title: Investigation into knowledge, attitude, and practice regarding medical nutrition therapy among patients with diabetes in China: Results from a national multicenter cross-sectional study.
abstract: BACKGROUND
  The aim of the present study was to investigate knowledge, attitude, and practice (KAP) associated with medical nutrition therapy (MNT) among Chinese adult patients with diabetes and prediabetes.
  
  
  METHODS
  From May to August 2014, a cross-sectional study was conducted in 40 hospitals across China. The KAP of respondents was investigated through a pretested structured questionnaire in face-to-face interviews. Anthropometric and biochemical data were collected, and KAP scores were recorded according to patient responses.
  
  
  RESULTS
  In all, responses from 7017 of 7508 patients were analyzed. The mean (±SD) overall KAP score was 9.63 ± 3.46, with individual scores for the K, A, and P components being 2.69 ± 1.90, 1.77 ± 1.99, and 5.17 ± 1.99, respectively (out of possible total scores of 19, 6, 3, and 10, respectively). All scores were higher in respondents who received ≥15 min MNT education than in those with shorter sessions. Patients with higher KAP scores exhibited significantly better glycemic control, with a higher proportion achieving target HbA1c, fasting plasma glucose, and 2-h postprandial blood glucose levels (P < 0.05). "Health publicity in hospitals" and "expert outpatient services" were the most favorable means of acquiring MNT information. The two predominant concerns associated with MNT were "the feasibility" and "the authenticity and professionalism of the information".
  
  
  CONCLUSIONS
  Patients with diabetes and prediabetes achieved moderate scores for KAP towards MNT. Glycemic control was positively correlated with the KAP score. Thus, MNT education should be improved, with a particular focus on feasibility and authenticity and professionalism, in China.
authors: Department of Clinical Nutrition, Peking University First Hospital, Beijing, China.
authors: Lu Lu
authors: LL
authors: Jing
authors: Department of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
authors: Wei
authors: W
authors: Chen
authors: Department of Endocrinology, Southeast University, Nanjing, China.
authors: Zi Lin
authors: ZL
authors: Sun
authors: Statistics Office, Peking University First Hospital, Beijing, China.
authors: Sai Nan
authors: SN
authors: Zhu
authors: Department of Endocrinology, Beijing Tsinghua Changgung Hospital, Beijing, China.
authors: Li
authors: L
authors: Shen
authors: Department of Endocrinology, the First Affiliated Hospital of Nanchang University, Nanchang, China.
authors: Wen Xia
authors: WX
authors: Li
authors: Department of Nursing, The Second Xiangya Hospital of Central South University, Changsha, China.
authors: Jin
authors: J
authors: Huang
authors: Department of Health Education, Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Jiangsu, China.
authors: Qing Qing
authors: QQ
authors: Lou
authors: Department of Endocrinology, Jiangsu Province Official Hospital, Nanjing, China.
authors: Rong Wen
authors: RW
authors: Bian
authors: Department of Clinical Nutrition, Peking University First Hospital, Beijing, China.|Department of Endocrinology, Peking University First Hospital, Beijing, China.
authors: Xiao Hui
authors: XH
authors: Guo
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D002681:China; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000178:diet therapy* / Q000523:psychology*; D004046:Dietetics / Q000193:education; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose
keywords: attitude and practice; diabetes mellitus; health education; knowledge; medical nutrition therapy; 健康教育; 医学营养治疗; 态度和实践; 知识; 糖尿病