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  • Assessment
    Are RDs more effective than other healthcare professionals in providing nutrition education, nutrition counseling and coaching services (non-MNT) via non-face-to-face methods (to include phone, Internet, e-mail, videoconferencing, etc.)?
    • Conclusion

      Limited evidence reported comparable improvement among subjects and showed no significant differences in effectiveness by interventionists in the provision of non-MNT telenutrition services. Further research designed to study the comparative effectiveness is needed.

    • Grade: III
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    What is the effectiveness of telenutrition interventions and counseling provided by an RD when part of a healthcare team?
    • Conclusion

      Strong and consistent evidence reports that telenutrition interventions and counseling, when provided by a registered dietitian as part of a healthcare team, resulted in significant improvements in weight, BMI, A1C, blood pressure and serum lipids. Additional research on each of these outcomes is needed.

    • Grade: I
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    What is the effectiveness of telenutrition interventions and counseling provided by an RD?
    • Conclusion

      Consistent evidence reports that telenutrition interventions and counseling provided by a registered dietitian resulted in significant improvements in weight, BMI, A1C, and/or serum lipids. Additional research on each of these outcomes is needed.

       

       

    • Grade: I
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    What is the cost-effectiveness, cost benefit or economic savings of telenutrition interventions and counseling provided by an RD?
    • Conclusion

      There were no cost-effectiveness analyses identified, however limited evidence reports varying differences in costs between telehealth and traditional interventions, depending on the components included. Studies also report significant reductions in travel-related costs for patients and their families living in distant locations. Research is needed on the cost-effectiveness, cost benefit and/or economic savings of telenutrition interventions and counseling.

    • Grade: III
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.