Prediabetes Awareness and Practice Among Indian Doctors– A Cross-sectional Study

Understanding the knowledge, attitudes and practices of providing and receiving nutrition care for prediabetes: an integrative review

“…One mixed-methods study involved semi-structured interviews, focus groups and questionnaires (Wylie et al 2002). Ten studies reported data on patients only (Troughton et al 2008;Endevelt et al 2009;Geiss et al 2010;Dorsey et al 2011;Yang et al 2011;Harris and Chew 2014;Kolb et al 2014;Hooks-Anderson et al 2015;Okosun and Lyn 2015;O'Brien et al 2016), nine reported data on HCPs only (Wylie et al 2002;Williams et al 2004;Fearn-Smith et al 2007;Curran et al 2008;Basavareddy et al 2015;Mainous et al 2016;Mehta et al 2017;Tseng et al 2017;Kandula et al 2018) and seven studies provided data on both patients and HCPs (Strychar et al 2006;Bovier et al 2007;Cloney et al 2011;Hindhede 2014;Anderson et al 2015;Hindhede and Aagaard-Hansen 2015;Hafez et al 2017).…”

“…Reasons for low scores among the qualitative studies included poor description of participant selection (Wylie et al 2002;Williams et al 2004;Hindhede 2014;Hindhede and Aagaard-Hansen 2015;Hafez et al 2017) and a lack of researcher reflexivity in how their interactions with participants may influence results (Williams et al 2004;Troughton et al 2008;Hindhede 2014;Kolb et al 2014;Hindhede and Aagaard-Hansen 2015;O'Brien et al 2016;Hafez et al 2017). Quantitative studies received low scores for having a low response rate or complete outcome data (Strychar et al 2006;Fearn-Smith et al 2007;Endevelt et al 2009;Kolb et al 2014;Mainous et al 2016;Mehta et al 2017), reporting a sampling strategy that was irrelevant for the population under study (Basavareddy et al 2015;Mehta et al 2017;Tseng et al 2017) or for failing to adequately report inclusion or exclusion criteria (Fearn-Smith et al 2007;Basavareddy et al 2015;Tseng et al 2017).…”

“…Five themes emerged from the data: (1) nutrition care is preferable to pharmacological treatment; (2) patients report taking action for behaviour change; (3) HCPs experience barriers to providing nutrition care; (4) HCPs tend not to refer patients for further nutrition care; and (5) patients and HCPs have opposing reports of receipt and provision of nutrition care. (Basavareddy et al 2015;Kandula et al 2018) or recognising the importance of lifestyle modification as the primary approach to prediabetes management (Curran et al 2008;Mainous et al 2016;Hafez et al 2017;Tseng et al 2017). Where nutrition care was the preferred treatment approach, HCPs believed that prediabetes treatment was economically beneficial and that when treated, patients in their clinic returned to normoglycemia (Basavareddy et al 2015).…”

“…(Basavareddy et al 2015;Kandula et al 2018) or recognising the importance of lifestyle modification as the primary approach to prediabetes management (Curran et al 2008;Mainous et al 2016;Hafez et al 2017;Tseng et al 2017). Where nutrition care was the preferred treatment approach, HCPs believed that prediabetes treatment was economically beneficial and that when treated, patients in their clinic returned to normoglycemia (Basavareddy et al 2015). Patients identified a preference for group nutrition education; consistent, structured and accurate nutrition information; and valued HCPs spending time on tasks regarding nutrition more than written material (Troughton et al 2008).…”

“…The final theme focuses on the seemingly opposing findings between patients and HCPs regarding nutrition care. HCPs reported providing lifestyle, dietary or weight loss advice to patients often (Strychar et al 2006;Basavareddy et al 2015;Hafez et al 2017;Mehta et al 2017;Tseng et al 2017), while patients stated they seldom received lifestyle, dietary or weight loss advice in consultations (Strychar et al 2006;Geiss et al 2010;Yang et al 2011;Harris and Chew 2014;Mehta et al 2017). At the same time, patients reported high levels of motivation to make lifestyle changes with a prediabetes diagnosis (Troughton et al 2008;Hindhede 2014;Kolb et al 2014;Hindhede and Aagaard-Hansen 2015;O'Brien et al 2016), with some referring to their prediabetes diagnosis as a 'wake-up call' (O'Brien et al 2016).…”