Nutrition risk screening methods for adults living with severe mental illness: A scoping review

Hancox, Lauren E.; Lee, Pui S.; Armaghanian, Natasha; Hirani, Vasant; Wakefield, Georgia

doi:10.1111/1747-0080.12652

Cited by 13 publications

(35 citation statements)

References 41 publications

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“…As described in the introduction, there are no validated nutritional risk screening methods for people with mental disorders ( 9 ). To assess the risk for nutritional deficits, we will use three different nutrition risk scores, additional questions related to the participants' nutritional status and laboratory parameters if they were retrieved during treatment.…”

Section: Methodsmentioning

confidence: 99%

“…The planning and implementation of effective nutritional interventions in mental healthcare require a valid assessment of patients' nutritional status, challenges and needs. However, to date, no validated nutritional risk screening methods that also consider overnutrition exist for people with mental disorders ( 9 ). Similar to the somatic hospital setting ( 10 ), regular nutritional risk screening should be established in mental healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…Similar to the somatic hospital setting ( 10 ), regular nutritional risk screening should be established in mental healthcare. However, nutritional risk screening should not only focuses on the identification of undernourished or malnourished patients, but also include the assessment of the risk for overnutrition and other aspects, such as constipation, dysphagia or problematic eating behaviors ( 9 , 11 ). Overlooking poor nutritional conditions can result in higher complication rates, higher mortality rates and longer hospital stays ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Nutritional Needs in Mental Healthcare: Study Protocol of a Prospective Analytic Observational Study Assessing Nutritional Status, Eating Behavior and Barriers to Healthy Eating in Psychiatric Inpatients and Outpatients Compared to Healthy Adults

2022

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BackgroundMental disorders are often associated with unhealthy eating behaviors and metabolic comorbidities. This can result in reduced life expectancy and poorer quality of life in people with mental disorders. This study protocol describes an observational study that examines the nutritional status and eating behaviors of people with severe mental illness (SMI) and the need for psychiatric treatment who were between 18 and 65 years old. In addition, the study focuses on possible barriers for healthy eating that have not yet been examined in this population.MethodsA total of 192 study participants will be recruited: 64 inpatients and 64 outpatients from the Psychiatric Hospital of the University of Zurich with SMI as well as 64 healthy individuals from the general population as a control group. The participants will be interviewed regarding their nutritional status, eating behavior, nutrition knowledge, food and cooking skills, personality, attitudes and feelings toward nutrition. In addition, the severity of symptoms and several control variables (e.g., sociodemographic variables and physical activity) will be assessed. For the patient samples, data will comprise routine medical data, and, if available, routine laboratory data. Inpatients will be interviewed once at the beginning of their treatment. Outpatients will be interviewed at the beginning and after 3 months of treatment (same interview questions). Healthy adults of the control group will be interviewed once at any time during the recruitment period.DiscussionThe described study will identify nutritional needs and possible barriers to healthy eating in patients with mental disorders. The results will help to define recommendations for nutritional risk screening in psychiatric patients and for planning effective nutritional interventions.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nutritional Needs in Mental Healthcare: Study Protocol of a Prospective Analytic Observational Study Assessing Nutritional Status, Eating Behavior and Barriers to Healthy Eating in Psychiatric Inpatients and Outpatients Compared to Healthy Adults

2022

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“…In Phase I, complete versions of the 17 tools identified in the recent scoping review by Hancox et al (2021) were obtained, and individual questions/items were extracted and collated [24]. Each of the 194 questions/items was inductively coded in a consensual procedure by authors AMS and ST.…”

Section: Phase I: Development Of Overarching Domains and Themes Of Interestmentioning

confidence: 99%

“…One method to reduce this gap is the targeted referral of "at-risk" service users to special clinicians, e.g., referral to dietitians when a service user is deemed at risk for over-or undernutrition. A recent scoping review of nutrition screening tools used in mental-health settings found a dearth of targeted and adequately validated tools [24]. The Approaches to Schizophrenia Communication-Self-Report (ASC-SR) Checklist was the only nutrition-risk screening method for overnutrition and undernutrition identified, but this is focusing on side effects of antipsychotic treatment only [25].…”

