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FAQs/HELP

EAL® Frequently Asked Questions (FAQs)

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Scroll down (or follow the link) to read the answers to the following questions:

Definition and Navigation
What is Evidence Based Dietetics Practice? (definition)
How do I find what I’m looking for in the online EAL®?
Is there a powerpoint presentation available that demonstrates the features of the EAL®?

Quoting and Citing the EAL® content

How do I cite content (evidence summaries, worksheets) published on the Academy Evidence Analysis Library?
What format should I use to quote information from a guideline published on the Academy Evidence Analysis Library®?
How can I obtain permission to republish content from the Academy Evidence Analysis Library?
How should Academy Evidence based Nutrition Practice Guidelines be quoted or cited in reports?

Log-in and Password changes
How can I change my password? Or change my email address?
I don't know my password. How can I log-in?

The Evidence Analysis Team
Who has oversight over the Academy Evidence Analysis projects?
What are the charges to the Evidence Based Practice Committee?
What are the functions of the Evidence Based Practice Committee?
Who does the actual work of completing the Evidence Analysis?
I'm an Academy member and interested in volunteering to help on the EAL® project. What do I do?

Academy Evidence Analysis Process
What are the steps in Academy's Evidence Analysis Process?
How can I learn more about Academy's Evidence Analysis Process?
What do the Grades mean?
What is the difference between "Grade IV" and "Grade V"?
What types of articles are selected for evidence analysis?

Topics on the Academy Evidence Analysis Library
What are the current topics of EAL® projects?
How does the Academy choose topics for Evidence Analysis?
How are projects prioritized by the Academy?
What if I don’t see the project I’m looking for?

Technical Issues and Printing information
I got a message that says "you are not authorized to view this content" or "you do not have access to this information." What does this mean?

How do I view tables in a larger window?
How can I print?
The text doesn’t look right. What’s wrong?

Major Milestones
What are some major Milestones in Academy's development of Evidence Analysis Guidelines?

Other Questions
I don't see my question on this list

Scroll down to read the answers to the questions listed above. If you do not see your question and need help, please send a message to [email protected] (If you are an Academy member, please include your Member ID in your message.)

Answers to Frequently Asked Questions

Definition and Navigation

What is Evidence Based Dietetics Practice? (definition)
Evidence-Based Dietetics Practice is the incorporation of systematically reviewed scientific evidence in making food and nutrition practice decisions by integrating best available evidence with professional expertise and client values to improve outcomes. (Academy Scope of Dietetics Practice Framework)

How do I find what I’m looking for in the online EAL®?

Find your way around the EAL® by first clicking on the tabs found at the top of the page (Library, Guidelines, Store, About), and then select a category from the menu bar (Diseases and Conditions, Nutrients, Nutrition Guideline List, Get Involved). Follow the links on the left-hand side of the page to choose sub-categories. Note: As you proceed through the content, your trail is displayed at the top of the page you are currently viewing. You may click on these links to return to a previous page, and make a different choice.

We have organized the Evidence Analysis Library content in a number of ways:

  • By Diseases and Conditions: for example, Adult Diabetes 1 & 2, Childhood Overweight, Disorders of Lipid Metabolism, etc.
  • By Nutrients: for example, macronutrients and micronutrients
  • By Foods: for example dairy, grains, nuts, etc.
  • According to the topics' place in the Nutrition Care Process: Assessment, Diagnosis, Intervention, and Monitoring & Evaluation.

SEARCH: Additionally, find what you are looking for by entering terms into the search box in the top right corner of the screen. The search will return results organized according to Conclusion Statements, Evidence Summaries, Worksheets, and Recommendations. Choose the level of detail you want.

A-Z Index: This tool is found in the top, right-hand side of the page and provides direct links to projects, guidelines, lists of contributors, and more in an alphabetical listing.

Is there a powerpoint presentation available that demonstrates the features of the EAL?

Yes, click here to download and view the powerpoint presentation, Navigating the Academy Evidence Analysis Library. [file size is approximately 3mb; 45 slides] Additional powerpoint presentations can be found in the Resources section.

Return to list of Frequently Asked Questions at top of page.

Log-in and Password Changes

How can I change my password? Or change my email address?

