Impact of Facilitated Behavior Change Strategies on Food Intake Monitoring and Body Weight Measurements in Acute Care: Case Examples From the More‐2‐Eat Study

• DOI: 10.1002/ncp.10207
• Publication Date: 2018-11-20T13:21:42Z
• Authors: Celia Laur; Donna Butterworth; Roseann Nasser; Jack Bell; Chelsa Marcell; Joseph Murphy; Renata Valaitis; Paule Bernier; Sumantra Ray; Heather Keller
• Keywords: Best practice

Abstract Background : Assessing and monitoring food intake body weight of all hospital patients is considered part “best practice” nutrition care. This study presents case examples describing the impact behavior change strategies on embedding these 2 processes in hospitals. Methods Four medical units that participated More‐2‐Eat implementation to improve care focused improving and/or practices. The percentage admitted who received practices were tracked through chart audits over 18 months. Implementation progress documented interviews, focus groups, scorecards, monthly telephone calls. Case are explored using mixed methods. Results Of 4 units, 3 implemented monitoring. One provided service workers opportunity record intake, with low discussed by an interdisciplinary team during bedside rounds (increased from 0% 97%). Another went 61% monitored introducing a new form (“environmental restructuring”) reminding staff ask about intake. A third unit increased motivation documentation improved 3% 95%. Two regularity measurement. encouraged approach introduced weigh days/week (improved 14% 63%), while another having weighed Saturdays 11% 49%). Conclusion Difficult‐to‐change can be diverse ongoing strategies, input, champion, team.