Canadian Inventory of Nutrition and Dietetic Associated Research
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Diet Management Care Maps for Dyslipidemia (DMCMD) Study
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Date Submitted: 7/14/2003
Abstract: Primary Language
Care maps or clinical pathways for nutrition therapy of dyslipidemia could add to current practice guidelines, by providing templates for feasible and recommended diet counselling processes. A care map was therefore developed by engaging expert and generalist dietitians and external experts from across Canada in a multi-stage consensus process. First, a qualitative study was undertaken with a convenience sample of twelve practitioners to identify all possible diet care options, using hypothetical client scenarios and cognitive analysis. Second, these care options were rated for five case scenarios considered typical (overweight clients, with and without clinical CVD and other co-morbidities, potentially motivated to change, consuming high fat diets and facing various major barriers to eating behaviour change) according to a survey of participants. Highly appropriate, recommended and feasible options for counselling were ranked through a two round modified Delphi process, with teleconference discussion between rounds. Forty-nine professionals started the consensus process, with 39 (80%) completing all aspects. Numerous care processes were appropriate for all clients, with additional focus on barriers for low-income clients, sodium for clients with hypertension and smoking cessation in smokers. The resulting care map, “Dietitian’s Quick Reference Guide for Clinical Nutrition Therapy for Overweight Clients with Dyslipidemia” provides a basis for current practice and new effectiveness studies.