Priority setting for malnutrition and nutritional screening in healthcare: A James Lind Alliance

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Abstract

Malnutrition is one of the greatest global health challenges of our generation [1] and in the UK 2.65 million people are affected, costing the NHS 19.6 billion each year [2, 3]. Determining research priorities and setting research agendas has traditionally had little involvement from patients and carers. Nutrition research is often steered by industry, academia and government committees and there has been limited opportunity for dietitians and health care professionals working directly in nutrition to contribute to setting research priorities. The aim of this project was to establish a priority setting partnership to give patients, carers and health care professionals the opportunity to influence research priorities in malnutrition. A national survey was conducted to gather uncertainties from those with experience of malnutrition. Respondents were obtained by advertising through JLA malnutrition partners, including both professional and charitable organisations. Uncertainties were submitted in the form of questions, which were inputted on to a database and analysed according to themes. Similar questions were grouped together and summary questions were developed, which were transferred to a second interim survey. The interim survey was conducted online and respondents were asked to choose their 10 most important questions. Data were used to generate a list of the top questions, for presentation at the final workshop. Overall, 1128 uncertainty questions were submitted from 268 people including 194 professionals and 74 patients and carers. From the submitted questions we created a second survey, where 71 people responded and a list of the top 26 questions was generated to go forward to a final workshop. The final workshop was held in Manchester in June 2019. The workshop was facilitated by JLA and attended by 12 professionals and five patients/carers. The 26 questions were discussed and ranked in small groups and then agreed by all participants before the final top 10 research priorities were chosen. [Formula presented] It is anticipated that these priorities will be used nationally to inform the research agenda in malnutrition and nutritional screening. 1. WHO. The Nutrition Challenge: Food system solutions 2018. 2. Elia M. The cost of malnutrition in England and potential cost savings from nutritional interventions. Malnutrition Action Group of BAPEN and the NIHR Southampton Biomedical Research Centre. 2015. 3. Stratton R, Smith T, Gabe S. Managing malnutrition to improve lives and save money. British Association of Parenteral and Enteral Nutrition (BAPEN). 2018.Copyright © 2019
Original languageEnglish
Article numberOC49
Pages (from-to)230-231
Number of pages2
JournalClinical Nutrition ESPEN
Volume35
DOIs
Publication statusPublished - 1 Feb 2020

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