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Chapter 7 - Nutrition Intervention: Lessons from Clinical Trials
Book chapter

Chapter 7 - Nutrition Intervention: Lessons from Clinical Trials

Linda G Snetselaar
Nutrition in the Prevention and Treatment of Disease, pp.95-104
Elsevier Inc
2001
DOI: 10.1016/B978-012193155-1/50009-X

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Abstract

This chapter highlights that considerable experience in clinical trials suggests that dietary modification requires a process of making changes on an individual basis with constant negotiation with the patient or participant. Working as a team, the nutritionist and participant can achieve dietary change that alters biological markers and may reduce disease risk and optimize management. The modification of dietary patterns to the degree necessary to prevent chronic disease and to optimize management of disease is traditionally perceived as a difficult and challenging task. The nutrition components of clinical trials require skills in long-term dietary maintenance. These skills go beyond educating participants, and instead involve strategies designed to reinitiate participants who no longer comply with the recommended eating plan. The studies described in this chapter provide research data collected when the theories are initiated in a clinical trial setting. The results of this study show that a protocol based on motivational interviewing and delivered through contacts with trained nutritionists is effective. Those subjects who participated in the intervention arm of the study further lowered their dietary fat intake to achieve study goals.

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