MY SCD PROTOCOL - AN ONLINE, COMPREHENSIVE, REMOTELY-SUPERVISED PROTOCOL FOR IBD PATIENTS TO IMPLEMENT AN EFFECTIVE DIETARY INTERVENTION
نویسندگان
چکیده
Many IBD patients are keen to modify their diet better manage disease. However, little or no dietary guidance is offered not comprehensive and lacks practical resources implement sustain the modification. Up 70% of self-prescribe restrictions with demonstrated risk nutrient deficiencies. There currently intervention presented in a customizable, easy-to-follow protocol format. To meet this need, we developed tested full-featured online version an effective intervention. ‘My SCD Protocol’ comprehensive, customizable based on specific carbohydrate (SCD). The online, self-paced provides educational resources, self-assessment tools, step-by-step instructions start advance through SCD. Ingredients 4 ordered Stages (Elimination, Reintroduction, Maintenance, Expansion) help methodically expand tolerable ingredients. Stage-specific curated recipes support implementation offer variety personalization. Patients self-report symptoms, meals, progress using HIPAA-compliant mobile app. Entries accessible real-time by patient’s care team. holds 304 ingredients 164 recipes. (n=87) referred Modulla Health Nutrition Clinic, seeking directly, implemented My Protocol preference ingredient tolerance. Symptoms were self-reported accompanying Interim results reported here. successfully accessed personalized Protocol. Table 1 summarizes patient profiles. 2 presents symptom changes, showing improvements all categories except urgency appearance mucus. Additional outcomes, including fecal calprotectin, will be reported. has been shown induce clinical response biochemical remission adult pediatric patients. either self-implemented trial-and-error approach, dietitian-supervised, primarily ‘legal’ list else. was trial setting predefined, prescriptive meal model room personalize (DINE-CD). first implement, personalize, safely reliably videos, staged ingredients, matching recipe libraries, logging tools web tools. We show during 21 days leading longer-term adherence Care teams who recommend can conveniently continuously monitor supervise throughout intervention.View Large Image Figure ViewerDownload Hi-res image Download (PPT)
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ژورنال
عنوان ژورنال: Gastroenterology
سال: 2022
ISSN: ['1528-0012', '0016-5085']
DOI: https://doi.org/10.1053/j.gastro.2021.12.059