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为营养基因组学中的循证实践提供信息:对加拿大营养护理提供者的教育需求评估

Informing Evidence-based Practice in Nutritional Genomics: An Educational Needs Assessment of Nutrition Care Providers in Canada.

作者信息

Morelli Paulina, Garneau Véronique, Miville-Deschênes Laurie, Morin-Bernier Josiane, Vohl Marie-Claude, Desroches Sophie, Keathley Justine

机构信息

Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.

Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, Québec, QC.

出版信息

Can J Diet Pract Res. 2024 Dec 1;85(4):379-387. doi: 10.3148/cjdpr-2024-010. Epub 2024 Aug 7.

DOI:10.3148/cjdpr-2024-010
PMID:39109587
Abstract

To investigate why Canadian nutrition care providers choose, or not, to integrate nutritional genomics into practice, and to evaluate the nutritional genomics training/education experiences and needs of nutrition providers in Canada, while comparing those of dietitians to non-dietitians. A cross-sectional online survey was distributed across Canada from June 2021 to April 2022. In total, 457 healthcare providers (HCPs) [ = 371 dietitians (81.2%)] met the inclusion criteria. The majority ( = 372; 82.1%) reported having no experience offering nutritional genomics to clients ( = 4 did not respond). Of the 81 respondents with experience (17.9%), the most common reason to integrate nutrigenetic testing into practice was the perception that clients would be more motivated to change their eating habits (70.4%), while the most common reason for not integrating such tests was the perception that the nutrigenetic testing process is too complicated ( = 313; 84.1%). Dietitians were more likely than non-dietitians to view existing scientific evidence as an important educational topic ( = 0.002). The most selected useful educational resource by all HCPs was clinical practice guidelines ( = 364; 85.4%). Both dietitians and non-dietitians express a desire for greater nutritional genomics training/education; specific educational needs differ by type of HCP. Low implementation of nutrigenetic testing may be partly attributed to other identified barriers.

摘要

为了调查加拿大营养护理提供者选择或不选择将营养基因组学纳入实践的原因,评估加拿大营养提供者的营养基因组学培训/教育经历和需求,同时比较营养师和非营养师的情况。2021年6月至2022年4月在加拿大开展了一项横断面在线调查。共有457名医疗保健提供者(HCP)[=371名营养师(81.2%)]符合纳入标准。大多数(=372;82.1%)报告称没有为客户提供营养基因组学服务的经验(=4人未回复)。在81名有经验的受访者(17.9%)中,将营养基因检测纳入实践的最常见原因是认为客户会更有动力改变饮食习惯(70.4%),而不纳入此类检测的最常见原因是认为营养基因检测过程过于复杂(=313;84.1%)。与非营养师相比,营养师更有可能将现有科学证据视为一个重要的教育主题(=0.002)。所有HCP选择最多的有用教育资源是临床实践指南(=364;85.4%)。营养师和非营养师都表示希望获得更多的营养基因组学培训/教育;具体的教育需求因HCP类型而异。营养基因检测的低实施率可能部分归因于其他已确定的障碍。

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