The Academy of Nutrition and Dietetics Evidence Analysis Library: Leveraging This Resource to Maximize Your Efficacy

Transcription

1 NUTRI-BITES Webinar Series The Academy of Nutrition and Dietetics Evidence Analysis Library: Leveraging This Resource to Maximize Your Efficacy September 21, 2017 Presenter: Alison Steiber, PhD, RDN Chief Science Officer Research, International, and Scientific Affairs Academy of Nutrition and Dietetics Moderator: James M. Rippe, MD Leading cardiologist, Founder and Director; Rippe Lifestyle Institute Approved for 1 CPE (Level 2) by the Commission on Dietetic Registration, credentialing agency for the Academy of Nutrition and Dietetics.

2 Conagra Nutrition With a mission of: We believe that everyone deserves easy access to understandable, credible, and science-based nutrition information. We aim to provide cutting edge knowledge that will enable health professionals to more effectively help their clients.

3 Webinar logistics CEUs a link to obtain your Continuing Education Credit certificate will be available on this webinar s page at and ed to you within 2 days. A recording of today s webinar and slides as a PDF will be available to download within 2 days at: The presenter will answer questions at the end of this webinar. Please submit questions by using the Chat dialogue box on your computer screen.

4 Today s Faculty Alison Steiber, PhD, RDN Moderator: Chief Science Officer Research, International, and Scientific Affairs Academy of Nutrition and Dietetics James M. Rippe, MD Leading cardiologist. Founder and Director, Rippe Lifestyle Institute

5 The Academy of Nutrition and Dietetics Evidence Analysis Library NUTRI-BITES Webinar Series Learning Objectives 1. Proficiently search and find evidence analyses pertinent to your practice. 2. Interpret the analysis to discern the strength of evidence behind the research question. 3. Translate findings to practice by review of a case study on efficacy of single serve meals on weight management. 4. Apply the learnings to improve the recommendations and education you provide to clients.

6 Research, International & Scientific Affairs: Academy of Nutrition and Dietetics Alison L. Steiber, PhD, RDN Chief Scientific Officer Research, International, and Scientific Affairs Academy of Nutrition and Dietetics

7 Objectives for webinar 1. Proficiently search and find evidence analyses pertinent to your practice. 2. Interpret the analysis to discern the strength of evidence behind the research question. 3. Translate findings to practice by review of a case study on efficacy of single serve meals on weight management. 4. Apply the learnings to improve the recommendations and education you provide to clients.

8 Evidence Analysis Library

9 EAL Process for EBNPG Systematic Review Evidence Based Practice Guideline Practice + ANDHII Test Efficacy Graded Conclusion statements Recc. rated and labeled Implement + Outcome collection Improved outcomes with use?

10 EAL Usage Worldwide Users from 230 different countries As of September 13, ,132,611 page views 11

11 Searching for evidence

12 42 Topics to chose from

13 Evidence Analysis Understanding The Process: The work behind each project

14 The EAL Development Process Systematic Review Process Guideline Development Process Formulate Question Gather Research Appraise Articles Developed based on Nutrition Care Process Draft Recommendations and Introduction Internal and External Review Summarize Approved by EBPC Develop Conclusion Statement and Grade Guideline Implementation 15

15 Members of the Team Multidisciplinary Workgroup Medical Librarian Workgroup Chair Evidence Analysts Methodologist Lead Analyst Project Manager

16 Step 1: Formulate the Question

17 Evidence Mapping: Undesirable Weight Loss (UWL)

18 Evidence Mapping Example: UWL

19 Step 2: Gather and Classify the Research Academy of Nutrition & Dietetics 1 workgroup selected Researchers/clinicians From current groups or beyond.

20 Search Process A Rigorous Process Workgroup Oversees/Decision Makers Develop search plan Conduct search Determine inc./ex. articles Document

21 Step 3: Critically Appraise Each Article

22 Evidence Analysts Experts in critically analyzing articles Must have at least Master s degree; many have PhDs Trained at Academy EA workshop Mentored by Academy Staff and Lead Analysts Read and analyze articles Complete the Data Extraction Tool Complete overview tables Complete evidence summaries

23 Standardized Extraction Fields Data entry fields more highly structured

24 Critical Appraisal of Each Article Completed worksheet Completed quality criteria checklist Most detailed information on EAL Work of analysts: Reviewed by lead analyst Approved by workgroup

