TY - JOUR
AU - M. Burgermaster
AU - M. Rosenthal
AU - B. S. Altillo
AU - M. R. Flores
AU - E. Nayak
AU - D. N. Larson
AU - J. Custer
AU - L. Okunade
AU - W. M. Tierney
AU - S. Andrews
AU - G. Daniels
AU - P. J. Rathouz
A1 - 
AB - OBJECTIVE: Feasibility evaluation of Nutri, a clinical decision support software for brief diet counseling by primary care providers (PCPs). DESIGN: Cluster-randomized controlled trial. SETTING: Primary care practices in a large network of federally qualified health centers. PARTICIPANTS: Sixteen PCPs block randomized to Nutri (n = 8) or control (n =8) and 30 of their adult diabetes/prediabetes patients (Nutri, n = 17; control, n=13). INTERVENTION(S): After patients completed the automated self-administered 24-hour dietary assessment tool, Nutri synthesized diet data to prioritize dietary problems and guide PCPs through collaborative diet goal setting during a regularly scheduled appointment. Control PCPs provided usual care. MAIN OUTCOME MEASURE(S): Completion rates (trial feasibility); Nutri usage, usability (intervention feasibility); patient-reported goal setting, self-efficacy, diet quality; PCP-reported diet counseling self-efficacy, attitudes, and competence. ANALYSIS: Summary of trial and intervention feasibility; intent-to-treat comparisons with Bayesian mixed effects models (patient outcomes accounting for PCP-level clustering), ordinary least squares regression (PCP outcomes). RESULTS: All PCPs and patients matriculated into the trial were followed through posttest. Nutri PCPs used Nutri in all study appointments; 81% of Nutri patients reported goal setting, and 57% initiated their goal. PCP-reported diet counseling self-efficacy and competence improved. CONCLUSIONS AND IMPLICATIONS: Nutri was useful to PCPs for collaborative diet goal setting with the potential to improve diabetes management in safety-net clinics.
AD - Nutritional Sciences, University of Texas, Austin, TX; Population Health, Dell Medical School, Austin, TX. Electronic address: marissa.burgermaster@austin.utexas.edu.; Nutritional Sciences, University of Texas, Austin, TX; Population Health, Dell Medical School, Austin, TX.; Population Health, Dell Medical School, Austin, TX.; Nutritional Sciences, University of Texas, Austin, TX.; Population Health, Dell Medical School, Austin, TX; Lone Star Circle of Care, Georgetown, TX.; Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN.; Oberandum Consulting, Hanover, NH.
AN - 40418204
BT - J Nutr Educ Behav
C5 - HIT & Telehealth
CP - 7
DA - Jul
DO - 10.1016/j.jneb.2025.03.015
DP - NLM
ET - 20250526
IS - 7
JF - J Nutr Educ Behav
LA - eng
N2 - OBJECTIVE: Feasibility evaluation of Nutri, a clinical decision support software for brief diet counseling by primary care providers (PCPs). DESIGN: Cluster-randomized controlled trial. SETTING: Primary care practices in a large network of federally qualified health centers. PARTICIPANTS: Sixteen PCPs block randomized to Nutri (n = 8) or control (n =8) and 30 of their adult diabetes/prediabetes patients (Nutri, n = 17; control, n=13). INTERVENTION(S): After patients completed the automated self-administered 24-hour dietary assessment tool, Nutri synthesized diet data to prioritize dietary problems and guide PCPs through collaborative diet goal setting during a regularly scheduled appointment. Control PCPs provided usual care. MAIN OUTCOME MEASURE(S): Completion rates (trial feasibility); Nutri usage, usability (intervention feasibility); patient-reported goal setting, self-efficacy, diet quality; PCP-reported diet counseling self-efficacy, attitudes, and competence. ANALYSIS: Summary of trial and intervention feasibility; intent-to-treat comparisons with Bayesian mixed effects models (patient outcomes accounting for PCP-level clustering), ordinary least squares regression (PCP outcomes). RESULTS: All PCPs and patients matriculated into the trial were followed through posttest. Nutri PCPs used Nutri in all study appointments; 81% of Nutri patients reported goal setting, and 57% initiated their goal. PCP-reported diet counseling self-efficacy and competence improved. CONCLUSIONS AND IMPLICATIONS: Nutri was useful to PCPs for collaborative diet goal setting with the potential to improve diabetes management in safety-net clinics.
PY - 2025
SN - 1499-4046
SP - 614
EP - 626+
ST - Pilot Trial of Nutri, a Digital Intervention for Personalized Dietary Management of Diabetes in Safety-Net Primary Care
T1 - Pilot Trial of Nutri, a Digital Intervention for Personalized Dietary Management of Diabetes in Safety-Net Primary Care
T2 - J Nutr Educ Behav
TI - Pilot Trial of Nutri, a Digital Intervention for Personalized Dietary Management of Diabetes in Safety-Net Primary Care
U1 - HIT & Telehealth
U3 - 10.1016/j.jneb.2025.03.015
VL - 57
VO - 1499-4046
Y1 - 2025
ER -