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"Study circles" improves nutritional care and body mass index
Kristianstad University College, School of Health and Society. (Forskargruppen för Klinisk Patientnära Forskning)ORCID iD: 0000-0003-4820-6203
Kristianstad University College, School of Health and Society.
Kristianstad University College, School of Health and Society.
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2008 (English)In: Clinical nutrition supplements, Volume 3, Supplement 1, 2008, page 61: 30th ESPEN Congress, 13-16 sept, 2008. Florence, Italy, 2008, 61- p.Conference paper, (Refereed)
Abstract [en]

The staffs’ knowledge, experiences and motivation are likely to be important and so is an adaptation to each unit’s context to achieve positive changes in nutritional practice. How do study circles (SCs) and policy documents (PD) affect nutritional interventions for persons with moderate or high risk for undernutrition (UN-risk) in special accommodations (SAs)?

 

All SAs within six municipalities were involved. UN-risk was defined as the occurrence of at least two of; involuntary weight loss, Body Mass Index below limit (<20 if /=70 yrs) and/or presence of eating difficulties. In year 2005 and 2007 it was 361 (27%) out of 1337 and 322 (35%) out of 920 persons respectively that were at UN-risk and included in this study. Interventions: In 18 of the departments 39 SCs were implemented, involving 8 staff each, in total 315 persons. Each group met for 3 occasions (3 hours each time) to discuss eating and nutrition based on a manual (www.vardalinstitutet.net/scn). The SCs did not focus on the above definition of UN-risk. In four other SAs a PD was politically anchored. No intervention was implemented in the other SAs.

 

SCs and PD increased the precision in provided nutritional actions significantly for persons at UN-risk.

 

The precision (percent) in the provision of nutritional actions.

Intervention

Year 2005

Year 2007

P-value

No intervention

n=229, 86 y

n=202, 87 y

 

  E-food

10

11

.875

  Food supplement

31

29

.751

  Eating assistance

65

67

.611

 

 

 

 

Study circles

n=92, 87 y

n=82, 87 y

 

  E-food

16

32

.012 *

  Food supplement

24

39

.045 *

  Eating assistance

67

69

.870

 

 

 

 

Policy document

n=40, 86 y

n=38, 85 y

 

  E-food

5

24

.023 *

  Food supplement

52

53

.999

  Eating assistance

72

68

.805

y = mean age in years, * = significant increase in provision (p<0.05), E-food = Energy Enriched

 

Both study circles and policy documents improves the precision in the provision of correct nutritional actions for those at moderate or high risk for undernutrition. It is likely that a combination of study circles and policy documents can improve the precision of provision of nutritional actions even more.

Place, publisher, year, edition, pages
2008. 61- p.
National Category
Nutrition and Dietetics Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-625OAI: oai:DiVA.org:hkr-625DiVA: diva2:208110
Available from: 2009-03-16 Created: 2009-03-16 Last updated: 2014-06-10Bibliographically approved

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