Virta is real life, real time. That’s what’s so great about it. Are there other program measuring and reporting results, open to the public?
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Replying to @WeDietitians @MacroFour and
So is DIReCT? And most of the others? They just minimized bias in their study design Bit weird to see you, of all people, defending an industry-sponsored study that was half marketing piece
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Replying to @GidMK @MacroFour and
The C is for controlled. I’m pro-patient centred, choice, and health. I cannot dispute the outcomes being presented. It would be unscientific of me to diminish people’s health improvement bc “industry”
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Replying to @WeDietitians @MacroFour and
So, to be clear, industry funding is an enormous impediment for outcomes generated by research ypu disagree with, but for virta you "cannot disagree"? An odd position, to be sure
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Replying to @GidMK @WeDietitians and
Also re: "The C is for controlled"...so what? You can have highly controlled trials that address pragmatic concerns, and totally uncontrolled trials that have little to do with the real world Pragmatism and control are not two ends of a spectrum
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Replying to @GidMK @MacroFour and
Ok here’s the thing - my research question for PhD asked “are dietitians effective [in NCDs]. RCTs indicate yes, as effective as [some] drug treatments in diabetes...but the question really is “are dietitians effective in [real life] current food environments” ....
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Replying to @WeDietitians @GidMK and
...to which the answer is likely “no”. The work starts when the person leaves the consultation. Real life, real time. So the “controlled” isn’t “so what” if we are seeking to translate that research to practice [and expecting similar published outcomes].
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Replying to @WeDietitians @MacroFour and
This appears to be a weird tangent. Controlled refers mostly to study design - randomization, sample size, proper control group etc As I said, you can have an adequately controlled trial that reflects real life very well, or an uncontrolled study that doesn't
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Replying to @GidMK @WeDietitians and
In fact, virta appears to be firmly in the "doesn't" group, given that it is a massively intensive lifestyle intervention, while DIReCT was a very minimal intervention that can much more easily be applied to the average individual
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Replying to @GidMK @MacroFour and
So is this why you “don’t support” Virta? Let me be clear, bc I’m asking about Virta doesn’t mean I dismiss every other study. I’m a “whatever it takes” bc we’ve got nothing to lose - (in line with social justice principles obvs)
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Partly. It's also very expensive, and has not had efficacy demonstrated in a study designed to show such compared to other, cheaper, methods which have
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