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Foundation Investment in Research

Research Report March 2010

The Foundation has provided significant support for the research functions of the Academy since 2000. Most notably is the support for the Dietetics Practice-Based Research Network (DPBRN), the Evidence Analysis Library (EAL), and the International Diabetes Outcome Study Research Project (IDOS). The DPBRN conducts, supports, promotes and advocates for research by bringing together practitioners and researchers to identify research that is needed in practice-based settings, to design top-class research, to obtain funding, and to carry that research out in real-life practice settings. The EAL is an online library of evidence based analyses which continues to grow in both usage and content. The following are highlights of the results of the Foundation Research Investment (2000-2009) on various projects.

Dietetics Practice-Based Research Network

Descriptive Study

The descriptive study was designed to better describe the participants in the DPBRN in anticipation of future external grant funding proposals. An abstract summarizing the results was presented at FNCE 2006. Results were used in various research proposals.

Trostler, N, Myers, EF, Snetselaar, L. Description of Practice Characteristics and Professional Activities of Dietetics Practice-Based Research Network Members. Journal of The American Dietetic Association. 108(6):1060-1067, 2008. Available online.

Critical Thinking in Measuring Energy Expenditure

This translational research project was funded by the Foundation through a grant from HealtheTech which utilized the results of an Evidence Analysis Project (indirect calorimetry) in the practice setting. Twenty-nine RDs submitted data as part of the research study. The abstract was accepted and presented at FNCE 2007 and results highlighted in a short presentation at the 2007 Research Symposium at FNCE.

Trostler, N, Myers, EF, Snetselaar, L. Determining Resting Metabolic Rate: Evaluation of Appendix to ADA Evidence-Based Nutrition Practice Guidelines using the Dietetics Practice Based Research Network. Topics in Clinical Nutrition. 23(4):292-305, 2008.

Trostler, N, Myers, EF, Snetselaar, L. Review of critical thinking: Making decisions to either measure or estimate Resting Metabolic Rate (RMR). Topics in Clinical Nutrition. 24(4):278-291, 2008.

Nutrition Quality of Life

The NQoL was developed by Dr. Judith Barr and Dr. Gerald Schumacher from Northeastern University with funding from the Foundation (Novation and Abbott Laboratories). Focus groups with clients and dietitians led to the development of a draft instrument which measures the unique contribution of RDs to a client's ability to "cope" with their nutritional considerations. NQoL instrument was presented at FNCE 2001, Nutrition week in February 2002, and an article summarizing the development of the instrument was published in February 2003 JADA. The Weight Management DPG funded the development of a proposal and jointly funded a pilot study with NERCOA from Northeastern University to test the practical usability of the NQoL survey by dietetic practitioners. Additionally, methodology logistics that needed modification were identified. Currently, a manuscript of the pilot study is being developed and a proposal for resubmission to NIH is being prepared.

Barr, J, Schumacher, G. Using focus groups to determine what constitutes quality of life in clients receiving medical nutrition therapy: First steps in the development of a nutrition quality-of-life survey. Journal of The American Dietetic Association. 103(7):844-851, 2003. Available online.

Barr, J, Schumacher, G. The need for a nutrition-related quality-of-life measure. Journal of The American Dietetic Association. 103(2):177-180, 2003. Available online.

Barr, JT, Schumacher, G, Myers, EF. Case problem: Quality of life outcomes assessment: How can you use it in Medical Nutrition Therapy? Journal of The American Dietetic Association. 101(9):1064-1066, 2001. Available online.

BMI2/Healthy Lifestyle Research Study

The Healthy Lifestyle Research Study (pilot) was completed in 2002-2003 with collaborative funding from the Foundation, AAP (Pediatric Research in Outpatient Setting), and CDC and the results were published in the Archives of Pediatric and Adolescent Medicine.  A follow-up four year research project, BMI2, testing the effect of motivational interviewing to impact food and activity behaviors and ultimately children’s BMI was funded by NIH. Thirteen RDs and 39 MDs were trained in June and August 2009. Patient recruitment began in fall 2009 and data collection is ongoing.

Family Nutrition and Physical Activity Screening Tool

An evidence based analysis on factors influencing childhood overweight was completed through the support of the Foundation. This analysis was the basis for the development the Family Nutrition and Physical Activity screening tool which was designed to assess family environmental and behavioral factors that may predispose a child to becoming overweight. The tool has been shown to have predictive validity for identifying home environments that may increase children’s risk for becoming overweight. This tool has great application capacity as could be used for school based screenings, RD counseling, and in research.

Ritchie, LD, Welk, GA, Styne D, Gerstein, DE, Crawford PB. Family Environment and Pediatric Overweight: What Is a Parent to Do? Journal of The American Dietetic Association. 105(5):70-79, 2005. Available online.

Ihmels, MA, Welk, GJ, Eisenmann, JC, Nusser, SM. Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool. Int J Behav Nutr Phys Act. 12(6):14, 1-10, 2009. Available online.

Ihmels, MA, Welk, GJ, Eisenmann, JC, Nussesr, SM, Myers, EF. Prediction of BMI change in young children with the Family Nutrition and Physical Activity (FNPA) screening tool. Ann of Beh Med. 38(1):60-68, 2009.

International Diabetes Outcome Study (IDOS)

The IDOS study evaluated outcomes from implementing the Academy MNT Guides for Practice for Adult Type 1 and 2 Diabetes in Israel, Turkey, and Lebanon. A coordinator and five dietitians in each country were trained and the guides have been translated to Hebrew, Turkish and Arabic. Abbott approved funding for glucometers and strips in all three countries. Data has been analyzed, a final meeting was held in Jordan, and a manuscript is being prepared. Research project was funded through the Foundation Wimpfheimer-Guggenheim Fund for International Exchange in Nutrition, Dietetics and Management.

Trostler, N, Myers, EF. Mainstreaming international outcomes research in dietetics. Journal of The American Dietetic Association. 104(2):279-281, 2004. Available online.