After you are signed-in, you may select the "My Profile" tab at the top of the page to change your password or update your email address

I don't know my password. How can I log-in?

Academy randomly generated initial passwords for the EAL for all Academy members. These were sent to Academy members in an email (if Academy had a record of your email address). If you do not remember your initial password, please enter your Academy member ID number as the username and click on the words "Lost Password." A randomly generated password will be re-sent to you via email. If the EAL does not have your valid email address in the database, then you need to send an email to [email protected]

Return to list of Frequently Asked Questions at top of page.

Topics on the Academy Evidence Analysis Library

What are the current topics of EAL projects?

Evidence Analysis is available online on the following topics:

Diseases & Conditions:

  • Adult Weight Management (Guideline published 2006, in revision)
  • Nutrition in Athletic Performance (2007)
  • Nutrition Care in Bariatric Surgery (2008)
  • Promoting and Supporting Breastfeeding (2009)
  • Celiac Disease (2009)
  • Chronic Kidney Disease (2010)
  • Chronic Obstructive Pulmonary Disease (2009)
  • Critical Illness (Guideline published September 2006, in revision)
  • Diabetes 1 and 2 (Guideline published March 2008)
  • Disorders of Lipid Metabolism (Guideline updated 2005/ Hyperlipidemia MNT Protocol 2001/in revision)
  • Gestational Diabetes (Guideline published December 2008)
  • Heart Failure (2007)
  • HIV/AIDS (2010)
  • Hydration (2007)
  • Hypertension (2007)
  • Oncology (2007)
  • Pediatric Weight Management (Guideline published 2007)
  • Determinants of Childhood Overweight (updated 2006, in revision)
  • Spinal Cord Injury Nutrition (2009)
  • Unintended Weight Loss in Older Adults (2009)

Nutrients

  • Macronutrients > Carbohydrates: Fiber (2007)
  • Nutrient Supplementation (2009)

Nutrition Care Process:

  • Nutrition Assessment: Energy Expenditure: Measurement vs. Estimation (Indirect Calorimetry) (2005, in revision)
  • Nutrition Intervention: Nutrition Counseling (2008)
  • Screening and Referral System: Nutrition Screening (2009)
  • Outcomes: Medical Nutrition Therapy Effectiveness (2009)

Foods:

  • Non-nutritive Sweeteners (2006)
  • Non-nutrive Sweeteners-Aspartame (2009)
  • Vegetarian Nutrition (ongoing)

Ongoing Projects in Diseases & Conditions. Please check back.

  • Aging
  • Prediabetes

Ongoing Projects in Foods. Please check back.

  • Nutritive and Non-nutritive Sweeteners

Ongoing Projects in Nutrients. Please check back.

  • Sodium
  • Flouride and Health

Ongoing Projects in Nutrition Care Process. Please check back.

  • Nutrition Assessment and Nutrition Intervention: Health Disparities

New Projects: please check back.

  • Disease and Conditions: Wound Care
  • Foods: Advanced Food Productions and Sustainable Agriculture
  • Nutrients: Dietary Fatty Acids

Click here to view a diagram showing all of the current Academy Evidence Analysis Projects.

How does the Academy choose topics for Evidence Analysis?

Projects are identified in a number of ways:

  • Based on Academy research priorities (report available for download)
  • Based on Academy Position Paper topics
  • Based on interest from DPGs
  • Based on practice needs as defined by the House of Delegates
  • Based on interest from external funders and organizations who suggest topics that are compatible with Academy goals

The Academy has identified six priority areas:

To learn more about Acdent Research priorities, click here to view the report available in a pdf format. (approximately 8 pages)

How are projects prioritized by the Academy?

A number of factors play into determining which projects we prioritize:

  • Academy priorities
  • Available funding (from internal or external sources)
  • Available volunteers to serve on the Evidence Analysis Team
  • Availability of Academy Staff

Evidence Analysis projects that may produce an Evidence Based Nutrition Practice Guideline are prioritized and approved by the Academy Evidence Based Practice Committee.

What if I don’t see the project or topic I’m looking for?

