Dietitians vary by counseling status in bean promotion with type 2 diabetes clients: A pilot study

Thumbnail Image
Date
2020-03-22
Authors
Winham, Donna
Nikl, Rebecca
Hutchins, Andrea
Martin, Rose
Campbell, Christina
Major Professor
Advisor
Committee Member
Journal Title
Journal ISSN
Volume Title
Publisher
Authors
Person
Winham, Donna
Associate Professor
Research Projects
Organizational Units
Organizational Unit
Journal Issue
Is Version Of
Versions
Series
Department
Food Science and Human Nutrition
Abstract

Beans are noted for their beneficial effects on blood glucose for persons with type 2 diabetes mellitus (T2DM). However, little is known about dietitian attitudes and perceptions, self-efficacy, or counseling practices about beans in T2DM management. Through an online survey, the attitudes and perceptions dietitians have toward the role of beans in managing T2DM were examined. The practice intentions for advising T2DM clients about beans, perceived self-efficacy for counseling on general nutrition topics and specifically on beans, were evaluated. While the target population was dietitians, all persons on the Arizona Dietetic Association and the Arizona School Nutrition Association listservs received a direct email invitation for an online survey on foods and chronic disease. There was no mention of beans or pulses to reduce bias toward bean advocates. Of the 302 dietitian respondents, over 66% counseled clients with T2DM. Fewer clinical counseling dietitians recommended beans to control blood glucose (p = .041) or to increase fiber (p < .05), and more of them promoted beans as being the same as other carbohydrates (p = .002). Higher mean selfefficacy scores for general nutrition counseling were observed for T2DM counseling RDs (p < .001). Counseling dietitians in nonclinical settings had the highest bean selfefficacy score (p < .001). Findings suggest clinical counseling dietitians are aware of bean health benefits, but do not consistently suggest beans to improve nutrition for those with T2DM in contrast to dietitians who counsel in other settings.

Comments

This article is published as Winham, D.M., Nikl, R.R., Hutchins, A.M., Martin, R.L., Campbell, C.G., Dietitians vary by counseling status in bean promotion with type 2 diabetes clients: A pilot study. Food Science & Nutrition. 22 March 2020, DOI: 10.1002/fsn3.1578.

Description
Keywords
Citation
DOI
Copyright
Wed Jan 01 00:00:00 UTC 2020
Collections