Shelley Roberts1,2,3,4, Ben Desbrow1,2,3, Wendy Chaboyer2,3,4. 1. Griffith University School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia. 2. Centre for Health Practice Innovation, Griffith University, Gold Coast, Qld, Australia. 3. Griffith Health Institute, Griffith University, Gold Coast, Qld, Australia. 4. NHMRC Centre of Research Excellence in Nursing, Griffith University, Gold Coast, Qld, Australia.
Abstract
AIM: Nutrition is important for pressure ulcer prevention. This randomised control pilot study assessed the feasibility of conducting a larger trial to test the effectiveness of a patient-centred intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital. METHODS: A 3-day intervention targeting patients at risk of pressure ulcer was developed, based on three main foundations: patient education, patient participation and guided goal setting. The intervention was piloted in three wards in a metropolitan hospital in Queensland, Australia. Participants were randomised into control or intervention groups and had their oral intakes monitored. A subset of intervention patients was interviewed on their perceptions of the intervention. Feasibility was tested against three criteria: ≥75% recruitment; ≥80% retention; and ≥80% intervention fidelity. Secondary outcomes related to effects on energy and protein intakes. RESULTS:Eighty patients participated in the study and 66 were included in final analysis. The recruitment rate was 82%, retention rate was 88%, and 100% of intervention patients received the intervention. Patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time. CONCLUSION: This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer. A larger trial is needed to confirm the effectiveness of the intervention in the clinical setting.
RCT Entities:
AIM: Nutrition is important for pressure ulcer prevention. This randomised control pilot study assessed the feasibility of conducting a larger trial to test the effectiveness of a patient-centred intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital. METHODS: A 3-day intervention targeting patients at risk of pressure ulcer was developed, based on three main foundations: patient education, patient participation and guided goal setting. The intervention was piloted in three wards in a metropolitan hospital in Queensland, Australia. Participants were randomised into control or intervention groups and had their oral intakes monitored. A subset of intervention patients was interviewed on their perceptions of the intervention. Feasibility was tested against three criteria: ≥75% recruitment; ≥80% retention; and ≥80% intervention fidelity. Secondary outcomes related to effects on energy and protein intakes. RESULTS: Eighty patients participated in the study and 66 were included in final analysis. The recruitment rate was 82%, retention rate was 88%, and 100% of intervention patients received the intervention. Patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time. CONCLUSION: This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer. A larger trial is needed to confirm the effectiveness of the intervention in the clinical setting.
Authors: Victoria Team; Ayoub Bouguettaya; Catelyn Richards; Louise Turnour; Angela Jones; Helena Teede; Carolina D Weller Journal: Int Wound J Date: 2019-12-18 Impact factor: 3.315
Authors: Alex Molassiotis; Shelley Roberts; Hui Lin Cheng; Henry K F To; Po Shan Ko; Wang Lam; Yuk Fong Lam; Jessica Abbott; Deborah Kiefer; Jasotha Sanmugarajah; Andrea P Marshall Journal: BMC Palliat Care Date: 2018-03-20 Impact factor: 3.234