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Hoy — Diciembre 16th 2025Tus fuentes RSS

Can an intensive food-as-medicine programme enhance preventive care engagement without improving glycaemic control in patients with T2DM?

Por: Magon · A. · Caruso · R.

Commentary on: Doyle J, Alsan M, Skelley N, et al. Effect of an intensive food-as-medicine programme on health and healthcare use: a randomized clinical trial. JAMA Intern Med. 2024;184(2):154–163. doi:10.1001/jamainternmed.2023.667

Implications for practice and research

  • Food-as-medicine programmes could enhance patient engagement with preventive healthcare.

  • Further adjustments are needed within these programmes to improve glycaemic control significantly.

  • Food-as-medicine programmes interest nurses, as these programmes are sensitive to nursing interventions.

    • Context

    Type 2 diabetes mellitus (T2DM) is a significant public health issue, with diet playing a crucial role in its management.1 Food insecurity, defined as the lack of consistent access to enough food for an active, healthy life, exacerbates this condition, making effective dietary interventions critical.2 Food-as-medicine programmes, which provide medically tailored meals and nutritional education, aim to improve health outcomes for individuals with chronic diseases.2 The study...
    AnteayerTus fuentes RSS

    Italian EBP Beliefs Scales: A Psychometric Validation Study

    Por: Dhurata Ivziku · Noemi Giannetta · Daniela D'Angelo · Ippolito Notarnicola · Alessandro Stievano · Gennaro Rocco · Gianluca Conte · Arianna Magon · Rosario Caruso · Daniela Tartaglini

    ABSTRACT

    Background

    Evidence-based practice (EBP) is essential for clinical decision-making, integrating the best available evidence, clinical expertise, and stakeholder values. In Italy, interest in EBP is growing, and a key step in its promotion is adopting tools to assess nurses' beliefs and behaviors toward EBP. While the EBP Beliefs Scale has been translated and validated in multiple languages, it has yet to be adapted for the Italian context.

    Aims

    This study aims to adapt EBP measurement tools for the Italian context and evaluate their psychometric properties.

    Methods

    This study used an observational cross-sectional design. The process of cross-cultural translation, adaptation, and validation was adopted. A panel of experts culturally adapted the Beliefs Scales (long and short version) through the item and scale content validity (I-CVI, S-CVI). To test the psychometric properties, 409 nurses were asked to complete the two scales. Confirmatory factor analysis was conducted to validate the factor structure within the Italian context. Convergent validity between the long and short versions of the scale was assessed using the correlation coefficient (r), and the reliability was assessed by computing Cronbach's alpha.

    Results

    The I-CVI and S-CVI for the long and short version ranged from 0.75 to 1.00. The CFA model performed for the long and short version reported a good fit without the need for further refinements. The Cronbach's alpha was higher than 0.80 for both scales. The correlation of 0.615 (p < 0.01) indicated a moderate to strong positive relationship supporting the convergent validity of the short version in relation to the long version.

    Linking Evidence to Action

    In time-constrained settings, the short scale should be utilized for efficient assessments and longitudinal tracking of changes. The long version serves as a complementary tool for in-depth analysis, facilitating a deeper understanding of underlying factors and informing targeted interventions to address specific barriers.

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