Performing nutrition assessment remotely via telehealth

Mauldin, Kasuen; Gieng, John; Saarony, Dania; Hu, Catherine

doi:10.1002/ncp.10682

Cited by 18 publications

(25 citation statements)

References 49 publications

(143 reference statements)

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“…Training could assist dietitians to become more familiar with the emerging research that is guiding clinicians with virtual assessments, including anthropometry. 28 With many clinicians struggling to transition and having limited experience to such models of care, 13 training is considered imperative to the success of technology implementation. 29 This highlights the need for adequate support and resources to coordinate training including university training for future dietitians to have the foundation knowledge to deliver these methods.…”

Section: Discussionmentioning

confidence: 99%

Technology-supported models of nutrition care: Perspectives of health service providers

et al. 2022

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Objective To determine the perspectives to the adoption, scale-up, sustainability, and spread of technology-supported models of nutrition care, in hospital and ambulatory care settings. Methods Thirty-one health service providers participated in individual semi-structured interviews from a tertiary health service in Queensland, Australia. The Non-adoption, Abandonment, and challenges to the Scale up, Spread and Sustainability (NASSS) framework, designed to evaluate technology-supported models’ success, informed the qualitative design. Results Key findings were that technology-supported models of care could benefit many chronic condition patient groups; dietitians are well suited to adopting this technology: and the value proposition in creating efficiency gains in the health service. However, challenges of transitioning and sustainability were identified. Perceived enablers for technology supported models of care included: previous intentions for technology supported models of care prior to the 2019 novel coronavirus pandemic; opportunity for clinicians to complete higher valued tasks; and integration of technology systems and assisted staff roles. Perceived barriers included: suitability for patients is dependent on experience and ability to use technology, varied confidence by clinicians when conducting clinical assessments; high investment required for set up and ongoing maintenance; and patients desire for adopting face-to-face care over technology. Health service providers perceived that embedding and adapting such models requires maintenance of high-quality service and continued research. Conclusions Health service providers recognize adopting, scaling, and sustaining technology-supported models of nutrition care benefits patients, clinicians, and health services in general. Robust clinical trials and health service evaluations of technology-supported models of care, across practice settings are now needed.

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Section: Discussionmentioning

confidence: 99%

Technology-supported models of nutrition care: Perspectives of health service providers

et al. 2022

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“…Telehealth can be a cost‐effective alternative and complement the traditional practice of face‐to‐face dietary counseling. It will also allow clinicians to increase the frequency and intensity of dietary counseling, which may be a crucial factor in optimizing clinical outcomes 52,53 …”

Section: Discussionmentioning

confidence: 99%

“…It will also allow clinicians to increase the frequency and intensity of dietary counseling, which may be a crucial factor in optimizing clinical outcomes. 52,53…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Effectiveness of dietary counseling with or without nutrition supplementation in hospitalized patients who are malnourished or at risk of malnutrition: A systematic review and meta‐analysis

Wong

Huang

Sowa

et al. 2022

J Parenter Enteral Nutr

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Background Nutrition support is associated with improved survival and nonelective hospital readmission rates among malnourished medical inpatients; however, limited evidence supporting dietary counseling is available. We intend to determine the effect of dietary counseling with or without oral nutrition supplementation (ONS), compared with standard care, on hospitalized adults who are malnourished or at risk of malnutrition. Methods We searched MEDLINE/PubMed, CINAHL, Embase, Scopus, The Cochrane Library, and Google Scholar for studies listed from January 1, 2011, to August 31, 2021. Meta‐analysis was performed to obtain pooled risk ratios (RRs) and 95% CIs to estimate the effect. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was used to assess the certainty of the evidence. Results Sixteen studies were identified. Compared with standard care, dietary counseling with or without ONS probably does not reduce inpatient rates of 30‐day mortality (RR = 1.24; 0.60–2.55; I2 = 45%; P = 0.56; moderate certainty), slightly reduces 6‐month mortality (RR = 0.83; 0.69–1.00; I2 = 16%; P = 0.06; high certainty), reduces complications (RR = 0.85; 0.73–0.98; I2 = 0%; P = 0.03; high certainty), and may slightly reduce readmission (RR = 0.83; 0.66–1.03; I2 = 55%; P = 0.10; low certainty) but may not reduce length of stay (mean difference: −0.75 days; −1.66‐0.17; I2 = 70%; P = 0.11; low certainty). Intervention may result in slight improvements in nutrition status/intake and weight/body mass index (low certainty). Conclusions There is an increase in the certainty of evidence regarding the positive impact of dietary counseling on outcomes. Future studies should standardize and provide details/frequencies of counseling methods and ONS adherence to determine dietary counseling effectiveness.

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“…The value of nutrition has become increasingly apparent in the setting of the COVID-19 pandemic. This service can be effectively provided without direct face-to-face patient contact using telehealth (5). Whether it is by direct or virtual evaluation, it is impossible to provide optimal care to critically ill patients without the participation of dietitians.…”

Section: To the Editormentioning

confidence: 99%

Dietitians’ Role in Critical Care Interdisciplinary Team Needs Better Recognition

Sriram¹,

Cresci

2022

Critical Care Medicine

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Performing nutrition assessment remotely via telehealth

Cited by 18 publications

References 49 publications

Technology-supported models of nutrition care: Perspectives of health service providers

Technology-supported models of nutrition care: Perspectives of health service providers

Effectiveness of dietary counseling with or without nutrition supplementation in hospitalized patients who are malnourished or at risk of malnutrition: A systematic review and meta‐analysis

Dietitians’ Role in Critical Care Interdisciplinary Team Needs Better Recognition

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