{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:07:47Z","timestamp":1783940867935,"version":"3.55.0"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Effective communication between patients and health professionals is essential in chronic disease management. In the context of conditions like chronic kidney disease this is especially critical given the complexity of dietary advice that may be required. The technical quality of dietetic communication in nephrology settings remains underexplored. This study evaluated the technical quality of dietetic communication in renal outpatient clinics and assessed changes in communication following implementation of a health literacy intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This secondary analysis utilised audio recordings from a quasi\u2010experimental pre\u2010post study conducted in three outpatient kidney clinics. The health literacy sensitive intervention included teachback, use of a renal diet\u2010specific question prompt sheet (QPS), and plain English dietary education resources. Paired consultations (initial and review) were assessed using the validated DIET\u2010COMMS tool with scores converted to percentages and classified as poor (&lt;\u200940%), average (41%\u201375%), or good (&gt;\u200975%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty\u2010four appointments from 27 participants were analysed. The mean DIET\u2010COMMS score was 80.9% (SD 10.2), with 81.5% of consultations demonstrating high\u2010quality communication. No significant changes in DIET\u2010COMMS scores were observed between pre\u2010 and post\u2010intervention groups, appointment types, or dietitian experience levels. However, appointments using both teachback and QPS achieved the highest mean scores (86.0%). Notably, active listening and interview structure scores declined post\u2010intervention, while provision of condition\u2010specific dietary information improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The intervention did not result in further increases in overall communication scores from baseline but influenced specific communication behaviours. The decline in active listening may reflect increased cognitive load or altered consultation flow due to prompt sheet use. Combined use of teachback and the QPS shows promise for enhancing communication quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dietitians in nephrology outpatient settings generally demonstrate high\u2010quality communication. Targeted interventions can influence specific communication behaviours, highlighting the need for ongoing training and structured tools to support effective, patient\u2010centred care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70296","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T03:55:52Z","timestamp":1782446152000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Impact of a Health Literacy Intervention on the Quality of Dietetic Communication in Outpatient Kidney Care"],"prefix":"10.1111","volume":"39","author":[{"given":"Jenna","family":"Mazabow","sequence":"first","affiliation":[{"name":"School of Medical, Indigenous and Health Sciences University of Wollongong  Wollongong New South Wales Australia"},{"name":"XS Network Tech Pty Ltd  Sydney 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