Blurred lines: Emerging practice for registered dietitian-nutritionists in integrative and functional nutrition

Grace-Farfaglia, Patricia; Pickett-Bernard, Denise; Gorman, Andrea; Dehpahlavan, Jaleh

doi:10.1016/j.ctcp.2017.06.009

Cited by 7 publications

(12 citation statements)

References 43 publications

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“…Admittedly, the effect size was small, but in a separate paper the authors demonstrated that integrative nutrition practice diffusion is in the early phase of adoption, but is more common within certain communities of practice. A separate paper described the characteristics and evidence-based professional certifications and licenses earned by dietitians in the specialization of integrative and functional medicine [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…The Satisfaction with Life scale (SWLS) was the outcome variable of interest measuring individual perceptions of the meaning of health [ 19 ]. Separate papers were devoted to the validation process of the English version of the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ) and Integrative Medicine (IM-30) [ 20 , 21 ] The HLPCQ measures personal routines and the degree to which the individual is empowered through lifestyle and health choices [ 17 ]. The IM-30 measures professional practice patterns along a continuum from traditional to integrative styles of practice for physicians.…”

Section: Methodsmentioning

confidence: 99%

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Health Philosophy of Dietitians and Its Implications for Life Satisfaction: An Exploratory Study

Grace-Farfaglia

Pickett-Bernard

Gorman

et al. 2017

Behavioral Sciences

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Studies of health providers suggest that satisfaction with life is related to their values and sense of purpose which is best achieved when their professional role is in harmony with personal philosophy. Cross-sectional surveys suggest that personal health beliefs and practices of health professionals influence their clinical counseling practices. However, little is known about the influence of health philosophy on the personal satisfaction with life for dietitians. This study recruited a randomly selected, cross-sectional sample to complete a self-administered online survey. An exploratory factor analysis of was conducted for 479 participants resulting in a two-factor solution, clinical (α = 0.914) and wellness (α = 0.894) perceptions of health. An index score for the following valid and reliable scales were calculated: satisfaction with life, health conception, and healthy lifestyle and personal control. Pearson correlation coefficients between scores were analyzed to determine the degree of relationship. Potential mediators were explored with multiple regression. The relationships between variables were tested with structural equation modeling using a multigroup comparison between genders. The male participants were removed from the overall model and were separately evaluated. Health philosophy that is oriented toward wellness, was positively and significantly associated with life satisfaction, r(462) = 0.103, p < 0.05. Participants with higher Healthy Lifestyle and Personal Control scores reported greater life satisfaction, r(462) = 0.27, p = 0.000. Healthy lifestyle alone predicted 8.8% of the variance in life satisfaction (R2 = 0.088, df 1462, p = 0.005). SEM confirmed the model had goodness-of-fit (χ2 = 2.63, p = 0.453). The satisfaction with life of dietitians is directly and positively influenced by a greater wellness orientation and personal healthy lifestyle practices. The effect of practice and lifestyle on life satisfaction appears to be greater for men.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Health Philosophy of Dietitians and Its Implications for Life Satisfaction: An Exploratory Study

Grace-Farfaglia

Pickett-Bernard

Gorman

et al. 2017

Behavioral Sciences

Self Cite

View full text Add to dashboard Cite

show abstract

“…Indeed, Grace-Farfaglia et al23 reported that RDs may be reluctant to incorporate IM-based therapies in their respective practices. They hypothesize that this may be due to a lack of: IM-based training during their didactic curricula, evidence regarding the efficacy of IM therapies, published evidence-based practice guidelines from the Academy, and how these IM modalities will fit into their overall treatment plan 23. This may partly explain the reported differences in IM use among practice areas.…”

Section: Discussionmentioning

confidence: 99%

Nutrition Professionals' Confidence Recommending Integrative Medicine Modalities

Malik

Paalani

Becerra

2023

Topics in Clinical Nutrition

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The study aimed to examine whether registered dietitians' (RDs') practice areas were associated with their confidence regarding integrative medicine (IM) modalities. An online survey was completed by 5164 members of the Academy of Nutrition and Dietetics. Post hoc analyses revealed that when compared with other practice areas, RDs practicing within IM reported the highest self-rated confidence when recommending high-quality supplements (84.2%, P < .01), disease-specific supplements (73.7%, P < .001), herbal supplements (73.7%, P < .001), and functional foods (84.2%, P < .001). RDs who utilize IM are most confident incorporating IM modalities into their practice, while those employed in other practice areas are significantly less confident.

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“…Although the dietetics syllabus has introduced related topics such as complementary and alternative medicine and wellness (19), dietitians are not trained to address their patients' spiritual care (13). If they were to practice, they might work it out based on their personal experiences and interest (20).…”

Section: Discussionmentioning

confidence: 99%

“…Many dietitians would now consider adopting new dietetics approaches such as mindfulness and spiritual well-being (22). In addition, there has been a growing interest to adopt integrative medicine orientation into medical nutrition therapy among dietitians in the United States (20). While research into technical issues in promoting a patient-centred approach in dietetics ( 23) is important, now it is high time for dietetic professionals to consider spiritual care in their practices.…”

Section: Discussionmentioning

confidence: 99%

Muslim Dietitian-patient Spiritual Conversations and Its’ Challenges: A Descriptive Cross-sectional Study

Afandi¹,

Mohamad²,

Bakar³

et al. 2022

MJMHS

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Introduction: Spirituality is essential in patient care. In dietetics, the patient-centred care approach has a significant role in promoting caring relationships with the patients in dietary counselling. While integrating spirituality in clinical practice influences patients’ ability to cope with illness, there is a paucity of research on spirituality in dietetics. This study aimed to discover the proportion of Muslim dietitians who inquired about patients’ spiritual needs and its association with socio-demographic factors, identify selected conversations on spiritual concern and its challenges. Method: This cross-sectional study adopted selected items from The International NERSH-Cohort questionnaire. A new semi-structured question on responses to patients’ spiritual concerns was also evaluated (4 items; alpha=.79). Data were gathered through an online survey and analysed using descriptive analysis and Pearson chi-square.Results: Out of ninety-eight respondents, only 3% reported always making an attempt to inquire about patients’ spiritual needs, whereas 44% had never made such an inquiry. The duration of practising dietetics was not associated with inquiring spiritual needs practices. When the Muslim patients brought up a discussion on spiritual concern, 38% of the Muslim dietitians had responded that only Allah has the power to heal and grant happiness. This study highlights that Muslim dietitians’ most common obstacles to addressing spiritual concerns during dietary counselling were the fear of offending the patients and insufficient knowledge/training. Conclusion: There are ways for Muslim dietitians to engage in spiritual conversations during dietary counselling, but the existing challenges indicate a calling for formal training.

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Blurred lines: Emerging practice for registered dietitian-nutritionists in integrative and functional nutrition

Abstract: The orientation towards Integrative Medicine for a majority of US dietitians is in the awareness and learning phases of adoption.

Cited by 7 publications

References 43 publications

Health Philosophy of Dietitians and Its Implications for Life Satisfaction: An Exploratory Study

Health Philosophy of Dietitians and Its Implications for Life Satisfaction: An Exploratory Study

Nutrition Professionals' Confidence Recommending Integrative Medicine Modalities

Muslim Dietitian-patient Spiritual Conversations and Its’ Challenges: A Descriptive Cross-sectional Study

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