Knowledge and Beliefs That Promote or Hinder Collaboration among Registered Dietitian Nutritionists and Certified Exercise Professionals—Results of a Survey

Manore, Melinda M.; Hand, Rosa K.; Liguori, Gary; Bayles, Madeline P.; Dolins, Karen Reznik; Steinmuller, Patti; Cotton, R. T.; Smith-Edge, Marianne

doi:10.1016/j.jand.2016.05.007

Cited by 9 publications

(7 citation statements)

References 9 publications

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“…Familiarity in standards of operation for the various professions building a full appreciation of knowledge and skills is required. Promoting opportunities to collaborate and providing guidelines 60 are a start to developing long-term plans.…”

Section: Discussionmentioning

confidence: 99%

Effect of interdisciplinary care on weight loss: a randomised controlled trial

et al. 2017

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ObjectiveTo determine the effectiveness of a novel interdisciplinary treatment compared with usual care on weight loss in overweight and obese adult volunteers.DesignSingle blinded controlled trial. Participants randomly assigned to usual care (C, general guideline-based diet and exercise advice), intervention (I, interdisciplinary protocol) or intervention + a healthy food supplement (30 g walnuts/day) (IW).SettingCommunity based study, Illawarra region, south of Sydney, Australia.ParticipantsGenerally well volunteer adult residents, 25-54 years, body mass index (BMI) 25-40kg/m2 were eligible. At baseline 439 were assessed, 377 were randomised, 298 completed the 3-month intensive phase and 178 completed the 12-month follow-up.InterventionsTreatment was provided at clinic visits intensively (0 months, 1 month, 2 months, 3 months) then quarterly to 12 months. Support phone calls were quarterly. All participants underwent blinded assessments for diet, exercise and psychological status.Primary and secondary measuresThe primary outcome was difference in weight loss between baseline and 12 months (clinically relevant target 5% loss). Secondary outcomes were changes in blood pressure, fasting blood glucose and lipids, and changes in diet, exercise and psychological parameters.ResultsAt 12 months, differences in weight loss were identified (p<0.001). The I group lost more than controls at 3 months (91.11 (92.23,90.00), p<0.05) and the IW more than controls at 3 months (91.25 (92.35,90.15), p<0.05) and 6 months (92.20 (93.90,90.49), p<0.01). The proportion achieving 5% weight loss was significantly different at 3 months, 6 months and 9 months (p=0.04, p=0.03, p=0.03), due to fewer controls on target at 3 months, 6 months and 9 months and more IW participants at 6 months. Reductions in secondary outcomes (systolic blood pressure, blood glucose/lipid parameters and lifestyle measures) followed the pattern of weight loss.ConclusionsAn interdisciplinary intervention produced greater and more clinically significant and sustained weight loss compared with usual care. The intensive phase was sufficient to reach clinically relevant targets, but long-term management plans may be required.Trial registration numberANZCTRN 12614000581662; Post-results.

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Section: Discussionmentioning

confidence: 99%

Effect of interdisciplinary care on weight loss: a randomised controlled trial

et al. 2017

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“…The focus-group interview supported the practical difficulties in the achievement of rapid success in this situation. These problems (e.g., the work of a dietetic specialist in a gym means another cost to clients) have gotten less attention in the literature; however, the article of Manore et al [31] must be highlighted. We compared the results of the focus-group interviews with the results of the qualitative study published by Barnes et al [14].…”

Section: Discussionmentioning

confidence: 99%

A Blind Man Leads a Blind Man? Personalised Nutrition-Related Attitudes, Knowledge and Behaviours of Fitness Trainers in Hungary

