Lorrany S Rodrigues, Nathalia Pizato, Kenia M B Carvalho, Eliane S Dutra, Patrícia B Botelho, Laila S Andrade, Verena D Moraes, Vivian S S Gonçalves
{"title":"根据《巴西膳食指南》,验证针对基层医疗机构肥胖症成人的膳食建议方案。","authors":"Lorrany S Rodrigues, Nathalia Pizato, Kenia M B Carvalho, Eliane S Dutra, Patrícia B Botelho, Laila S Andrade, Verena D Moraes, Vivian S S Gonçalves","doi":"10.1093/fampra/cmac132","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. Standardized protocols can help primary health care (PHC) professionals manage the disease.</p><p><strong>Objectives: </strong>To describe the validation process of a protocol concerning dietary guidelines for adults with obesity in PHC by non-nutrition professionals.</p><p><strong>Methods: </strong>A validation study of a dietary advice protocol consisting of 6 recommendations was conducted according to Brazilian Dietary Guidelines. The topics incorporated into the recommendations were submitted to a panel of judges for content validity and achieved a Scale Content Validity Index (S-CVI) score >0.80. Subsequently, an online workshop was held and consisted of guiding questions to adequately improve current protocols. Face validity was assessed in a mediation workshop conducted with PHC non-nutrition professionals. Following the validation process, necessary adjustments were made to the eating protocol.</p><p><strong>Results: </strong>The validation process was conducted by a panel of 20 judges and 10 PHC professionals. The content was validated using a 0.98 S-CVI. The online workshop expert panel agreed the instrument provides a trustworthy foundation for appropriate dietary guidelines. Moreover, the judges suggested changes to the flowchart designed to support the professionals' decisions, discussed the absence of quantitative prescription guidelines, and offered additional suggestions to strengthen equity and encourage autonomy in non-nutrition healthcare professionals in PHC.</p><p><strong>Conclusion: </strong>This study describes the validation process of a dietary advice protocol for people with obesity, as well as the importance of its integration into PHC.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":null,"pages":null},"PeriodicalIF":2.4000,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Validation of a dietary advice protocol for adults with obesity in primary health care according to the Brazilian Dietary Guidelines.\",\"authors\":\"Lorrany S Rodrigues, Nathalia Pizato, Kenia M B Carvalho, Eliane S Dutra, Patrícia B Botelho, Laila S Andrade, Verena D Moraes, Vivian S S Gonçalves\",\"doi\":\"10.1093/fampra/cmac132\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. 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Validation of a dietary advice protocol for adults with obesity in primary health care according to the Brazilian Dietary Guidelines.
Background: Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. Standardized protocols can help primary health care (PHC) professionals manage the disease.
Objectives: To describe the validation process of a protocol concerning dietary guidelines for adults with obesity in PHC by non-nutrition professionals.
Methods: A validation study of a dietary advice protocol consisting of 6 recommendations was conducted according to Brazilian Dietary Guidelines. The topics incorporated into the recommendations were submitted to a panel of judges for content validity and achieved a Scale Content Validity Index (S-CVI) score >0.80. Subsequently, an online workshop was held and consisted of guiding questions to adequately improve current protocols. Face validity was assessed in a mediation workshop conducted with PHC non-nutrition professionals. Following the validation process, necessary adjustments were made to the eating protocol.
Results: The validation process was conducted by a panel of 20 judges and 10 PHC professionals. The content was validated using a 0.98 S-CVI. The online workshop expert panel agreed the instrument provides a trustworthy foundation for appropriate dietary guidelines. Moreover, the judges suggested changes to the flowchart designed to support the professionals' decisions, discussed the absence of quantitative prescription guidelines, and offered additional suggestions to strengthen equity and encourage autonomy in non-nutrition healthcare professionals in PHC.
Conclusion: This study describes the validation process of a dietary advice protocol for people with obesity, as well as the importance of its integration into PHC.
期刊介绍:
Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries.
Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration.
The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.