Implementation of standardized nutritional label literacy education program to Improve label literacy ofPatients with type 2 Diabetes at a Primary Care Office

In adults (18 years and older) with T2DM (P), does implementation of standardized, evidence-based nutritional label education program) (I) added to the standard of care, compared to current practice alone of diabetic education that was non-standardized and dependent on individual clinicians’ time and skills (C) more effective in improving T2DM outcomes diabetes self-management and diet adherence (O) within eight weeks (T)?


Selection of Sources and Search Strategy

• Current (within past 5-7 years)
• Support the practice change being implemented relevant to the project, population, setting, and outcomes
• Search strategy is clearly articulated including databases, keywords, number of hits, how search was narrowed to final review (supporting PRISMA process)
• Reader is referred to the PRISMA diagram as an appendix (if applicable)
• Reader is referred to keywords table as an appendix (if applicable)

 

This criterion is linked to a Learning Outcome

Synthesis of Literature

• Findings from the literature are synthesized rather than just individually summarized or restated
• Similarities and differences across studies are highlighted
• The literature builds a case for the intervention and clearly shows the logical thing to do
• All sources included in table of evidence are discussed in the review of literature and vice versa
• Reader is referred to the Table of Evidence as an appendix

 

Construction of a Table of Evidence

• Complies with evidence table format including background and EBP (clinical) question
• Has visual clarity and includes all required categories
• Includes relevant details on articles
• Consistent in application of criteria for rating and grading evidence using the Johns Hopkins Evidence Appraisal Tools for Research/Non-Research (submission of these appraisals and/or exemplars of these appraisals may be requested by faculty)
• Articles summarized with pertinent information and appropriate detail
• Information is complete and accurate

Reference List

• All references are formatted using APA format (7th edition)
• References for all evidence included in review of literature and vice versa


References

Acton, R. B., Rynard, V., Adams, J., Bhawra, J., Cameron, A. J., Contreras‐Manzano, A., Davis, R., Jáuregui, A., Sacks, G., Thrasher, J. F., Vanderlee, L., White, C. M., & Hammond, D. (2023). Awareness, use and understanding of nutrition labels among adults from five countries: Findings from the 2018–2020 International Food Policy Study. Appetite, 180, 106311. https://doi.org/10.1016/j.appet.2022.106311

Cecchini, M., & Warin, L. (2015). Impact of food labelling systems on food choices and eating behaviours: a systematic review and meta‐analysis of randomized studies. Obesity Reviews, 17(3), 201–210. https://doi.org/10.1111/obr.12364

Daniel-Weiner, R., Cardel, M., Skarlinski, M., Goscilo, A., Anderson, C. W., & Foster, G. D. (2023). Enabling informed decision making in the absence of detailed nutrition labels: a model to estimate the added sugar content of foods. Nutrients, 15(4), 803. https://doi.org/10.3390/nu15040803

Hall, K. D., Ayuketah, A., Brychta, R. J., Cai, H., Cassimatis, T., Chen, K. Y., Chung, S. T., Costa, E., Courville, A. B., Darcey, V. L., Fletcher, L., Forde, C. G., Gharib, A. M., Guo, J., Howard, R., Joseph, P. V., McGehee, S., Ouwerkerk, R., Raisinger, K., . . . Zhou, M. (2019). Ultra-Processed diets cause excess calorie intake and weight gain: an inpatient randomized controlled trial of ad libitum food intake. Cell Metabolism, 30(1), 67-77.e3. https://doi.org/10.1016/j.cmet.2019.05.008

Hempler, N. F., Fagt, C., Olesen, K., Wagner, S., Rasmussen, L. B., Laursen, D. H., Glümer, C., Nyegaard, M., & Willaing, I. (2022). Improving Health and Diabetes Self-Management in Immigrants with Type 2 Diabetes Through a Co-Created Diabetes Self-Management Education and Support Intervention. Journal of Community Health, 48(1), 141–151. https://doi.org/10.1007/s10900-022-01151-y

