Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After Trial
ABSTRACT Background and Aims Patients find it difficult, during the pandemic, to receive appropriate nutrition services because of the limited access to health services. This study assessed the effectiveness of a tele‐consulting nutrition intervention on the nutrition adherence of patients with diab...
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Wiley
2024-11-01
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| Online Access: | https://doi.org/10.1002/hsr2.70193 |
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| author | Somaye Norouzi Fateme Arefi Majd Somaye Rostami Moghadameh Mirzaee Samane Sistani Leila Ahmadian |
| author_facet | Somaye Norouzi Fateme Arefi Majd Somaye Rostami Moghadameh Mirzaee Samane Sistani Leila Ahmadian |
| author_sort | Somaye Norouzi |
| collection | DOAJ |
| description | ABSTRACT Background and Aims Patients find it difficult, during the pandemic, to receive appropriate nutrition services because of the limited access to health services. This study assessed the effectiveness of a tele‐consulting nutrition intervention on the nutrition adherence of patients with diabetes and hypertension. Methods A tele‐medical nutrition therapy (MNT) intervention was conducted as a one‐group before‐after trial. The estimated sample size was 314. Of these, 183 patients were selected from Hefdah‐e‐Shahrivar and 131 from Farabi Hospital. Patients were asked to complete an adapted version of the nutrition adherence self‐reported instrument to compare nutrition adherence when they received face‐to‐face therapy versus tele MNT. Results In total, 166 completed all phases of the study. The results showed that the nutrition adherence score significantly increased compared to before the intervention. Hedges's g effect size also confirmed the high efficacy of telenutrition therapy. The magnitude of differences was within a high range (effect size 3.76 [CI: 3.40–4.12]). Conclusions The present findings showed that providing teleconsulting nutrition services to diabetic and hypertensive patients can positively affect their nutrition adherence. Telenutrition to promote a healthy diet can contribute to effectively controlling diseases in chronic patients during/after the pandemic with no gaps or failures. Trial Registration This study was a tele‐nutrition intervention. In this study, we provided consultation on regular food consumption and did not order any chemical substances or nutritional supplements. Furthermore, we did not perform any treatment or invasive intervention, we assumed that a registration number was unnecessary, so we did not apply for clinical trial registration. |
| format | Article |
| id | doaj-art-4f7d1a11723c4efca0bac13a67e8b719 |
| institution | OA Journals |
| issn | 2398-8835 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
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| series | Health Science Reports |
| spelling | doaj-art-4f7d1a11723c4efca0bac13a67e8b7192025-08-20T02:05:31ZengWileyHealth Science Reports2398-88352024-11-01711n/an/a10.1002/hsr2.70193Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After TrialSomaye Norouzi0Fateme Arefi Majd1Somaye Rostami2Moghadameh Mirzaee3Samane Sistani4Leila Ahmadian5Student Research Committee, Faculty of Management and Medical Information Sciences Kerman University of Medical Sciences Kerman IranSocial Insurance Organization Farabi Hospital Mashhad IranSchool of Nutrition and Food Sciences Tabriz University of Medical Sciences Tabriz IranModeling in Health Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman IranDepartment of Medical Informatics, Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranDepartment of Health Information Sciences, Faculty of Management and Medical Information Sciences Kerman University of Medical Sciences Kerman IranABSTRACT Background and Aims Patients find it difficult, during the pandemic, to receive appropriate nutrition services because of the limited access to health services. This study assessed the effectiveness of a tele‐consulting nutrition intervention on the nutrition adherence of patients with diabetes and hypertension. Methods A tele‐medical nutrition therapy (MNT) intervention was conducted as a one‐group before‐after trial. The estimated sample size was 314. Of these, 183 patients were selected from Hefdah‐e‐Shahrivar and 131 from Farabi Hospital. Patients were asked to complete an adapted version of the nutrition adherence self‐reported instrument to compare nutrition adherence when they received face‐to‐face therapy versus tele MNT. Results In total, 166 completed all phases of the study. The results showed that the nutrition adherence score significantly increased compared to before the intervention. Hedges's g effect size also confirmed the high efficacy of telenutrition therapy. The magnitude of differences was within a high range (effect size 3.76 [CI: 3.40–4.12]). Conclusions The present findings showed that providing teleconsulting nutrition services to diabetic and hypertensive patients can positively affect their nutrition adherence. Telenutrition to promote a healthy diet can contribute to effectively controlling diseases in chronic patients during/after the pandemic with no gaps or failures. Trial Registration This study was a tele‐nutrition intervention. In this study, we provided consultation on regular food consumption and did not order any chemical substances or nutritional supplements. Furthermore, we did not perform any treatment or invasive intervention, we assumed that a registration number was unnecessary, so we did not apply for clinical trial registration.https://doi.org/10.1002/hsr2.70193COVID‐19diabeteshypertensionnutrition adherencetelehealthtele‐medical nutrition therapy (tele‐MNT) |
| spellingShingle | Somaye Norouzi Fateme Arefi Majd Somaye Rostami Moghadameh Mirzaee Samane Sistani Leila Ahmadian Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After Trial Health Science Reports COVID‐19 diabetes hypertension nutrition adherence telehealth tele‐medical nutrition therapy (tele‐MNT) |
| title | Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After Trial |
| title_full | Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After Trial |
| title_fullStr | Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After Trial |
| title_full_unstemmed | Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After Trial |
| title_short | Tele‐Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID‐19 Pandemic: A Pragmatically Before‐After Trial |
| title_sort | tele medical nutrition therapy to promote healthy eating and nutrition adherence of chronic patients in the covid 19 pandemic a pragmatically before after trial |
| topic | COVID‐19 diabetes hypertension nutrition adherence telehealth tele‐medical nutrition therapy (tele‐MNT) |
| url | https://doi.org/10.1002/hsr2.70193 |
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