We may not have carried out an evidence analysis project on this project or topic yet. We currently have over thirty ongoing projects and materials are published to this website as they are completed. You may let Academy know about your interest in seeing a particular topic on the Academy evidence analysis library by sending an email to [email protected]

Return to list of Frequently Asked Questions at top of page.

The Evidence Analysis Team

Who has oversight over the Academy Evidence Analysis projects?

The Academy Evidence-based Practice Committee, a committee jointly appointed by the Academy House Of Delegates (HOD) and Academy Board of Directors (BOD). Click here to see a list of the current members of the Academy Evidence-based Practice Committee.

What are the charges to the Evidence Based Practice Committee?

  • Development and implementation of evidence-based practice and evidence analysis process
  • Development of the Evidence Analysis Library
  • Development and publication of all Evidence-based guidelines and Toolkits and other products based on evidence analysis process

What are the functions of the Evidence Based Practice Committee?

  • Appoint work groups for evidence analysis
  • Determine principles and priorities for evidence-based products
  • Determine format and content of products
  • Establish and evaluate the Evidence Analysis and Evidence-based guideline and Toolkit process

Who does the actual work of completing the Evidence Analysis?

The Evidence Analysis Library is developed and created by Academy members for Academy members! Evidence Analysts are selected by Academy staff based on their qualifications and availability. Evidence Analysts are trained by the Academy in our rigorous process.

The Academy Evidence Based Practice Committee determines membership of the Expert Working Group (usually 6-8 members) who are recognized as leaders in the particular practice area. The Work Group for each topic formulates the questions, reviews the evidence summaries, writes the conclusion statements and assigns the Grades.

Evidence Based Practice Committee members, Work Group Members, Analysts and Sponsors are listed in the Contributors section.

I'm an Academy member and interested in volunteering to help on the EAL project. What do I do?

Please review the information found in the "Get Involved" section of the Evidence Analysis Library and then contact us at [email protected]. All Academy Evidence Analysts complete a two day training workshop to learn the Academy Evidence Analysis process.

Return to list of Frequently Asked Questions at top of page.

Evidence Analysis Process

What are the steps in Academy's Evidence Analysis Process?

The steps are: Formulate the question, Gather and Classify research articles, Critically appraise each article, Summarize the evidence in a conclusion statement, and Grade the strength of the evidence supporting the conclusion.

How can I learn more about Academy's Evidence Analysis Process?

Academy's evidence analysis manual is available online in the Evidence Analysis Process section of the EAL.

What do the Grades mean?

Grades are assigned to indicate the overall strength or weakness of evidence informing the conclusion statement. Grade I means there is Strong evidence supporting the statement; Grade II is Fair; and Grade III is Weak. Grade IV is Expert Opinion; and Grade V is Not Assignable.

To see more detail on how we define the different grades, click here.

What is the difference between "Grade IV" and "Grade V"?

Grade IV, or Expert Opinion, is used when the literature cited is in the form of medical opinion papers, consensus reports, editorials, position statements, or white papers rather than the results of research studies.

Grade V, or Not Assignable, indicates that there is no evidence available that directly supports or refutes the conclusion. In general, this means that research studies with direct bearing on the question being addressed in the conclusion statement have not been done.

What types of articles are selected for evidence analysis?
Articles accepted for evidence analysis must be peer-reviewed and published in a juried publication (e.g., government reports and position statements do not meet this criteria). Please note that many scientific journals have both peer-reviewed and non peer-reviewed sections within the publication. For example, the Journal of the Academy of Nutrition and Dietetics clearly delineates that manuscripts published in the following sections are peer-reviewed: Research, Review, Perspectives in Practice, Research and Professional Briefs, and Commentary; and non-peer-reviewed materials are published in other sections, such as Research Editorial, For Your Information, Beyond the Headlines, Business of Dietetics, Of Professional Interest, Practical Solutions, Ethics in Action, and Letters to the Editor. This information is found in the Guidelines to Authors.

Return to list of Frequently Asked Questions at top of page.

Quoting and Citing the EAL® Content

How do I cite content (evidence summaries, worksheets) published on the Academy Evidence Analysis Library?