Section: Introductionmentioning

confidence: 99%

The Development of a Nutrition Screening Tool for Mental Health Settings Prone to Obesity and Cardiometabolic Complications: Study Protocol for the NutriMental Screener

Teasdale

Moerkl

Moetteli

et al. 2021

IJERPH

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People living with serious mental illness (SMI) experience physical health complications at disproportionate rates to people without an SMI. Unhealthy dietary intake and disordered eating behaviors are key driving factors. There is a lack of valid nutrition-risk screening tools targeted to mental health services, and typically used nutrition-risk screening tools are not suitable for mental health services. This paper details the rationale and study protocol for development and validation of the NutriMental screener, a tool for use in clinical practice to identify service users who are at risk for common nutrition issues experienced by this population group and trigger referral to a specialist clinician. The development process includes five phases. Phase I is the development of nutrition-related domains of interest from screening tools used in mental health services. Phase II involves a literature review and service-user interviews to identify additional domains. Phase III consists of international workshops with relevant clinicians and persons with SMI to gain a consensus on questions to be included in the draft tool. Phase IV involves conducting multinational feasibility and preliminary validation studies. Phase V consists of performing formal validation studies. The development of a nutrition-risk screening tool for mental health services is a necessary step to help rectify the physical-health disparities and life-expectancy gap for people with SMI.

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The Oropharyngeal Dysphagia Screening Test for Patients and Professionals: Validation in Cognitive Impairment and in Severe Mental Illness

Mata,

Blánquez,

Serrano

2024

Dysphagia

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Dysphagia is a symptom that appears with high prevalence in persons diagnosed with dementia, intellectual disability, or severe mental illness. Risk of aspiration pneumonia or even death is very high in these populations. However, screening for dysphagia risk in these patients is complicated by the fact that most of them suffer from cognitive impairments and behavioral manifestations that hinder the assessment process using the existing screening tests. The aim of this study was to validate the Oropharyngeal Dysphagia Screening Test for Patients and Professionals, in patients with cognitive impairment (dementia/intellectual disability) or with severe mental illness (schizophrenia and other psychotic disorders, bipolar disorder, or major depressive disorder). For this purpose, 148 institutionalized patients were evaluated by professionals responsible for their food intake. The Oropharyngeal Dysphagia Screening Test for Patients and Professionals was used to assess its validity in screening for oropharyngeal dysphagia in patients with cognitive impairments and in patients with severe mental illness. Also, the Eating Assessment Tool-10 and the Swallowing Disturbance Questionnaire were used for convergent reliability procedures. Four comparison groups were established: patients with cognitive impairment with and without oropharyngeal dysphagia, and patients with severe mental illness with and without oropharyngeal dysphagia. Results from the Oropharyngeal Dysphagia Screening Test for Patients and Professionals adequately distinguished between groups with and without dysphagia, in addition to presenting adequate levels of convergent validity and reliability. These results were obtained from other-reports (professionals responsible for patients’ food intake), using a simple, quickly applied test that does not require the use of food in patients with an altered cognitive state or with severe mental illness. With this study we expand the validity of the Oropharyngeal Dysphagia Screening Test for Patients and Professionals in populations with severe cognitive deficits and mental illness in which there is a great deficiency of oropharyngeal dysphagia screening instruments.

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Nutrition risk screening methods for adults living with severe mental illness: A scoping review

Cited by 13 publications

References 41 publications

Nutritional Needs in Mental Healthcare: Study Protocol of a Prospective Analytic Observational Study Assessing Nutritional Status, Eating Behavior and Barriers to Healthy Eating in Psychiatric Inpatients and Outpatients Compared to Healthy Adults

Nutritional Needs in Mental Healthcare: Study Protocol of a Prospective Analytic Observational Study Assessing Nutritional Status, Eating Behavior and Barriers to Healthy Eating in Psychiatric Inpatients and Outpatients Compared to Healthy Adults

The Development of a Nutrition Screening Tool for Mental Health Settings Prone to Obesity and Cardiometabolic Complications: Study Protocol for the NutriMental Screener

The Oropharyngeal Dysphagia Screening Test for Patients and Professionals: Validation in Cognitive Impairment and in Severe Mental Illness

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