Validation of a dietary advice protocol for adults with obesity in primary health care according to the Brazilian Dietary Guidelines.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-08-14 DOI:10.1093/fampra/cmac132
Lorrany S Rodrigues, Nathalia Pizato, Kenia M B Carvalho, Eliane S Dutra, Patrícia B Botelho, Laila S Andrade, Verena D Moraes, Vivian S S Gonçalves
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Abstract

Background: Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. Standardized protocols can help primary health care (PHC) professionals manage the disease.

Objectives: To describe the validation process of a protocol concerning dietary guidelines for adults with obesity in PHC by non-nutrition professionals.

Methods: A validation study of a dietary advice protocol consisting of 6 recommendations was conducted according to Brazilian Dietary Guidelines. The topics incorporated into the recommendations were submitted to a panel of judges for content validity and achieved a Scale Content Validity Index (S-CVI) score >0.80. Subsequently, an online workshop was held and consisted of guiding questions to adequately improve current protocols. Face validity was assessed in a mediation workshop conducted with PHC non-nutrition professionals. Following the validation process, necessary adjustments were made to the eating protocol.

Results: The validation process was conducted by a panel of 20 judges and 10 PHC professionals. The content was validated using a 0.98 S-CVI. The online workshop expert panel agreed the instrument provides a trustworthy foundation for appropriate dietary guidelines. Moreover, the judges suggested changes to the flowchart designed to support the professionals' decisions, discussed the absence of quantitative prescription guidelines, and offered additional suggestions to strengthen equity and encourage autonomy in non-nutrition healthcare professionals in PHC.

Conclusion: This study describes the validation process of a dietary advice protocol for people with obesity, as well as the importance of its integration into PHC.

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根据《巴西膳食指南》,验证针对基层医疗机构肥胖症成人的膳食建议方案。
背景肥胖症是一种非传染性慢性疾病,巴西统一卫生系统为此付出了高昂的代价。标准化方案可帮助初级卫生保健(PHC)专业人员管理该疾病:描述非营养专业人员在初级卫生保健中对成人肥胖症饮食指导方案的验证过程:根据《巴西膳食指南》,对包含 6 项建议的膳食建议方案进行了验证研究。纳入建议的主题已提交评审团进行内容效度验证,其量表内容效度指数(S-CVI)大于 0.80。随后,举办了一次在线研讨会,提出了一些指导性问题,以充分改进当前的规程。在与初级保健中心非营养专业人员共同举办的调解研讨会上,对表面效度进行了评估。验证过程结束后,对饮食方案进行了必要的调整:验证过程由 20 名评委和 10 名初级保健专业人员组成的小组进行。内容验证的 S-CVI 为 0.98。在线研讨会专家小组一致认为,该工具为适当的饮食指南提供了值得信赖的基础。此外,评委们还对旨在支持专业人员决策的流程图提出了修改建议,讨论了缺乏定量处方指南的问题,并提出了其他建议,以加强公平性并鼓励初级保健中的非营养保健专业人员的自主性:本研究介绍了肥胖症患者饮食建议方案的验证过程,以及将其纳入初级保健服务的重要性。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
期刊介绍: ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.
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