Information from the Academyof Nutrition and Dietetics Evidence Analysis Library® can be cited the same way that you cite other web references. Refer to the appropriate standards (MLA, APA, etc.) These standards can vary; however citations for online sources should provide information that allows that source to be located and retrieved again. Web publications should also indicate the date the content was accessed. Below is one example.

Academy of Nutrition and Dietetics Evidence Analysis Library. " How effective is MNT provided by Registered Dietitians in the management of type 1 and type 2 diabetes?" Accessed 23 June 2010, http://andevidencelibrary.com/evidence.cfm?evidence_summary_id=250466.

What format should I use to quote information from a guideline on the Academy Evidence Analysis Library®?

Evidence-based Nutrition Practice Guideline on SUBJECT (e.g., Diabetes, Adult Weight Management) published MONTH YEAR (date found on the Guideline List page) at WEB ADDRESS (copy url) and copyrighted by the Academy of Nutrition and Dietetics.

Evidence-based Nutrition Practice Guideline on (subject) published (date) at (Web address) and copyrighted by the Academy of Nutrition and Dietetics.

How can I obtain permission to republish content from the Academy Evidence Analysis Library?

Advance permission to republish – in its entirety – an individual Question, Evidence Summary, Conclusion Statement, Conclusion Statement Grade, Recommendation and Recommendation Rating contained within the Guideline is granted, provided that:

1. Full and proper credit is given to the Academy of Nutrition and Dietetics and its Evidence Analysis Library as the source of the Guideline.

2. Conclusion Statements must include the GRADE; Recommendations must include the RATING.

How should Academy Evidence based Nutrition Practice Guidelines be quoted or cited reports?

1. Content (Conclusion statements, Recommendations) should be printed in its entirety and should include the Grade and/or Rating.

2. The following disclaimers are published in their entirety:

a. Academy of Nutrition and Dietetics Evidence-based Nutrition Practice Guidelines are intended to serve as a synthesis of the best evidence available to inform registered dietitians as they individualize nutrition care for their clients. Guidelines are provided with the express understanding that they do not establish or specify particular standards of care, whether legal, medical or other.

b. Evidence-based Nutrition Practice Guidelines are intended to summarize best available research as a decision tool for Academy members.

c. No endorsement by the Academy of Nutrition and Dietetics of any brand-name product or service is intended or should be inferred from a Guideline or from any of its components (including Question, Evidence Summary, Conclusion Statement, Conclusion Statement Grade, Recommendation or Recommendation Rating).

3. Anyone wishing to republish any component of a Guideline for any consumer-oriented purpose must take care not to mislead the reader or imply Academy endorsement of a brand-name product (see 2c above) because consumers likely are not familiar with the science-based process of classifying professional recommendations for clinical practice guidelines.

4. If a Recommendation Rating (e.g., Strong, Fair) or a Conclusion Statement Grade from the Guideline is reprinted, the following appropriate statement(s) must be included:

Conclusion Statements are assigned a grade by an expert work group based on the systematic analysis and evaluation of the supporting research evidence. Grade I is good; grade II, fair; grade III, limited; grade IV signifies expert opinion only; and grade V indicates that a grade is not assignable because there is no evidence to support or refute the conclusion.

Recommendations are assigned a rating by an expert work group based on the grade of the supporting evidence and the balance of benefit versus harm. Recommendation ratings are Strong, Fair, Weak, Consensus or Insufficient Evidence.

5. Recommendations can be worded as conditional or imperative statements.

a. Conditional statements clearly define a specific situation, while imperative statements are broadly applicable to the target population without restraints on their pertinence. More specifically, a conditional recommendation can be stated in “if/then” terminology.

For example: "In persons receiving either MNT alone, glucose-lowering medications or fixed insulin doses, meal and snack carbohydrate intake should be kept consistent on a day-to-day basis. Consistency in carbohydrate intake results in improved glycemic control. Rating: Strong, Conditional."

b. In contrast, imperative recommendations “require,” “must” or “should achieve certain goals,” but do not contain conditional text that would limit their applicability to specified circumstances.

For example: “Portion control should be included as part of a comprehensive weight management program. Portion control at meals and snacks results in reduced energy intake and weight loss. Rating: Fair; Imperative.”

