Understanding the knowledge, attitudes and practices of providing and receiving nutrition care for prediabetes: an integrative review
Mari Somerville
A , Lauren Ball A , Eva Sierra-Silvestre A B and Lauren T. Williams A C
+ Author Affiliations
- Author Affiliations
A Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Parklands Drive Southport, Qld 4215, Australia.
B The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Logan Campus, Meadowbrook, Qld 4131, Australia.
C Corresponding author. Email: lauren.williams@griffith.edu.au
Australian Journal of Primary Health 25(4) 289-302 https://doi.org/10.1071/PY19082
Submitted: 13 April 2019 Accepted: 26 June 2019 Published: 2 October 2019
Journal Compilation © La Trobe University 2019 Open Access CC BY-NC-ND
Abstract
To synthesise the literature on nutrition care for prediabetes from both the perspective of healthcare providers and patients, six databases (CINAHL, MEDLINE, Embase, PsycINFO, Scopus and ProQuest) were searched to identify qualitative or quantitative studies that focussed on nutrition care and prediabetes in primary care practice. Studies examining the perspectives of patients with prediabetes and healthcare providers were included. Outcomes of interest included knowledge of nutrition care for prediabetes, attitudes around providing or receiving nutrition care and actual nutrition care practices for prediabetes. Overall, 12 851 studies were screened and 26 were included in the final review. Inductive analysis produced five themes: (i) nutrition care is preferable to pharmacological intervention; (ii) patients report taking action for behaviour change; (iii) healthcare providers experience barriers to nutrition care; (iv) healthcare providers tend not to refer patients for nutrition care; and (v) there are contradictory findings around provision and receipt of nutrition care. This review has revealed the contradictions between patients’ and healthcare providers’ knowledge, attitudes and practices around nutrition care for prediabetes. Further research is needed to shed light on how to resolve these disconnects in care and to improve nutrition care practices for people with prediabetes.
Additional keywords: healthcare providers, primary care, type 2 diabetes mellitus.
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