SCI: Role of the Registered Dietitian (2007)
Citation:
Study Design:
Class:
- Click here for explanation of classification scheme.
Quality Rating:
Research Purpose:
Not stated by author.
Inclusion Criteria:
- Not specifically described except for what an ideal participant would be.
- frequent hospitalizations or poor compliance to medications, diet, and/or exercise programs.
- recently discharged from the hospital, at risk for falls, or may have a caregiver requiring additional support.
Exclusion Criteria:
Not described
Description of Study Protocol:
Recruitment
Not described
Design
- In the enrollment phase the patient's goals are agreed upon.
- Depending on the patient's needs a messaging device - the Health Buddy or a vidiophone is selected.
- With the Health Buddy - patient sends daily information by answering simple questions with a push of the button and if needed, feedback from a nurse is received.
- Adjustments to care are made by the team as necessary.
- With videophones (used by persons with pressure ulcers, ventilator dependance, tracheostomies or new injuries) the patient connects on a weekly basis. Issues that requier direct observation can be easily monitored with feedback given instantly.
Blinding used (if applicable)
Not applicable
Intervention (if applicable)
- Meals can be observed and provision of guidance on proper protion sizes can be given.
- Dietary recalls and subsequent follow-up education can be provided on a personal level
- Weekly face-to-face interaction can provide psychological support for aging SCI persons.
- Telerehabilitation is used to evaluate seating, home accessibility/safety concerns and monitoring of a customized home exercise program.
- In addition the system can provide for nutrition education and counseling for those unable to travel.
Statistical Analysis
Not described
Data Collection Summary:
Timing of Measurements
- Baseline information to include patient goals.
- With the Health Buddy daily information is sent.
- With the videophones, information is collected weekly.
Dependent Variables
- Original data was not described in the study
Independent Variables
Control Variables
Description of Actual Data Sample:
Initial N: 14 patients total: 9 with the Health Buddy system; 5 patients with videophones
Attrition (final N):
Age: Not described
Ethnicity: Not described
Other relevant demographics: Not described
Anthropometrics: Not described
Location:
James J Peters Veterans Affairs Medical Center, Bronx, NY
Summary of Results:
None described
Other Findings
Author Conclusion:
- The program is well accepted by patients and appreciated by caregivers.
- Office visits have increased.
- Hospitalizations and length of stay (LOS) have decreased.
- Some difficulty has been observed with the poor reliability of the monitoring devices.
- Areas of improvement include the need to acquire videophone with better resolution for monitoring and improved coordination of the multidisciplinary team.
Funding Source:
| Government: | James J. Peters Medical Association |
Reviewer Comments:
- Purpose of the study was not described
- Search strategy was not included
- Data to be collected was not clearly described
- Intervention was not clearly described
- Results were not described
- Data was not shown in summary tables
- Limitations of the review was not described.
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Quality Criteria Checklist: Review Articles
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| Relevance Questions | |||
| 1. | Will the answer if true, have a direct bearing on the health of patients? | Yes | |
| 2. | Is the outcome or topic something that patients/clients/population groups would care about? | Yes | |
| 3. | Is the problem addressed in the review one that is relevant to dietetics practice? | Yes | |
| 4. | Will the information, if true, require a change in practice? | Yes | |
| Validity Questions | |||
| 1. | Was the question for the review clearly focused and appropriate? | No | |
| 2. | Was the search strategy used to locate relevant studies comprehensive? Were the databases searched and the search termsused described? | No | |
| 3. | Were explicit methods used to select studies to include in the review? Were inclusion/exclusion criteria specified andappropriate? Wereselectionmethods unbiased? | No | |
| 4. | Was there an appraisal of the quality and validity of studies included in the review? Were appraisal methodsspecified,appropriate, andreproducible? | No | |
| 5. | Were specific treatments/interventions/exposures described? Were treatments similar enough to be combined? | ??? | |
| 6. | Was the outcome of interest clearly indicated? Were other potential harms and benefits considered? | ??? | |
| 7. | Were processes for data abstraction, synthesis, and analysis described? Were they applied consistently acrossstudies and groups? Was thereappropriate use of qualitative and/or quantitative synthesis? Was variation in findings among studies analyzed? Were heterogeneity issued considered? If data from studies were aggregated for meta-analysis, was the procedure described? | No | |
| 8. | Are the results clearly presented in narrative and/or quantitative terms? If summary statistics are used, are levels ofsignificance and/or confidence intervals included? | No | |
| 9. | Are conclusions supported by results with biases and limitations taken into consideration? Are limitations ofthe review identified anddiscussed? | No | |
| 10. | Was bias due to the review's funding or sponsorship unlikely? | Yes | |