A personalized snack-based intervention for hip fracture patients: development, feasibility and acceptability

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
Rosemary J G PriceAnnie S Anderson

Abstract

Undernutrition is common in older people admitted to hospital with hip fracture. Oral supplementation with sip feeds may be provided but compliance is a major problem. To develop a personalized snack-based intervention for practical implementation in hip fracture patients and to assess feasibility, adherence, acceptability and cost. Twenty-three older hip fracture patients with a mean age (SD) 84.1 (6.3) were provided with three between-meal snacks daily for 4 weeks following surgery. Dietary counselling, assessment of acceptability and feasibility were undertaken and costs of intervention calculated. Sixteen of the 23 participants recruited completed the study. Mean estimated energy derived from the snacks provided 26% of daily energy requirements. Monitoring adherence proved problematic and stocktakes highlighted discrepancies. Although several participants reported that they did not usually eat between meals, overall the intervention was acceptable to participants. The cost of implementation was 21.29 UK pounds per participant per week. Although it proved feasible, practical difficulties were encountered with implementation and adherence due to timing. A more appropriate time to deliver such an intervention may be after the ...Continue Reading

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Citations

Sep 12, 2006·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·Joan Gandy
Nov 1, 2011·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·José J L Breedveld-PetersPieter C Dagnelie
Mar 11, 2009·British Journal of Nursing : BJN·Alison Shepherd
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Anne C MilneAlison Avenell
Mar 2, 2021·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Milanne M J GalekopW Ken Redekop

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