ORCID

https://orcid.org/0000-0003-0135-9173

Year

2024

Season

Fall

Paper Type

Doctoral Dissertation

College

Brooks College of Health

Degree Name

Doctor of Clinical Nutrition (DCN)

Department

Nutrition & Dietetics

NACO controlled Corporate Body

University of North Florida. Department of Nutrition & Dietetics

First Advisor

Dr. Casey Colin

Second Advisor

Dr. Lauri Wright

Third Advisor

Dr. Constantina (Tina) Papoutsakis

Department Chair

Dr. Andrea Arikawa

College Dean

Dr. Mei Zhao

Abstract

Background: Despite being integrated into dietetics education programs in 2009, many registered dietitian nutritionists (RDNs) do not fully utilize the Nutrition Care Process and Terminology (NCP/T). This study aimed to identify barriers and enablers to NCP/T use, develop, and assess the impact of a tailored training program.

Methods: Data from the 2017 International NCP/T Implementation Survey (INIS), involving 4,761 U.S.-based RDNs were analyzed. Descriptive and cross-tabulation analyses explored barriers, enablers and potential correlations between variables. Barriers and enablers were also obtained from focus group discussions with 38 RDNs using NVivo software. A training module was developed using Qualtrics software to address these findings. Paired sample t-test was used to analyze pre-and post-training surveys.

Results: INIS data showed an association between practice area, years of experience, and NCP/T use (p

Conclusion: The findings highlight persistent barriers and enablers. The training program improved RDNs' NCP/T knowledge, suggesting that targeted training can enhance NCP/T adoption. Future efforts should focus on overcoming these identified barriers.

Available for download on Wednesday, December 05, 2029

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