNPG 知识培训或（2）EBNPG 知识培训加实施工具包。研究目的包括检查注册营养师的营养护理记录与 EBNPG 的一致性；描述常见的注册营养师报告的 EBNPG 可接受性、采用和适应性问题；并确定估计注册营养师护理对营养相关患者结局的影响的可行性。AUGmeNt 研究可为未来 EBNPGs 的有效开发和实施提供信息。关键词：慢性肾脏病；医学营养治疗；实施科学；临床实践指南；营养护理过程术语；营养师。
