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Abstract
Background: The evidence for the use of dietary counselling in the management of malnutrition is inconsistent. Lack of consistency limits the ability to compare studies, impacting research, clinical practice, and policy development.
Aim: To establish an international consensus on minimum requirements for dietary counselling interventions used in research for the prevention and management of malnutrition.
Methods: An amended Delphi study was conducted with 37 initial consensus statements generated from a targeted search of the literature. Agreement of an international panel of invited experts was assessed across two Delphi rounds and two online meetings. Full consensus was defined as assignment of a score of 5 (strongly agree). A preliminary external validation was conducted when delegates at the International Congress of Dietetics 2021 voted during an online meeting on agreement with statements.
Results: Consensus was achieved for 27 statements, with justifications and commentary. Minimum requirements included eight statements for nutritional assessment, seven statements for nutritional intervention content, five statements for nutritional intervention delivery, and seven statements for monitoring and follow-up. The International Congress of Dietetics delegates voted on more elements of assessment (77–140 in agreement) than intervention (37–101 in agreement).
Conclusion: Consensus was achieved by an international group of experts to define the minimum essential factors for delivering malnutrition dietary counselling interventions in a research context. External validation is required. The minimum requirements have the potential to influence research, clinical practice, and policy development.
Aim: To establish an international consensus on minimum requirements for dietary counselling interventions used in research for the prevention and management of malnutrition.
Methods: An amended Delphi study was conducted with 37 initial consensus statements generated from a targeted search of the literature. Agreement of an international panel of invited experts was assessed across two Delphi rounds and two online meetings. Full consensus was defined as assignment of a score of 5 (strongly agree). A preliminary external validation was conducted when delegates at the International Congress of Dietetics 2021 voted during an online meeting on agreement with statements.
Results: Consensus was achieved for 27 statements, with justifications and commentary. Minimum requirements included eight statements for nutritional assessment, seven statements for nutritional intervention content, five statements for nutritional intervention delivery, and seven statements for monitoring and follow-up. The International Congress of Dietetics delegates voted on more elements of assessment (77–140 in agreement) than intervention (37–101 in agreement).
Conclusion: Consensus was achieved by an international group of experts to define the minimum essential factors for delivering malnutrition dietary counselling interventions in a research context. External validation is required. The minimum requirements have the potential to influence research, clinical practice, and policy development.
| Original language | English |
|---|---|
| Article number | 198 |
| Pages (from-to) | 46-46 |
| Number of pages | 1 |
| Journal | Nutrition and Dietetics |
| Volume | 81 |
| Issue number | S1 |
| DOIs | |
| Publication status | Published - 11 Aug 2024 |
| Event | Dietitians Australian 2024 Conference - Brisbane Convention and Exhibition Centre, Brisbane, Australia Duration: 18 Aug 2024 → 20 Aug 2024 https://www.da2024.com.au/ |
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Related Projects
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Public health nutrition research
Reidlinger, D., Cox, G., Marshall, S., MacKenzie-Shalders, K., Patterson, P., Campbell, K., Van Herwerden, L., Utter, J., Mayr, H., Van der Meij, B., Kelly, J., Maugeri, B., Marx, W., Turner, C. & Tang, X.
1/01/14 → 31/01/29
Project: Research