The Effects of Nutrition Literacy Assessment on Patient-Centered Nutrition Education Provided by Dietitians

简要总结

详细描述

Nutrition Literacy Assessment Tool (NLit): a validated, 64-question survey that assesses nutrition literacy across 6 subscales: * Nutrition and Health * Energy Sources in Food * Household Food Measurement * Food Label and Numeracy * Food Groups * Consumer Skills Dietitians who work within 6 different outpatient clinics (1 dietitian per clinic) will be recruited to the study; each dietitian will recruit 19 patients from their clinic. All patient participants will take the NLit survey prior to an initial visit with their dietitian. Dietitians randomized to the intervention arm (n=4) will have access to their participating patients' NLit results, and tailor their intervention to the patient's nutrition literacy weaknesses. Dietitians randomized to the control group (n=2) will not have access to their participating patients' NLit scores, and will provide the same standard-of-care intervention usually provided. All participating patients will then re-take the NLit a month after their initial session with their dietitian, and we will examine the results to see if a) nutrition literacy improved within groups, and b) if the patients of the intervention dietitians showed more improvement in nutrition literacy than their counterparts being treated by the control dietitians. We will also collect dietary pattern information from participating patients before their initial session with their dietitian, and again one month after their initial session with their dietitian. We will examine the results to see if a) dietary patterns improve with increased nutrition literacy, and b) if the dietary patterns of patients in the intervention group improve more than patients in the control group. Finally, we will collect survey information from patients pertaining to the perceived patient-centeredness of the session with their dietitian. We will also collect audio recordings of the sessions between patients and dietitians, which will be analyzed for patient-centeredness. We will also analyze readability and clearness of printed materials used by dietitians during their interventions with patients.

主要结局

次要结局

• Patient-centeredness of the session between patient and dietitian(One month post-session)
• Change in BRFSS 2011 Fruit and Vegetable Module scores from baseline to one month post-session.(BRFSS 2011 Fruit and Vegetable Module scores will be measured prior to the patients' initial session with a dietitian, then again one month after the session.)
• Patient view of patient-centeredness of the session with a dietitian(Patients will complete the survey up to two months after they complete their session with a dietitian.)
• Change in Rapid Eating Assessment for Patients (REAP) score from baseline to one month post-session(BRFSS 2011 Fruit and Vegetable Module scores will be measured prior to the patients' initial session with a dietitian, then again one month after the session.)
• Readability of printed materials used by dietitians during interventions(One month prior to first patient session with a dietitian)
• Clearness of printed materials used by dietitians during interventions(One month prior to first patient session with a dietitian)