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
-
-
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”
2 replies 0 retweets 0 likes -
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
1 reply 0 retweets 0 likes -
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
2 replies 0 retweets 0 likes -
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” ....
1 reply 0 retweets 0 likes -
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].
2 replies 0 retweets 0 likes -
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
2 replies 0 retweets 0 likes -
Replying to @GidMK @MacroFour and
People “sign up and consent” to being part of the study. There’s inclusion and exclusion criteria, a set time frame, structured compliance, can be with and without food provided etc.... Practice-generated evidence as the “real life real time” equivalence is my reference point
1 reply 0 retweets 0 likes -
Replying to @WeDietitians @MacroFour and
Then that's in absolutely no way what virta has demonstrated, they had an ethical consent process in their published research and an extremely intensive intervention ...so I'm very confused by your position
1 reply 0 retweets 0 likes -
Replying to @GidMK @MacroFour and
Ok. What is it about Virta you cannot support?
2 replies 0 retweets 0 likes
? Cannot support? Not what I said. Most of my criticisms are of their study design, which was weak, and the conclusions drawn from it, which were very strong
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.