Gadenz SD, Harzheim E, Rados DRV, Castro SMDJ, Drehmer M. Mobile Application Increased Nutrition Knowledge Among Brazilian Physicians.
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2024;
56:92-99. [PMID:
38127014 DOI:
10.1016/j.jneb.2023.11.001]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 10/05/2023] [Accepted: 11/02/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE
To assess whether using a Dietary Approaches to Stop Hypertension (DASH) diet recommendation application increases primary care physicians' knowledge and dietary counseling skills.
DESIGN
A randomized controlled trial.
SETTING
Brazilian public primary care service.
PARTICIPANTS
Two hundred and twenty-two physicians (intervention group: n = 111; control group: n = 111).
INTERVENTION
Thirty days of using the Dieta Dash application. The application provides information about nutritional recommendations for hypertension management.
MAIN OUTCOME MEASURES
Nutrition knowledge score.
SECONDARY OUTCOMES
self-assessment of knowledge, self-confidence, assessment of eating habits, and barriers to dietary counseling.
ANALYSIS
Linear mixed-effects models for repeated measures and generalized estimating equations for comparing changes between groups.
RESULTS
A total of 66.2% of participants completed the follow-up. There was no significant difference between the groups regarding the mean knowledge score (P = 0.15). The prevalence of high knowledge increased by 12% (prevalence ratio [PR] = 1.12; 95% confidence interval [CI], 1.00-1.25) in the intervention group and showed an improvement in the self-confidence assessment (PR = 1.21; 95% CI, 1.02-1.44), and increased assessment of eating habits (PR = 1.26; 95% CI, 1.10-1.55).
CONCLUSIONS AND IMPLICATIONS
The Dieta Dash application helped address dietary counseling, improving knowledge and self-confidence. However, innovative strategies are needed to minimize the primary care barriers.
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