Survey of dietetic management of overweight and obesity and comparison with best practice criteria.

Objective: The Dietitians Association of Australia (DAA) is endeavouring to support best practice for dietetic management of overweight and obesity in Australia. The aims of this member survey were to describe current dietetic services and intervention strategies in obesity management and to compare...

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Publicado en:Nutrition & Dietetics Vol. 60; no. 3; pp. 177 - 185
Autor principal: Collins C
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2003
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Survey of dietetic management of overweight and obesity and comparison with best practice criteria.
      aug:
        au: Collins C
        affil: School of Health Sciences, Faculty of Health, University of Newcastle, Mail Box 38, Hunter Bldg, Callaghan NSW 2308; Clare.Collins@newcastle.edu.au
      sug:
        subj:
          Nutritional Counseling Utilization
          Obesity Diet Therapy
          Adult
          Australia
          Comparative Studies
          Descriptive Statistics
          Dietitians
          Mann-Whitney U Test
          Middle Age
          Questionnaires
          Summated Rating Scaling
          Survey Research
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: Objective: The Dietitians Association of Australia (DAA) is endeavouring to support best practice for dietetic management of overweight and obesity in Australia. The aims of this member survey were to describe current dietetic services and intervention strategies in obesity management and to compare current practice with that reported previously. Method: All members of DAA were sent a questionnaire, with 287 surveys returned (response rate 14%). The questionnaire was informed by a literature review of evidence-based practice and was pre-tested. Self-reported dietetic management strategies were evaluated against best practice guidelines. Results: The majority of dietetic treatment consultations were individual (45%). Both dietitian (6%) and multidisciplinary (11%) group programs were offered, with 15% care-planning within general practice. Only 13% of respondents reported the adoption of clinical guidelines for obesity management. Factors that sup-ported or prevented dietetic involvement in obesity management were reported consistently as time, funding, staffing, management support and resources. Gaps in skills and areas identified for continuing professional development included counselling for behaviour change and strategies for implementation of best practice guidelines in a variety of settings. Future research questions included evaluation of models of dietetic care to ensure long-term lifestyle changes and improve clinical outcomes. Conclusion: This survey indicates that there is a need for the development and dissemination of best practice guidelines for the management of overweight and obesity in Australian adults and children. DAA is well placed to facilitate uptake of current evidence-based treatment recommendations through the ratification and implementation of clinical guidelines that support best practice.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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