MiOA: Dissemination and Implementation of Guideline (2023)

MiOA: Dissemination and Implementation of Guideline (2023)

Dissemination and implementation of guidelines is very important for the Academy. Dissemination focuses on spreading the knowledge and information from these guidelines to stakeholders via various means. Implementation, on the other hand, involves integration of the evidence-based interventions into practice, and includes examination of barriers and facilitators that can influence the effectiveness of these evidence-based recommendations.

Guideline Dissemination

The publication of this guideline on the EAL website is an integral aspect of this Evidence-Based Nutrition Practice Guideline (EBNPG) to dietetics practitioners engaged in, teaching, or researching adult weight management. 

The guideline development team recommended multi-faceted strategies to disseminate the guideline and encourage its implementation. The EBNPG will be disseminated to members through announcements at professional events, social media, list-serves, newsletters, spokespeople, and notification to Academy groups, policymakers and external organizations. Dissemination will be achieved by announcements at professional events, on social media, available on the Evidence Analysis Library website and published in a professional journal, as well as various presentations. The guideline and supplementary resources will be freely available for members to use in the education and training of dietetic interns and students in approved Accreditation Council for Education in Nutrition and Dietetics (ACEND) programs. 

Specific distribution strategies include:

  • Publication in full: The guideline will be available electronically at the Academy Evidence Analysis Library website (www.andeal.org) and will be announced to all the dietetic practice groups. The Academy Evidence Analysis Library will also provide downloadable supporting information.
  • Manuscripts: Nutrition Assessment and Interventions for the Prevention and Treatment of Malnutrition in Older Adults: An Evidence Analysis Center Scoping Review. Moloney L, Jarrett B. J Acad Nutr Diet 2020  
  • Malnutrition in Older Adults (2023) Guideline Presentation: this 39-slide MS Powerpoint presentation includes the recommendations and ratings of the guideline along with implementation tips and resources. Ideal for meetings, in-service presentations, and classroom lectures (this product is not designed for the consumer). Download for free.

Guideline Implementation

  • Please see the “Considerations for Application” section of the guideline recommendations for tools and expert advice regarding how to implement the recommendations. 
  • The Academy's Council on Research Implementation Subcommittee developed Implementing Evidence: from Guidelines to Daily Practice to assist nutrition and dietetics practitioners with implementing evidence-based practice recommendations and clinical practice innovations into daily practice. (PDF
  • Prevention and Treatment of Malnutrition in Older Adults: Nutrition Care Process Flow Chart (PDF)
  • Practitioner Guide Prevention and Treatment of Malnutrition in Older Adults: Community (PDF)
  • Practitioner Guide Prevention and Treatment of Malnutrition in Older Adults: Long-Term Care (PDF)

Monitoring, Evaluating and Auditing Guideline

Practitioners are encouraged to monitor and evaluate the effectiveness of EBNPG.  The Academy of Nutrition and Dietetics offers members the opportunity to document outcomes on their online platform ANDHII, and/or join the Nutrition Research Network for inclusion in research studies such as those that evaluate the effectiveness of EBNPG.  

To evaluate the effectiveness of evidence-based nutrition practice guidelines, dietitians and other health care practitioners are encouraged to utilize strategies promoted within the field of implementation science. These include but are not limited to:

  • Assessment of the guideline (clarity, quality, acceptability, complexity, sustainability).
  • Prioritize implementation of 1–2 recommendations based on assessment of the guideline.
  • Form an implementation team.
  • Develop implementation plan with identification of barriers and strategies:
    • Develop evaluation plan
    • Identify measurable implementation as well health outcomes
    • Utilize Nutrition Research Network Resources
    • Utilize Academy’s ANDHII data collection platform.  
       

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