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.
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.
Webinar logistics CEUs a link to obtain your Continuing Education Credit certificate will be available on this webinar s page at www.conagranutrition.com and emailed 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: www.conagranutrition.com The presenter will answer questions at the end of this webinar. Please submit questions by using the Chat dialogue box on your computer screen.
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
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.
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
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.
Evidence Analysis Library
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?
EAL Usage Worldwide Users from 230 different countries As of September 13, 2017 25,132,611 page views 11
Searching for evidence
42 Topics to chose from
Evidence Analysis Understanding The Process: The work behind each project
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
Members of the Team Multidisciplinary Workgroup Medical Librarian Workgroup Chair Evidence Analysts Methodologist Lead Analyst Project Manager
Step 1: Formulate the Question
Evidence Mapping: Undesirable Weight Loss (UWL)
Evidence Mapping Example: UWL
Step 2: Gather and Classify the Research Academy of Nutrition & Dietetics 1 workgroup selected Researchers/clinicians From current groups or beyond.
Search Process A Rigorous Process Workgroup Oversees/Decision Makers Develop search plan Conduct search Determine inc./ex. articles Document
Step 3: Critically Appraise Each Article
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
Standardized Extraction Fields Data entry fields more highly structured
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
Step 4: Summarize the Evidence in an Overview Table and Evidence Summary
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
Overview Table Overview tables provide a side-by-side comparison of the research studies.
Step 5: Develop Conclusion Statement and Grade the Strength of the Supporting Evidence
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
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
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
Scenario CLICK
Scenario Screening Reccs Assessment Reccs Click Intervention Reccs
Scenario Supporting Evidence from systematic review EBNPG Recommendations
Scenario: Systematic Review Results SR Question SR Answer
Scenario: Systematic Review Results Strength of evidence
Explanation of Grades
Scenario: Following Recommendations Conclusion statement from systematic review EBNPG Recommendations Click blue arrow to see all recommendations
Scenario: EBNPG Recommendation Recc and its rating
Recommendation Rating Chart
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
Scenario: Evidence on SS Meals
Scenario: Systematic Review Results Evidence = SS meals may be effective for wt loss
Scenario: Systematic Review Results Evidence = SS meals may be effective for reducing E intake
Scenario: Systematic Review Results Evidence = SS meals may result in approved adherence to diet
Scenario: SS Meal Overview Table
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
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: https://www.andhii.org/
Thank you! Questions?
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.
Conagra Nutrition Nutri-Bites Webinar details A link to obtain your Continuing Education Credit certificate will be will be available on our website and emailed within 2 days Today s webinar will be available to download within 2 days at: www.conagranutrition.com 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.
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, 2017 2-3pm EST/1-2pm CST www.conagranutrition.com
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!