Dietary counselling interventions in malnutrition research: Achieving an international consensus on essential practices using an amended Delphi process

Skye Marshall; Elizabeth Weekes; Marian de van der Schueren; Heather Keller; Alison Steiber; Su Lin Lim; Christine Baldwin

doi:10.1111/1747-0080.12895

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.

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	https://doi.org/10.1111/1747-0080.12895
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/

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 2 Zero Hunger

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Public health nutrition research
Reidlinger, D. (Project Lead), Cox, G. (Associate Investigator), Marshall, S. (Associate Investigator), MacKenzie-Shalders, K. (Associate Investigator), Patterson, P. (Associate Investigator), Campbell, K. (Associate Investigator), Van Herwerden, L. (Assistant Professor), Utter, J. (Associate Professor), Mayr, H. (Associate Investigator), Van der Meij, B. (Associate Investigator), Kelly, J. (Associate Investigator), Maugeri, B. (Assistant Professor), Marx, W. (Associate Investigator), Turner, C. (Partner Investigator) & Tang, X. (Associate Investigator)
1/01/14 → 31/01/29
Project: Research

Cite this

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title = "Dietary counselling interventions in malnutrition research: Achieving an international consensus on essential practices using an amended Delphi process",

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.",

author = "Skye Marshall and Elizabeth Weekes and \{de van der Schueren\}, Marian and Heather Keller and Alison Steiber and Lim, \{Su Lin\} and Christine Baldwin",

year = "2024",

month = aug,

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doi = "10.1111/1747-0080.12895",

language = "English",

volume = "81",

pages = "46--46",

journal = "Nutrition and Dietetics",

issn = "1747-0080",

publisher = "Wiley-Academy",

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note = "Dietitians Australian 2024 Conference ; Conference date: 18-08-2024 Through 20-08-2024",

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Dietary counselling interventions in malnutrition research: Achieving an international consensus on essential practices using an amended Delphi process. / Marshall, Skye; Weekes, Elizabeth; de van der Schueren, Marian et al.
In: Nutrition and Dietetics, Vol. 81, No. S1, 198, 11.08.2024, p. 46-46.

Research output: Contribution to journal › Meeting Abstract › Research › peer-review

TY - JOUR

T1 - Dietary counselling interventions in malnutrition research: Achieving an international consensus on essential practices using an amended Delphi process

AU - Marshall, Skye

AU - Weekes, Elizabeth

AU - de van der Schueren, Marian

AU - Keller, Heather

AU - Steiber, Alison

AU - Lim, Su Lin

AU - Baldwin, Christine

PY - 2024/8/11

Y1 - 2024/8/11

N2 - 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.

AB - 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.

U2 - 10.1111/1747-0080.12895

DO - 10.1111/1747-0080.12895

M3 - Meeting Abstract

SN - 1747-0080

VL - 81

SP - 46

EP - 46

JO - Nutrition and Dietetics

JF - Nutrition and Dietetics

IS - S1

M1 - 198

T2 - Dietitians Australian 2024 Conference

Y2 - 18 August 2024 through 20 August 2024

ER -

Dietary counselling interventions in malnutrition research: Achieving an international consensus on essential practices using an amended Delphi process

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