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Who, What, When, and How? Systematic Reviews of Behavior Change Interventions Present Unique Challenges

Myers, Esther F. PhD, RDN, FAND

doi: 10.1097/NT.0000000000000136
Nutrition Policy

Although nutrition-related systematic reviews must be able to describe the level of science behind food and nutrient functions, they also need to evaluate the effectiveness of the healthcare professional’s ability to facilitate behavior change leading to achieving optimal nutrient intake and ultimately positive health outcomes. Differing study designs may require different methodology, and analytical frameworks may need to expand to include additional variables. Two nutrition-specific systematic reviews were used to explore how some of the challenges identified in a recent Agency for Healthcare Research and Quality report have been addressed.

Esther F. Myers, PhD, RDN, FAND, is an internationally recognized author and speaker on evidence-based dietetics practice. She served as the chief science officer for the Academy of Nutrition and Dietetics, Chicago, Illinois, where she led the development of the academy’s Evidence Analysis Library and development of Nutrition Care Process Terminology until July 2012. She was the chief military consultant to the US Air Force surgeon general on nutrition and dietetics before her retirement from the US Air Force in 2000. She is with EF Myers Consulting, Inc.

The author has no conflicts of interest to disclose.

Correspondence: Esther F. Myers, PhD, RDN, FAND, 600 N Oak St, Trenton, IL 62293 (

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