Requests to reprint additional information regarding content published on the Academy of Nutrition and Deitetics Evidence Analysis Library – including but not limited to guideline methods or types of evidence supporting the recommendations – must be approved by the Academy of Nutrition and Dietetics prior to publication. Contact Academy Staff or call 800/877-1600, ext. 4832.


Quoting and Citing the EAL® Content: Help/Frequently Asked Questions

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Technical Issues and Printing

I got a message that says "you are not authorized to view this content." What does this mean?

If you are not an Academy member, you will only be able to sample part of the content of this site, as it is a member-only benefit. For information about how to become a member of the Academy of Nutrition and Dietetics, call 800-877-1600, ext 5000, 8am to 5pm Central Time. If you log in as an Academy member or EAL® subscriber and continue to see the "you do not have access" message, then you could be attempting to view a page that is temporarily unavailable because it is being updated. We recommend that you check back.

I'm an Academy member and I got a message that says "you are not authorized to view this content." What should I do to see this content?

Academy members ARE authorized to view all of the information published on the Evidence Analysis Library. Use your Academy member ID as your username and your assigned password. If you are an Academy member, you should have received an email message in April 2006 with a randomly assigned password. If you do not remember your password, enter your username and select "Lost Password?" and it will be emailed to you. After you sign in, you can change your password or update your email address information by selecting the "My Profile" tab. Please sign-in each time you visit the EAL®. After signing-in, you should see your name in the upper right hand corner of the EAL: Welcome your name. If you have not signed in, you should see Guest sign-in displayed in the top right-hand side of the EAL®.
If you continue to see the "you do not have access" message, then you could be attempting to view a page that is temporarily unavailable because it is being updated. We recommend that you check back. If you think you have received this message in error, try logging off the site, clean out your cookies (see instructions below) and then log back on as an Academy member.

While in Internet Explorer

  1. Log out of the Academy Member site
  2. Select Internet Options from the Tools drop down menu. This will bring up a box with various tabs.
  3. Select the General tab. On this tab you will see a section marked Temporary Internet Files.
  4. Click on the Delete Cookies button.
  5. Click on the Delete Files button.
  6. Click OK
  7. Log on to www.adaevidencelibrary.com and sign-in. Refresh as needed.

This should allow you to access all of the content in the Library.

If you continue to experience problems in accessing the EAL®, please contact [email protected]

The text doesn’t look right. What’s wrong?

There are a number of possible issues—most of them derive from your computer software and settings as well as which web browser you use.

For best results, you should make sure that your computer:

  • Has the screen setting set to a minimum of 800x600 pixels. Higher settings are fine. Lower settings will cause the text to scroll off the right side of the page
  • Has a reasonably fast web connection. Connections slower than 56k will cause slow load times
  • Has at least Windows 98 as the operating system. Any earlier operating systems may be unreliable.

For best results, you should use one of the following web browsers:

  • Internet Explorer 5.0 or higher
  • Netscape 6.0 or higher.

Other browsers like Mozilla or Safari may not produce optimal results on all machines. If you use one of these browsers and you find that the EAL does not look right, then you can download a free copy of Internet Explorer or Netscape to use for the EAL. We recommend Internet Explorer for optimal results.

How do I view tables in a larger window?

Some of the tables on the EAL are quite large, and scroll far off the right side of the screen. You can open any table in a separate window (for more convenient viewing) by clicking on the “View Table in New Window” link just above the table. This will open a separate window with only the table in it. Your original window will remain open at the same time. From this screen, you may view, save or print the table in a pdf or excel file format.

Custom Printing

This option gives you maximum flexibility. You print only those pages you select. There are three ways to print a page:

Printer Friendly: strips out the headers and navigation bars. This option does not work perfectly with all Internet browsers and you may find that the pages will not print correctly. This is why we added the pdf option and it is the one we recommend for printing.

PDF: reformats the page as an Adobe Reader file. To view and print these materials, you will need a minimum of Adobe Reader 5.0; Adobe Reader 7.0 is preferable. The Adobe Reader program is available as a free download by using this link.

Flash Paper: reformats the page like an Adobe Reader file, but uses a different program (Flash) to accomplish this.

Each option has both benefits and limitations. You should try each option to see which best suits your system, printer, and tastes. Our recommendation is to use the Adobe pdf option.