et al. 2020

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It is well-documented that fitness trainers could play an important role in the nutrition-related behaviour of their clients based on their personalised nutrition-related counselling activities, but there are considerable concerns all over the world about the level of their knowledge to become nutritional coaches. In the framework of the current study based on qualitative (focus-group interviews) and quantitative (questionnaire and analysis of responses by multivariable methods, as well as structural equation modelling) methods, it has been proven that (1) theoretically, both the trainers and the dietitians acknowledge the importance of cooperation in the optimisation of coaching efficiency and advisory work due to some "professional jealousness" and differences in professional background, as well as in culture, so it is hard to find a common platform for cooperation, especially in market segments characterised by relative low levels of purchasing power; (2) due to lack of regulation, there is a high heterogeneity of professional competences of trainers in general and their nutritional competences, in particular; (3) the majority of trainers do not have an objective picture on his/her effective nutritional knowledge, and they often offer a much wider scope of services (e.g., nutritional counselling for clients with chronic diseases) which are well beyond their professional knowledge and (4) the dietary guidelines have not become an integral part of professional knowledge, even at the level of specialists. To improve the current-in some cases, dangerous-situation, the following steps should be taken: (1) enhancement of the level of professional qualification of future trainers, integrating the practice-oriented approaches and emphasising the role of teamwork by simulation-based practices; (2) highlighting in a clear way the professional and ethical boundaries of the activities of trainers and (3) working out an efficient incentive system for the continuous professional development of trainers.

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“…It is important that personal trainers clearly communicate the boundaries of nutrition care they are able provide and enable their clients to access further nutrition care through appropriate referrals to health professionals. Historically, referrals between personal trainers and health professionals, such as dietitians, have been low . Increased collaboration between fitness and health professionals is needed to deliver safe and effective nutrition care when individuals are most willing to receive it.…”

Section: Discussionmentioning

confidence: 99%

“…Historically, referrals between personal trainers and health professionals, such as dietitians, have been low. 36 Increased collaboration between fitness and health professionals is needed to deliver safe and effective nutrition care when individuals are most willing to receive it. This is the first study that has quantitatively explored expectations of clients and potential clients with regard to nutrition care provided by personal trainers.…”

Section: Discussionmentioning

confidence: 99%

Clients expect nutrition care to be provided by personal trainers in Australia

Barnes

Beach

Ball

et al. 2019

Nutrition & Dietetics

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Aim To describe client expectations and the experience of nutrition care provided by personal trainers and explore factors that influence expectations of nutrition care. Methods A cross‐sectional survey identified expectations of nutrition care provided by personal trainers. Likert scales explored expected nutrition care, nutrition knowledge of personal trainers and experiences of those who had received nutrition care from a personal trainer. Expectations were evaluated using descriptive statistics. Associations between expectations and participant characteristics were explored with Pearson chi‐squared tests. Results Six hundred twenty‐seven Australian residents participated (77% female; 16–74 years of age). Participants frequently expected personal trainers to be knowledgeable about and discuss general healthy eating, muscle gain and weight loss. Half of the participants expected personal trainers to discuss and be knowledgeable about nutrition for chronic disease. Of the 334 participants who had engaged a personal trainer, 98% received nutrition care. Half of these participants (n = 167) were satisfied with the nutrition care they received, and 40% reported positive dietary changes because of their personal trainers’ nutrition care. Tertiary education and perceived healthfulness of diet lowered expectations of nutrition care from personal trainers (P < 0.001). Engagement of a personal trainer did not influence expectations of nutrition discussions (P > 0.01) but increased expectations of personal trainer nutrition knowledge (P < 0.01). Conclusions Clients expect personal trainers to provide nutrition care. Client expectations may compel personal trainers to provide nutrition care beyond the recommended scope of practice. Strategies to manage client expectations, including awareness of the personal trainer scope of practice, are needed to ensure safe and effective nutrition care from personal trainers.

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Knowledge and Beliefs That Promote or Hinder Collaboration among Registered Dietitian Nutritionists and Certified Exercise Professionals—Results of a Survey

Cited by 9 publications

References 9 publications

Effect of interdisciplinary care on weight loss: a randomised controlled trial

Effect of interdisciplinary care on weight loss: a randomised controlled trial

A Blind Man Leads a Blind Man? Personalised Nutrition-Related Attitudes, Knowledge and Behaviours of Fitness Trainers in Hungary

Clients expect nutrition care to be provided by personal trainers in Australia

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