Intro: Evidence-Based Practice

Question 1

What is the risk of opinion-based sport nutrition advice?

Answer 1

• lack of performance results
• health concerns
• doping violations

Question 2

Role of dietician in combatting opinion-based misinformation

Answer 2

• Building trust
• Re-teaching information
• May have to deal with conflict within a sport medicine team

Question 3

What are some characteristics of statements of personal opinions?

Answer 3

• influenced by others personal experiences rather than scientific evidence
• Often use language that is impassioned and packs an emotional punch.
• Frequently make value judgments
• Often predict future events with nothing to back it up
• likely to provide interpretations of events that are not well-founded or logical
• cannot be chacked for accuracy

Question 4

Is “clinically proven” approved?

Answer 4

Not a protected label so anyone can use it

Question 5

Characteristics of statements that are fact

Answer 5

• Are evidence based
• Often include dates, numbers, and statistics.
• not subject to broad interpretation
• neutral language used
• Don’t make predictions, assumptions, express value judgments, or offer interpretations.
• Are not subject to change for the most part

Question 6

What is the ‘reality check’ with evidence-based education?

Answer 6

• not always ‘cool’
• athletes often more interested in unusual diet patterns from others experiences
• pressure for pro athletes to find something ‘innovative’
• Waiting for knowledge is often slow
• Will do what they want regardless of advice

Question 7

Individuals who provide nutrition counselling, guidance, advice, coaching, training, or instruction to a client (s) are legally responsible for the advice that is offered.

Answer 7

jurisprudence and liability

Question 8

Sport dietitians/nutritionists have both an ethical and a legal obligation to provide advice and care that is defensible and based on sound scientific evidence.

Answer 8

jurisprudence and liability

Question 9

What is the importance of jurisprudence and liability?

Answer 9

professions givining advice are legally responsible for that advice and must be able to defend it

Question 10

A framework to critically evaluate performance nutrition-related research papers

Answer 10

Paper to podium matrix

Question 11

What are some issues with translating sport nutrition research?

Answer 11

• Research may not translate well
• often studied in isolation without consideration for food matrix
• A body of research on a nutritional intervention is required
• collecting a body of research is slow
• subject population varies so translation to others may not work
• sample sizes often smallmany interventions are endurance type

Question 12

Why is it difficult to translate knowledge to elite athletes?

Answer 12

• Elite athletes may not want to experiment on their bodies
• Coaches may not allow research using their teams
• “Recreationally active” individuals are more available on a college campus
• Funding may be for target populations, such as older adults, women, or children

Question 13

What does the podium to paper matrix evaluate?

Answer 13

• Context
• Participants
• Research Design
• Control
• Validity & Reliability
• Data Analytics
• Application
• Risk/Reward
• Timing

Question 14

What is the first step in translating research to practice?

Answer 14

A critique of the translational potential of the existing scientific evidence

Question 15

What is important to remember when evaluating research?

Answer 15

read the whole research paper!

Question 16

How might the paper to podium matrix help practitioners?

Answer 16

may help them evaluate a research paper, increasing their confidence in an intervention which may lead to a more enthusiastic athlete and increase the chance of effectiveness

Question 17

What is used to increase a practioners confidence in an intervention which may lead to a more enthusiastic athlete and increase the chance of effectiveness?

Answer 17

paper to podium matrix

Question 18

What is the process for effectively implementing a new strategy?

Answer 18

• Use paper to podium matrix to evaluate the research
• Consider the unique characteristics of the athlete
• Confirm strategy is in line with regulations
• develop a plan
• Develop a communication plan and be prepared for some potential push-back

Question 19

What to consider when developing a plan to implement a new strategy

Answer 19

• Individual needs of each athlete
• Timing – begin to implement slowly and stepwise. Also plan plenty of time to adjust during practices well in advance of competition.
• effective evaluation plan
• Cost and logistics

Question 20

How to work towards the athletes goal

Answer 20

Set the ultimate goal but start small and work up to that goal in small achievable steps.
* use a process of trial and error, starting with the published guidelines, to find the best plan to meet their needs.

Question 21

How to change an athletes mind who are stuck in their nutrition habits

Answer 21

1. Don’t get frustrated.
2. Plant the seed in their head and tell them what they need to hear.
3. If they are still not interested, tell them that you will be available when they do want to commit to make the change.