Translating Evidence for a Mediterranean-Style Dietary Pattern into Routine Care for Coronary Heart Disease and Type 2 Diabetes: Implementation and Evaluation in a Targeted Public Health Service in Australia
Healthcare,
Journal Year:
2025,
Volume and Issue:
13(5), P. 506 - 506
Published: Feb. 26, 2025
Background:
A
Mediterranean-style
dietary
pattern
(MDP)
is
embedded
across
coronary
heart
disease
(CHD)
and
type
2
diabetes
(T2D)
clinical
guidelines.
However,
MDP
evidence
has
not
consistently
been
translated
into
practice.
This
study
aimed
to
develop,
integrate
evaluate
implementation
strategies
support
clinicians
in
translating
routine
care
for
CHD
T2D
the
local
context
of
a
public
health
service.
Methods:
documents
evaluation
phases
broader
knowledge
translation
project
guided
by
Knowledge-to-Action
cycle.
Multi-disciplinary
cardiology
services
two
large
metropolitan
hospitals
post-acute
community
service
were
targeted.
Strategies
prioritised
utilising
theory
stakeholder
engagement
included
facilitation,
building
coalition,
champions
opinion
leaders,
educational
meetings,
consensus
discussions,
sharing
knowledge,
consumer
consultation,
development
distribution
education
materials.
Surveys
conducted
with
patients
targeted
reach,
acceptability,
feasibility,
adoption
perceived
sustainability
Results:
In
total,
57
(7
dietitians,
29
nurses/diabetes
educators,
15
doctors
6
other
allied
professionals)
55
completed
post-implementation
surveys.
The
majority
agreed
an
appropriate
recommend
their
setting
(95%),
most
time/always
advice
(85%)
aligns.
Education
sessions
attended
65%
clinicians,
which
indicated
improved
(100%)
change
practice
(86%).
Factors
deemed
important
maintaining
approach
hard-copy
materials
access
dietitian
(62%).
Of
who
had
received
from
(n
=
32,
58%),
100%
recalled
having
discussed
≥1
topic
89%
material.
non-dietetic
33,
60%),
67%
70%
Conclusions:
Targeted
theory-informed
reached
surveyed
patients,
positively
influenced
adoption,
acceptability
feasibility
care.
Ongoing
are
crucial
rotating
clinician
roles.
Language: Английский
A Pilot Study on Ad Libitum Mediterranean Diet Intervention for Women with PCOS: A Mixed-Methods Exploration of Acceptability, Adherence, and Participant Lived Experience
Nutrients,
Journal Year:
2025,
Volume and Issue:
17(7), P. 1105 - 1105
Published: March 21, 2025
Background/Objectives:
A
healthy
diet
is
essential
for
managing
Polycystic
Ovary
Syndrome
(PCOS),
yet
optimal
recommendations
remain
unclear,
highlighting
the
need
to
explore
alternative
lifestyle
interventions.
The
Mediterranean
(MedDiet)
supports
cardiometabolic
health;
however,
challenges
with
adherence
within
this
population
are
unknown.
This
study
examines
acceptability
and
experiences
of
an
ad
libitum
MedDiet
in
women
PCOS,
offering
implementation.
Methods:
12-week
intervention
was
conducted
aged
18-45
years,
diagnosed
PCOS
a
BMI
≥
25
kg/m2
(n
=
12).
Adherence
assessed
using
Diet
Screener.
Surveys
semi-structured
interviews,
guided
by
Capability,
Opportunity,
Motivation-Behaviour
(COM-B)
model,
explored
participants'
experiences.
Thematic
analysis
identified
barriers
facilitators,
which
were
mapped
COM-B
Theoretical
Domains
Framework
(TDF),
all
findings
subsequently
aligned
Behaviour
Change
Wheel
inform
implementation
strategies.
Results:
significantly
improved
from
baseline
week
12
(Baseline:
4.1
±
1.8;
12:
8.3
2.3;
p
0.001),
alongside
increases
knowledge
(p
0.004),
cooking
confidence
0.01),
time
management
0.01).
factors
14
TDF
domains.
Key
facilitators
included
health
benefits,
reduced
weight
pressure,
educational
resources,
simple
guidelines.
Barriers
involved
organisation,
food
availability,
external
influences.
Effective
should
integrate
education,
behaviour
change
support,
practical
professional
training
nutrition
professionals
healthcare
providers
support
referrals
weight-neutral
dietary
management.
Conclusions:
short-term
acceptable
PCOS.
Strategies
patients
providers,
functions
training,
enablement,
key
supporting
adherence.
Language: Английский