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dc.contributor.authorRoberts, Shelley
dc.contributor.authorGrealish, Laurie
dc.contributor.authorWilliams, Lauren T
dc.contributor.authorHopper, Zane
dc.contributor.authorJenkins, Julie
dc.contributor.authorSpencer, Alan
dc.contributor.authorMarshall, Andrea P
dc.date.accessioned2019-09-17T01:20:38Z
dc.date.available2019-09-17T01:20:38Z
dc.date.issued2019
dc.identifier.issn2227-9032
dc.identifier.doi10.3390/healthcare7020079
dc.identifier.urihttp://hdl.handle.net/10072/387394
dc.description.abstractHospital-acquired malnutrition is a significant issue with complex aetiology, hence nutrition interventions must be multifaceted and context-specific. This paper describes the development, implementation and process evaluation of a complex intervention for improving nutrition among medical patients in an Australian hospital. An integrated knowledge translation (iKT) approach was used for intervention development, informed by previous research. Intervention strategies targeted patients (via a nutrition intake monitoring system); staff (discipline-specific training targeting identified barriers); and the organisation (foodservice system changes). A process evaluation was conducted parallel to implementation assessing reach, dose, fidelity and staff responses to the intervention using a mixed-methods design (quantitative and qualitative approaches). Staff-level interventions had high fidelity and broad reach (61% nurses, 93% foodservice staff and all medical staff received training). Patient and organisation interventions were implemented effectively, but due to staffing issues, only reached around 60% of patients. Staff found all intervention strategies acceptable with benefits to practice. This study found an iKT approach useful for designing a nutrition intervention that was context-specific, feasible and acceptable to staff. This was likely due to engagement of multiple disciplines, identifying and targeting specific areas in need of improvement, and giving staff frequent opportunities to contribute to intervention development/implementation.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.relation.ispartofissue2
dc.relation.ispartofjournalHealthcare
dc.relation.ispartofvolume7
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchHealth sciences
dc.subject.fieldofresearchcode3210
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode42
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsHealth Care Sciences & Services
dc.subject.keywordsHealth Policy & Services
dc.subject.keywordscomplex interventions
dc.titleDevelopment and Process Evaluation of a Complex Intervention for Improving Nutrition among Hospitalised Patients: A Mixed Methods Study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationRoberts, S; Grealish, L; Williams, LT; Hopper, Z; Jenkins, J; Spencer, A; Marshall, AP, Development and Process Evaluation of a Complex Intervention for Improving Nutrition among Hospitalised Patients: A Mixed Methods Study, Healthcare, 2019, 7 (2)
dcterms.dateAccepted2019-06-20
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2019-09-17T01:17:53Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2019. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorMarshall, Andrea
gro.griffith.authorRoberts, Shelley J.


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