Health Knowledge, Attitudes, Practice Clinical Trial
Official title:
The Effects of Nutrition Literacy Assessment on Patient-Centered Nutrition Education Provided by Dietitians
This study evaluates the effects of assessing patient nutrition literacy prior to an initial session with an outpatient dietitian on the patient-centeredness of the session. We will randomize 6 dietitians, 4 of whom will have access to their participating patients' nutrition literacy scores. These dietitians will use this information to better inform their interventions, and hopefully improve their patients' nutrition literacy as a result.
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.
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