Evaluating the Implementation of Evidence-based Kidney Nutrition Practice Guidelines: The AUGmeNt Study Protocol.

Gabriela V Proaño, Constantina Papoutsakis, Erin Lamers-Johnson, Lisa Moloney, Mary M Bailey, Jenica K Abram, Kathryn Kelley, Alison Steiber, George P McCabe, Larissa Myaskovsky, Elizabeth Yakes Jimenez

Journal: Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 2022;32(5):613-625

PMID: 34728124

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Abstract

Evidence-based nutrition practice guidelines (EBNPGs) inform registered dietitian nutritionist (RDN) care for patients with chronic kidney disease grade 5 treated by dialysis; however, there has been little evaluation of best practices for implementing EBNPGs. In this effectiveness-implementation hybrid study with a quasi-experimental design, United States RDNs in hemodialysis clinics will document initial and follow-up nutrition care for patients with chronic kidney disease grade 5 treated by dialysis using the Academy of Nutrition and Dietetics Health Informatics Infrastructure before and after being randomly assigned to a training model: (1) EBNPG knowledge training or (2) EBNPG knowledge training plus an implementation toolkit. The aims of the study include examining congruence of RDN documentation of nutrition care with the EBNPG; describing common RDN-reported EBNPG acceptability, adoption, and adaptation issues; and determining the feasibility of estimating the impact of RDN care on nutrition-related patient outcomes. The AUGmeNt study can inform effective development and implementation of future EBNPGs. Keywords: Chronic kidney diseases; medical nutrition therapy; implementation science; clinical practice guideline; nutrition care process terminology; dietitian.

Address: Senior Research Project Manager, Academy of Nutrition and Dietetics, Chicago, Illinois. Electronic address: [email protected].; Senior Director, Data Science Center, Academy of Nutrition and Dietetics, Chicago, Illinois.; Nutrition Researcher, Academy of Nutrition and Dietetics, Chicago, Illinois.; Research Consultant, Academy of Nutrition and Dietetics, Chicago, Illinois.; Manager, Nutrition Research Network, Academy of Nutrition and Dietetics, Chicago, Illinois.; Chief Science Officer, Academy of Nutrition and Dietetics, Chicago, Illinois.; Professor Emeritus of Statistics, Purdue University, West Lafayette, Illinois.; Professor, Department of Internal Medicine, Director, Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Sciences Center, Albuquerque, New Mexico.; Research Associate Professor, Departments of Pediatrics and Internal Medicine and College of Population Health, University of New Mexico Health Sciences Center, Director, Nutrition Research Network, Academy of Nutrition and Dietetics, Albuquerque, New Mexico.

DOI: 10.1053/j.jrn.2021.09.006

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MeSH Terms: Academies and Institutes, Dietetics, Evidence-Based Practice, Humans, Kidney, Nutrition Therapy, Nutritional Status, Nutritionists, Renal Insufficiency, Chronic, United States