Evidence map›Paper›PMID 42394226›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2026

Dietitians as Connectors and Brokers in Food Systems Transformation: A Reflexive Perspective From a Regional Circularity Case Study.

Anita Stefoska-Needham, Catherine Lucas, Suzanne Pickles, Spring Zhou, Namal Bandaranayake, Senevi Kiridena, Karen Charlton

Abstract read
In one paragraph

Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anita Stefoska-NeedhamSchool of Medical, Indigenous and Health Sciences, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0001-7114-1634
Catherine LucasSchool of Medical, Indigenous and Health Sciences, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-9826-0382
Suzanne PicklesSchool of Medical, Indigenous and Health Sciences, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0009-0007-5090-8083
Spring ZhouSchool of Business, Faculty of Arts, Society and Business, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-8388-4918
Namal BandaranayakeDepartment of Engineering Management, Faculty of Engineering, University of Peradeniya, Kandy, Sri Lanka.ORCID https://orcid.org/0000-0002-3899-6814
Senevi KiridenaSchool of Engineering, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-6920-5309
Karen CharltonSchool of Medical, Indigenous and Health Sciences, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-8044-444X

Funding

Australian Research Council FT220100178University of Wollongong Global Challenges GrantUniversity of Wollongong Global Challenges grant and an ARC Future Fellowship (Professor Karen Charlton)
6 · The paper itself

Abstract

introductionDietitians are increasingly called upon to address complex food systems challenges, including the transition to circular economies that support both human and planetary health. This reflexive perspective draws on a structured reflective process undertaken by the research team to explore how dietitians can apply their core competencies, such as critical thinking, evidence-based practice, and communication, to lead and facilitate food systems transformation. MATERIALS AND

methodsDrawing on a case study from the Bega Valley region of Australia, known for its unique focus on circularity, researchers from the University of Wollongong conducted interviews with small-scale agrifood producers to identify barriers and enablers to circular supply chains. Findings from this prior qualitative study subsequently informed a structured reflection process undertaken by the inter-disciplinary research team which included dietitians. Using Borton's Reflective Model ('What? So What? Now What?' framework), researchers reflected on the role of dietitians in advancing food systems transformation. Reflexive thematic analysis was applied to the written reflections to identify key themes across each stage of the framework.

resultsOf the 10 original research team members, seven completed the reflection process, comprising three dietitians, two engineers with an interest in circular economy, one supply chain expert, and one food systems doctoral researcher. The collective reflections showed: What? We engaged in research exploring perspectives of small-scale producers towards circularity to understand the barriers and enablers towards implementing more circular supply chains. So What? The reflection highlighted dietitians' capacity to engage diverse stakeholders and navigate complexity, with potential to broaden their scope in transitioning the food system. Now What? Researchers proposed actionable pathways to increase dietitians' competencies in systems transformation. Professional advocacy is required to position dietitians for future food system and policy roles.

conclusionReflections from this study suggest that dietitians are well-positioned to act as connectors and brokers within food systems when equipped with systems thinking tools and opportunities for cross-sector engagement.

Indexed as

Economic DevelopmentFood SupplyNutritionistsProfessional RoleAustraliaCognitive ReflectionEvidence-Based PracticeHumansOrganizational Case StudiesQualitative Researchcircular economydietitianfood systeminterdisciplinaryreflective practice

Identifiers

PMID42394226
PMCPMC13329212

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.