Dietetics, building the future

Successful dietetic treatment of patients requires adoption and maintenance of various lifestyle behaviors. Patients with obesity and co-morbidities represent more than half of all patients referred to primary care dietitians. Despite evidence for metabolic effectiveness of dietary treatment from RCTs, data from daily practice show high drop-out rates and/or not reaching treatment goals in up to 50% of these patients. Evaluation of 8 European guidelines on obesity shows that it remains inconclusive which components of the (ideal) dietetic consultation are crucial for effective treatment of an individual patient.


The aim of ‘Dietetics, building the future’ is to develop an evidence-based toolbox for personalized dietetic care, with the aim to improve efficacy of dietetic care for patients with obesity and co-morbidities, and to test feasibility, user friendliness and acceptability of the toolbox in daily practice. The toolbox will be developed in co-creation with end users (dietitians and patients). The toolbox will help the dietitian to answer the question ‘What works? For whom? Why? Under what conditions?.

Study design

Evidence from existing programs, literature, and existing databases will be analyzed quantitatively and statistical modeling will be performed to select effective components of dietetic care. Qualitative studies will be applied to identify effective components of dietary care from the perspective of dietitians and patients. These results will be translated into a toolbox which offers a mix of personalized and innovative interventions (including e-health interventions) based on an individual’s health and nutritional status, food literacy, and behavioral, psychological, motivational, personal, and contextual factors. The components of the toolbox can be combined into different configurations and applied at different time points, to stimulate optimal adherence and outcomes for individuals. The toolbox will be created in co-design with patients and dietitians, with special attention for patients with low health/food literacy, since this is a major problem in this patient group. The toolbox will be implemented in daily practice and pilot tested on outcome measures as described below. The involved universities will educate dietitians in the adequate use of the toolbox by developing an e-learning program.


Project number:
Duration: 66%
Duration: 66 %
Part of programme:
Related funding round:
Project lead and secretary:
Dr. M.A.E. de van der Schueren
Responsible organisation:
Wageningen University & Research

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