25 Step 4: Summarize the Evidence in an Overview Table and Evidence Summary

26 Evidence summary Summarize articles into Overview Table Information synthesized from articles in to narrative evidence summary Responsibility of Analyst Reviewed by Lead Analyst Reviewed and Approved by Workgroup

27 Overview Table Overview tables provide a side-by-side comparison of the research studies.

28 Step 5: Develop Conclusion Statement and Grade the Strength of the Supporting Evidence

29 Conclusion Statement Bottom Line Answer to question based on the science Determined after research analyzed Graded based on quality of supporting evidence Drafted by Lead Analyst Reviewed, Approved and Graded by Workgroup

30 Scenario RDN working with a 43 year old male school teacher with a BMI of 38 and hypertension Coaches after school and has two small children No time to cook and on a food budget Referred to you to lose weight and improve overall health Recall the EAL has 2 kinds of evidence you can use: Systematic Reviews Evidence Based Nutrition Practice Guidelines

31 Scenario In overweight adults, what EE equation should be used? To know you are using an evidence based practice, you can find the answer to questions above in the EAL

32 Scenario CLICK

33 Scenario Screening Reccs Assessment Reccs Click Intervention Reccs

34 Scenario Supporting Evidence from systematic review EBNPG Recommendations

35 Scenario: Systematic Review Results SR Question SR Answer

36 Scenario: Systematic Review Results Strength of evidence

37 Explanation of Grades

38 Scenario: Following Recommendations Conclusion statement from systematic review EBNPG Recommendations Click blue arrow to see all recommendations

39 Scenario: EBNPG Recommendation Recc and its rating

40 Recommendation Rating Chart

41 Scenario RDN working with a 43 year old male school teacher with a BMI of 38 and hypertension Coaches after school and has two small children No time to cook and on a food budget After assessment of his needs and an indepth discussion of his environment, time available and cooking skills. RDN wonders if there is evidence that prepared meals are effective in weight loss and weight maintenance

42 Scenario: Evidence on SS Meals

43 Scenario: Systematic Review Results Evidence = SS meals may be effective for wt loss

44 Scenario: Systematic Review Results Evidence = SS meals may be effective for reducing E intake

45 Scenario: Systematic Review Results Evidence = SS meals may result in approved adherence to diet

46 Scenario: SS Meal Overview Table

47 Outcomes Management Why Track Data? Summarize results of protocol use Increase body of knowledge regarding MNT effectiveness Documentation for reimbursement Track RDN time Indicates complexity of care

48 ANDHII The Academy of Nutrition and Dietetics Health Informatics Infrastructure (ANDHII) is an online site for tracking outcomes for the entire dietetics profession, to prove the effectiveness of nutrition therapy. ANDHII is free for members of the Academy. To learn more, including viewing tutorials, visit:

49 Thank you! Questions?

50 The Academy of Nutrition and Dietetics Evidence Analysis Library NUTRI-BITES Webinar Series Based on this webinar the participant should be able to: 1. Proficiently search and find evidence analyses pertinent to your practice. 2. Interpret the analysis to discern the strength of evidence behind the research question. 3. Translate findings to practice by review of a case study on efficacy of single serve meals on weight management. 4. Apply the learnings to improve the recommendations and education you provide to clients.

51 Conagra Nutrition Nutri-Bites Webinar details A link to obtain your Continuing Education Credit certificate will be will be available on our website and ed within 2 days Today s webinar will be available to download within 2 days at: For CPE information: acontinelli@rippelifestyle.com Recent CEU webinars archived at the Conagra Nutrition website: Mediterranean Diet Pattern and Health An Update from FDA on the Revised Nutrition Facts Panel Diet, Microbiome and Health: Past, Present and Future.

52 Next Conagra Nutrition Nutri-Bites Webinar Exploring the Evidence on Dietary Patterns: The Interplay of What We Eat and Health Kellie O. Casavale, PhD, RD Nutrition Advisor, Division of Prevention Science HHS, Office of Disease Prevention and Health Promotion December 7, pm EST/1-2pm CST

53 How are we doing? Stay on the line for a brief survey about today s Conagra Nutrition Nutri-Bites webinar: The Academy of Nutrition and Dietetics Evidence Analysis Library: Leveraging This Resource to Maximize Your Efficacy Thank you!