Hong, Y., Jo, A., Cardel, M. I., Huo, J., & Mainous, A. G. (2020). Patient-Provider communication with teach-back, patient-centered diabetes care, and diabetes care education. Patient Education and Counseling, 103(12), 2443–2450. https://doi.org/10.1016/j.pec.2020.05.029

Kollannoor-Samuel, G., Shebl, F. M., Hawley, N. L., & Pérez‐Escamilla, R. (2017). Nutrition label use is associated with lower longer-term diabetes risk in US adults. ˜the œAmerican Journal of Clinical Nutrition, 105(5), 1079–1085. https://doi.org/10.3945/ajcn.116.145359

Egnell, M., Boutron, I., Péneau, S., Ducrot, P., Touvier, M., Galán, P., Fezeu, L., Porcher, R., Ravaud, P., Herçberg, S., Kesse‐Guyot, E., & Julia, C. (2022). Impact of the Nutri-Score front-of-pack nutrition label on purchasing intentions of individuals with chronic diseases: results of a randomised trial. BMJ Open, 12(8), e058139. https://doi.org/10.1136/bmjopen-2021-058139

Lee, S., Han, M. A., Park, J., & Ryu, S. Y. (2023). Utilization of nutrition labels and related factors among patients with diabetes in Korea. Nutrition Research and Practice, 17(2), 297. https://doi.org/10.4162/nrp.2023.17.2.297

Malloy-Weir, L. J., & Cooper, M. (2016). Health literacy, literacy, numeracy and nutrition label understanding and use: a scoping review of the literature. Journal of Human Nutrition and Dietetics, 30(3), 309–325. https://doi.org/10.1111/jhn.12428

Miller, L. E. (2016a). Nutrition Label literacy. AADE in Practice, 4(4), 38–42. https://doi.org/10.1177/2325160316650253

Moore, S., Donnelly, J., Jones, S., & Cade, J. (2018). Effect of educational interventions on understanding and use of nutrition labels: A systematic review. Nutrients, 10(10), 1432. https://doi.org/10.3390/nu10101432 

Paper, L., Ahmed, M., Lee, J. J., Kesse‐Guyot, E., Touvier, M., Herçberg, S., Galán, P., Salanave, B., Verdot, C., L’Abbé, M. R., Deschamps, V., & Julia, C. (2022). Cross-sectional comparisons of dietary indexes underlying nutrition labels: nutri-score, Canadian ‘high in’ labels and Diabetes Canada Clinical Practices (DCCP). European Journal of Nutrition, 62(1), 261–274. https://doi.org/10.1007/s00394-022-02978-w

Rimpeekool, W., Kirk, M., Yiengprugsawan, V., Banwell, C., Seubsman, S., & Sleigh, A. (2017). Nutrition label experience and consumption of transitional foods among a nationwide cohort of 42,750 Thai adults. British Food Journal, 119(2), 425–439. https://doi.org/10.1108/bfj-07-2016-0327

Saleem, S. M., Bhattacharya, S., & Deshpande, N. (2022). Non-communicable diseases, type 2 diabetes, and influence of front of package nutrition labels on consumer’s behaviour: Reformulations and future scope. Diabetes & Metabolic Syndrome, 16(2), 102422. https://doi.org/10.1016/j.dsx.2022.102422

Teoh, K. W., Ng, C. M., Chong, C. W., Bell, S., Cheong, W. L., & Lee, S. W. H. (2023). Knowledge, attitude, and practice toward pre-diabetes among the public, patients with pre-diabetes and healthcare professionals: a systematic review. BMJ Open Diabetes Research and Care, 11(1), e003203. https://doi.org/10.1136/bmjdrc-2022-003203

Zweig, J., & Pilliar, J. (2012). Exploring the Understanding of Nutrition Facts Tables Among Adults Attending Group Diabetes Education Classes: A Survey of Knowledge, Understanding and Importance of Reading Nutrition Labels Prior to Receiving Any Diabetes Education. Canadian Journal of Diabetes, 36(5), S3–S3. https://doi.org/10.1016/j.jcjd.2012.07.020

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