Document Type


Publication Date


MeSH Terms

Integrative Medicine, Nutritionists

Subject: LCSH

Integrative medicine, Functional medicine, Health--Philosophy, Dietitians


Dietetics and Clinical Nutrition


Background This study explored the health philosophy and practice orientation of RDNs in the United States. Methods A randomly selected group of RDNs were recruited to take an online survey using a reduced version of Integrative Medicine practice (IM-30). Confirmatory factor analysis, analyses of variance, and non-parametric tests were used to investigate the relationships between dietetic professionals' personal health philosophy, lifestyle, and orientation to Integrative Medicine. Results Overall construct validity of the IM-26 scale was demonstrated by Cronbach's α with reliabilities ranging from 0.766 to 0.89. Results from chi-square test of goodness-of-fit test (N = 477, χ2 = 228.72, p = 0.123) and RMSEA of 0.016 showed good model fit. IM orientation varied significantly by work setting and certification in one or more CAM therapies. Conclusions The orientation towards Integrative Medicine for a majority of US dietitians is in the awareness and learning phases of adoption.


This is the authors' submitted version of the article published in Complementary Therapies in Clinical Practice. The version of record can be found at



Publisher Citation

Grace-Farfaglia P, Pickett-Bernard DL, Gorman AW, Dehpahlavan J. Blurred lines: Emerging practice for registered dietitian-nutritionists in integrative and functional nutrition. Complementary Therapies in Clinical Practice. 2017;28(August):212-9. doi: 10.1016/j.ctcp.2017.06.009.