Use of electronic dietary assessment tools in primary care: an interdisciplinary perspective.
Use of electronic dietary assessment tools in primary care: an interdisciplinary perspective.
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DOI：
10.1186/s12911-015-0138-6
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发表时间：
2015-02-25
影响因子：
3.5
通讯作者：
DiCenso A
中科院分区：
文献类型：
--
作者：
Bonilla C;Brauer P;Royall D;Keller H;Hanning RM;DiCenso A
饮食评估可能具有挑战性的原因有很多，包括各种各样的食物，饮食模式和营养素要考虑。在以团队为基础的初级保健实践中，各种学科可能参与评估饮食。目前通过移动的应用程序或网站提供的电子饮食评估（e-DA）工具可能有助于饮食评估。供应商对促进者和与电子发展援助工具有关的障碍的看法及其改进建议可以为这些工具的进一步发展提供信息。本研究的目的是探讨供应商的观点电子DA工具在移动的应用程序和网站。探索性顺序混合方法设计包括跨学科焦点小组，然后通过网络调查发送到整个加拿大安大略的家庭健康小组。完成了描述性和双变量分析。焦点小组的成绩单有助于网络调查的内容，而解释性的主题增加了深度和背景。11个焦点小组与50个供应商揭示了不同的观点使用e-DA：1）改善患者的饮食习惯; 2）提高饮食评估的质量;和，3）整合e-DA到护理过程中。在网络调查中，来自73个FHT的9个学科的191名受访者完成了调查。营养师报告更多地使用e-DA比其他供应商（63%对19%; p = 0.000）分别。各学科对使用e-DA工具管理肥胖症、糖尿病和心脏病，特别是患者自我监测有着浓厚的兴趣。查明的障碍有：患者对使用技术缺乏舒适感，患者对e-DA结果的误解，提供者解释结果的时间和教育，以及提供咨询的时间。随着时间的推移，移动的应用程序和网站中的e-DA工具可能会改善饮食咨询。解决已确定的促进因素和障碍可能会促进e-DA进入临床实践。
Dietary assessment can be challenging for many reasons, including the wide variety of foods, eating patterns and nutrients to be considered. In team-based primary care practice, various disciplines may be involved in assessing diet. Electronic-based dietary assessment (e-DA) instruments available now through mobile apps or websites can potentially facilitate dietary assessment. Providers views of facilitators and barriers related to e-DA instruments and their recommendations for improvement can inform the further development of these tools. The objective of this study was to explore provider perspectives on e-DA tools in mobile apps and websites. The exploratory sequential mixed methods design included interdisciplinary focus groups followed by a web-based survey sent to Family Health Teams throughout Ontario, Canada. Descriptive and bivariate analyses were completed. Focus group transcripts contributed to web-survey content, while interpretive themes added depth and context. 11 focus groups with 50 providers revealed varying perspectives on the use of e-DA for: 1) improving patients’ eating habits; 2) improving the quality of dietary assessment; and, 3) integrating e-DA into the care process. In the web-survey 191 respondents from nine disciplines in 73 FHTs completed the survey. Dietitians reported greater use of e-DA than other providers (63% vs.19%; p = .000) respectively. There was strong interest among disciplines in the use of e-DA tools for the management of obesity, diabetes and heart disease, especially for patient self-monitoring. Barriers identified were: patients’ lack of comfort with using technology, misinterpretation of e-DA results by patients, time and education for providers to interpret results, and time for providers to offer counselling. e-DA tools in mobile apps and websites may improve dietary counselling over time. Addressing the identified facilitators and barriers can potentially promote the uptake of e-DA into clinical practice.
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影响因子：
4.7
作者：
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影响因子：
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作者：
Lieffers, Jessica R. L.;Vance, Vivienne A.;Nanning, Rhona M.
通讯作者：
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