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"Walking the talk" in the integration of chronic disease prevention management: dietitians' perspectives regarding diabetes management in adult peritoneal dialysis programs in Ontario

Ontario’s Chronic Disease and Prevention Framework (CDPM) is a framework
aimed at improving health outcomes and reducing costs. Currently, there is a paucity of
data examining diabetes management (DM) in peritoneal dialysis (PD) programs. This
study, carried out in 2010-11, describes dietitians’ perspectives regarding DM in PD
programs in Ontario. Purposeful sampling of dietitians employed in PD programs (n=18)
resulted in a response rate of 86.6%. A web-based survey collected data on demographic
characteristics of PD clients, program models, and program-specific data regarding
facilitators and barriers to provision of dialysis-specific diabetes education. Statistical
analysis was completed and responses to open-ended questions examined using thematic
open-coding. Findings suggest three major themes: “walking the CDPM talk”, dietitians
as “unrecognized CDPM champions” and “the missing pieces to the CDPM puzzle”.
Results suggest that while many dietitians have embraced CDPM, their capacity to fully
integrate it into their practices is limited by organizational- and system-level barriers. / UOIT

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:OOSHDU.10155/205
Date01 August 2011
CreatorsVaillancourt, Christina
ContributorsVogel, Ellen
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeThesis

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