Nutritional genomics for nutrition professionals: Who undertakes online training and are they more knowledgeable, confident and involved?

Twohig, Cliona; Adamski, Melissa; Murgia, Chiara; Collins, Jorja

doi:10.1111/1747-0080.12503

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…The remaining 18 potential articles underwent full text review and were assessed against the eligibility criteria, resulting in 14 included articles describing dietetics education or credentialing research. Of these studies, three focused on competency standards, 23 , 24 , 25 four on assessment, 26 , 27 , 28 , 29 five on curriculum, 30 , 31 , 32 , 33 , 34 and two on continuing education 35 , 36 (Table 2 and Figure S1 ). These characteristics were reviewed by the authors with the aim of identifying one published example from scientific, 28 interpretive 31 and critical 24 approaches that could best illustrate the stated philosophy and be critiqued for internal coherence.…”

Section: Resultsmentioning

confidence: 99%

Internal coherence matters: Lessons for nutrition and dietetics research

Palermo

Reidlinger

Rees

2021

Nutrition & Dietetics

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Aim Internal coherence in research refers to the alignment between ontology (nature of reality), epistemology (nature of knowledge), axiology (values), methodology and methods and is an important but often overlooked element of research quality. We therefore aimed to illustrate the concept of internal coherence in nutrition and dietetics research, and its importance beyond individual elements of study quality. Method A targeted literature search in Nutrition and Dietetics was used to identify research illustrating one example of three main approaches to research (scientific, interpretive and critical inquiry) published between November 2017 and November 2020. Studies were included if they related to education research based on the expertise of the authors, and illustrated diverse points about internal coherence. The authors independently critiqued included studies for internal coherence and synthesised their findings. Results From 76 manuscripts, 14 were identified as describing education research. Of the three selected studies that were critiqued, all had elements of internal coherence, in particular alignment between epistemology and methodology. However, each had elements of misalignment too, specifically between epistemology, axiology and method. The results point to the profession's historical groundings privileging the scientific approach, showing how this can yield misalignments, particularly when describing the limitations of interpretive and critical inquiry approaches. Conclusion This review demonstrates the importance of internal coherence as a marker of quality, over and above existing quality assessment checklists for qualitative and quantitative methodologies. As such, it can help authors, reviewers and editors to improve the quality of nutrition and dietetics research and its reporting.

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Section: Resultsmentioning

confidence: 99%

Internal coherence matters: Lessons for nutrition and dietetics research

Palermo

Reidlinger

Rees

2021

Nutrition & Dietetics

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“…A need for NGT training materials is evident, and while NGT companies can be a valuable source, additional efforts are needed from other sources. It is important to note that a subset of HCPs in our investigation accessed training from a professional organization’s nutrigenomics online course, which is a format that can be further developed [33] along with increasing availability of nutrigenomics courses in HCP education [34, 35]. Moreover, our findings indicate that patients are more likely to approach an HCP when they have an existing interest in NGT as opposed to an HCP initially recommending a test.…”

Section: Discussionmentioning

confidence: 98%

Healthcare Professional Clinical Actions following Nutrigenomics Testing in Practice

Karamanoglu

Nielsen

2020

Public Health Genomics

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Background: Clinical demand for nutrigenomics testing (NGT) is increasing, underscoring the importance of assessing healthcare professional (HCP) competence and clinical actions with NGT in practice. While previous studies have explored HCP perceptions of NGT, no study has examined real HCP experiences with NGT in practice. Objective: The objective of this study was to evaluate the clinical experience of providing NGT among early adopter HCPs who have used NGT in their practice. We hypothesized that HCP clinical actions after NGT would differ according to HCP personal experience undergoing genetic testing (GT) as well as years in practice. Design: An online survey questionnaire was administered to HCPs (n = 70) who have provided NGT in practice. χ2 tests, tests for trend, and logistic regression were used to compare HCP characteristics with post-NGT outcomes. Results: HCPs with fewest years in practice (<5 years) comprised the lowest proportion of respondents (16%). Most HCPs reported good understanding of NGT results and 92% made genetic-based dietary recommendations to patients following NGT. HCP personal use of GT increased significantly with increasing years in practice (<5 years: 36%, 5–10 years: 53%, 11–20 years: 70%, and >20 years: 85%, p trend = 0.003). Requesting patient bloodwork because of NGT results increased significantly with HCP years in practice when HCPs with <5 years in practice were not considered (5–10 years: 19%, 11–20 years: 28%, and >20 years: 60%, p trend = 0.010). A near significant difference was observed where a greater proportion of HCPs who had personally undergone GT reported requesting patient bloodwork (personal use: 46% vs. no personal use: 23%, p-χ2 = 0.066). Conclusion: Early HCP adopters of NGT utilize the test results to provide genetic-based dietary recommendations to patients. Clinical action after NGT currently appears to be driven by HCP years in practice, but HCP personal use of GT may also be a factor.

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