Introduction
Overview
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Esther F. Myers, PhD, RD, FADA
Director, Scientific Affairs and Research
American Dietetic Association
Emyers@eatright.org
ADA’s Commitment to
Evidence Analysis
Initiatives
Overview of Evidence
Based Practice and
ADA’s Evidence Analysis
Process
© 2008 American Dietetic Association
ADA’s Commitment to
Evidence Analysis
Late 1990s
2001
ADA’s Commitment to Evidence
Analysis
• Protocols Developed
J of Am Diet Assoc Supplement for National Dietary Guidelines
(2003)
• Move to true evidence analysis
approach: Evidence-based Guides
• Medicare use of Guides
FDA Citation of ADA’s Methodology for Qualified Health Claims
2002
• Position Paper Committee: Pediatric
Weight Management
Mention of ADA’s methodology at Dietary Guidelines Committee
Meetings and in final report
2003
• JCAHO Book Acknowledgement - Putting
Evidence to Work: Tools and Resources
New Medicare legislation used ADA Evidence-Based Guidelines as
basis for reimbursement policy
ADA’s Commitment to
Evidence Analysis
ADA’s Commitment to
Evidence Analysis
Mar 2004
2006
• Infant/Feeding Dietary Guidelines
• Adult Weight Management Evidence Based Nutrition Practice
Guideline
• Critical Illness Evidence Based Nutrition Practice Guideline
Sept 2004
• Online Evidence Analysis Library®
2007
2005
• Oncology Evidence Based Nutrition Practice Guideline
• Pediatric Weight Management Evidence Based Nutrition Practice
Guideline
• Disorders of Lipid Metabolism Evidence Based Nutrition
Practice Guideline
• ADA Evidence-Based Practice Committee
• Selected Position Papers use Evidence Analysis
• Cooperative Agreement with USDA for Library to support
Dietary Guidelines 2010
2008
• Diabetes Evidence Based Nutrition Practice Guideline
• Hypertension Evidence Based Nutrition Practice Guideline
• Heart Failure Evidence Based Nutrition Practice Guideline
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ADA EvidenceEvidence-Based Practice
Initiatives?
ADA Practice and Research Initiatives
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Vision: Making ADA Members the
Most Valued Source of Food and
Nutrition Services
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June 2003 – BOD approved overall
multi--year plan to support Evidence
multi
Based Practice
Basic Resources
Tools
Feedback mechanisms
• Three components
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Research to support Evidence Based Practice
Nutrition Care Process Change Management
Standardized Language
Other project/products also impact
Evidence--Based Practice
Evidence
10.A.2
ADA Practice and Research Initiatives:
Scope of Dietetics
Practice Framework
Vision: Making ADA Members the Most Valued Source of Food and Nutrition Services
General
Scope of Dietetics Practice Framework
Nutrition Care Process and Model
(NCP)
Includes knowledge component, evaluation tools
Nutrition Care Manual (NCM)
(standards of professional performance, standards
On-line general reference for diet therapy for
of practice and code of ethics), and decision aids
many conditions
Includes knowledge component,
evaluation tools (standards of
professional performance,
standards of practice and code of
ethics), and decision aids
Scope of Dietetics Practice Framework drives need
Nutrition Care Manual (NCM)
On-line general reference for diet
therapy for many conditions
Systematic process describing HOW dietetics
professionals provide care with clients
Nutrition Care Process and
Model (NCP)
Systematic process describing HOW
dietetics professionals provide care with
clients
General References
„
Standardized Language
Provides common terms to describe
Nutrition Care Process
Evidence Analysis Library (EAL)
On-line reference with synthesis of body of
evidence to answer key questions
Evidence Analysis Library (EAL
Standardized Language
On-line reference with synthesis of body of evidence to
answer key questions
Provides common terms to describe Nutrition Care
Process
Evidence Based Guides for Practice
Evidence Based Guides for Practice
Position Papers
Applies synthesis of evidence of EAL as recommendation
Synthesis of research by consensus to reflect
for nutrition care for specific population and condition
position of the association
Position Papers
Applies synthesis of evidence of EAL as recommendation for nutrition
care for specific population and condition
Dietetics Practice Based Research Network (DPBRN)
Provides the ability to test and conduct research to answer key questions
Dietetics Practice Based Research Network (DPBRN)
Provides the ability to test and conduct research to answer key questions
„
„
Includes knowledge component,
evaluation tools (standards of
professional performance,
standards of practice and code of
ethics), and decision aids
Scope of Dietetics Practice Framework drives need
Nutrition Care Manual (NCM)
On-line general reference for diet
therapy for many conditions
Published in JADA – April 2005
Website information
• documents posted on QM section of ADA
website
„
Scope of Dietetics
Practice Framework
HOD Spring Meeting -pre meeting
workshop with implementation
toolkit for member leaders
Nutrition Care Process and
Model (NCP)
Systematic process describing HOW
dietetics professionals provide care with
clients
General References
Scope of Dietetics Practice
Framework
Standardized Language
Provides common terms to describe
Nutrition Care Process
Evidence Analysis Library (EAL)
On-line reference with synthesis of body of
evidence to answer key questions
Evidence Based Guides for Practice
Position Papers
Applies synthesis of evidence of EAL as recommendation for nutrition
care for specific population and condition
Dietetics Practice Based Research Network (DPBRN)
Provides the ability to test and conduct research to answer key questions
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