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Open Access 01-12-2021 | Sarcopenia | Research article

Using the theoretical domains framework to inform strategies to support dietitians undertaking body composition assessments in routine clinical care

Authors: Chloe J. D. Jobber, Shelley A. Wilkinson, Elyssa K. Hughes, Fiona Nave, Barbara S. van der Meij

Published in: BMC Health Services Research | Issue 1/2021

Abstract

Background

Malnutrition, sarcopenia and cachexia are clinical wasting syndromes characterised by muscle loss. Systematic monitoring by body composition assessment (BCA) is recommended for the diagnosis, treatment and monitoring of the syndrome(s). This study investigated practices, competency, and attitudes of Australian dietitians regarding BCA, to inform a local implementation process.

Methods

Applying the Action cycle in the Knowledge to Action framework, surveys were distributed to the 26 dietitians of an 800-bed tertiary hospital. The survey assessed barriers and enablers to performing routine BCA in clinical care. Results were categorised using the Theoretical Domains Framework (TDF) and suitable interventions mapped using the Behaviour Change Wheel.

Results

Twenty-two dietitians (84.6%) completed the survey. Barriers to BCA were identified in all TDF domains, particularly in Knowledge, Skills, Social/professional role and identity, Beliefs about capabilities, and Environmental context and resources. Enablers existed in domains of: Skills; Beliefs about consequences; Goals; Environmental context and resources; Social influences; Intentions; Optimism; Reinforcement.

Conclusions

This study showed that hospital dietitians experience individual, team, and organisational barriers to adopt BCAs in clinical practice. We were able to formulate targeted implementation strategies to overcome these barriers to assist BCA adoption into routine practice.

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Title: Using the theoretical domains framework to inform strategies to support dietitians undertaking body composition assessments in routine clinical care
Authors: Chloe J. D. Jobber
Shelley A. Wilkinson
Elyssa K. Hughes
Fiona Nave
Barbara S. van der Meij
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Sarcopenia
Care
Malnutrition
Published in: BMC Health Services Research / Issue 1/2021
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-021-06375-7

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Springer Medicine

Using the theoretical domains framework to inform strategies to support dietitians undertaking body composition assessments in routine clinical care

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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