How can I print tables?

Some tables in the EAL will print just by selecting the print function on your computer. For others, due to the number of columns, you may first need to set your page setup to landscape before it will print correctly.

*update* You are now able to print ALL pages and tables on the online Library as a PDF file. First, select "View as PDF" at the top of the page you wish to print; then select print. Adobe Reader is available as a free download by clicking on Adobe.

Excel: *new option* All overview tables are displayed in a Microsoft Excel format, and can be saved to your computer in Excel workbooks. Our recommendation is to use the Excel option for evidence summary overview tables.

Return to list of Frequently Asked Questions at top of page.

Milestones

What are some major Milestones in Academy's development of Evidence Analysis Guidelines?

2000: Academy began carrying out evidence analysis on a range of nutrition-relevant diseases and conditions with a goal of enhancing dietetics practice in these areas.

2001: Academy published evidence-based medical nutrition therapy protocols on the topics of Hyperlipidemia, Gestational Diabetes, Diabetes 1 & 2, and Chronic Kidney Disease in a CD (compact disk) format.

2004: The online Academy Evidence Analysis Library ®(EAL®) was launched in October 2004 at Academy's annual Food and Nutrition Conference & Expo (FNCE) with evidence analysis in 4 topic areas - Childhood Overweight, Critical Illness, Hyperlipidemia, and Measuring Energy Expenditure (Indirect Calorimetry).

2005: More than 375 evidence analysis questions/conclusion statements are available in 10 topic areas on the EAL®. The Evidence Based Guidelines (EBG) section of the Library was added in August 2005 with the online publication of the Disorders of Lipid Metabolism Nutrition Practice Guideline.

2006: More than 500 evidence analysis questions/conclusion statements are available on the EAL®. Published Adult Weight Management Nutrition Practice Guideline to the EBG section of the Library in May 2006; Companion Toolkit to the Disorders of Lipid Metabolism Nutrition Practice Guideline available for purchase online in June 2006; Users have accessed over 1 Million page views on the EAL, 8/17/06; Published Critical Illness and Nutrition Practice Guideline to the EBG section of the Library in September 2006.

2007: More than 600 evidence analysis questions/conclusion statements are available on the EAL®. Published Pediatric Weight Management Nutrition Practice Guideline to the EBG section of the Library in June 2007. Companion toolkits to the Adult Weight Management Nutrition Practice Guideline available for purchase online in July 2007; Users have accessed over 2 Million page views on the EAL®, 05/07; the first Educator module on measuring energy expenditure was developed.

2008: More than 725 evidence analysis questions/conclusion statements are published on the EAL®. Published Diabetes Type 1 and 2 Evidence based Nutrition Practice Guideline (March), Hypertension Evidence based Nutrition Practice Guideline (April), and Heart Failure Evidence based Nutrition Practice Guideline (July) in 2008. Users have accessed over 4 Million page views on the EAL®, 06/08.

2009: More than 850 evidence analysis questions/conclusion statements are published on the EAL®. Published Celiac Disease Evidence based Nutrition Practice Guideline (May), Spinal Cord Injury Evidence based Nutrition Practice Guideline (June), and Unintended Weight Loss in Older Adults Evidence based Nutrition Practice Guideline (October) in 2009. Users have accessed over 6 Million page views on the EAL®, 09/09.

2010: Published Chronic Kidney Disease Evidence based Nutrition Practice Guideline (July), HIV/AIDS Evidence based Nutrition Practice Guideline (December) 2010. More than 9 million page views on the EAL®, 09/10.

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Other Questions

Don't see your question answered here? Contact Academy Staff

Paula J. Ziegler, PhD, RD, CFCS
Senior Director, Academy of Nutrition and Dietetics

Kari Kren MPH, RD
Manager, Evidence-Based Practice
Academy of Nutrition and Dietetics

Lisa Moloney, MS, RD, LDN
Manager, Evidence-Based Practice
Academy of Nutrition and Dietetics

Kay Howarter MS, RD
Director, EAL and NCP Business
Academy of Nutrition and Dietetics

Return to list of Frequently Asked Questions at top of page.

FAQs updated February 2, 2013

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