ReviewBMC family practice2019
Barriers and facilitators to screening and treating malnutrition in older adults living in the community: a mixed-methods synthesis.
Review in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Patient, family and carer experiences of nutritional screening: a systematic review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2021Pooled it
- The Readiness Among Nutrition Support Hospital Staff for the Implementation of the Patient-Generated Subjective Global Assessment.Journal of multidisciplinary healthcare · 2026Article
- Barriers and facilitators in the implementation of nutrition interventions to prevent or treat malnutrition in older adults: A scoping review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025Article
- Food insecurity in later life: a food security framework to support preventative action.The Proceedings of the Nutrition Society · 2025Review
- Exploring care staff perspectives of malnutrition in residential aged care.Australasian journal on ageing · 2025Article
- Exploring Individuals' Views and Feedback on a Nutritional Screening Mobile App: Qualitative Focus Group Study.JMIR formative research · 2024Article
- What helps or hinders intervention success in primary care? Qualitative findings with older adults and primary care practitioners during a feasibility study to address malnutrition risk.BMC primary care · 2024Article
- Review
- Usefulness of the mini nutritional assessment short-form for evaluating nutritional status in patients with nontuberculous mycobacterial pulmonary disease: a prospective cross-sectional study.BMC infectious diseases · 2024Article
- Article
- Health policy to address disease-related malnutrition: a scoping review.BMJ nutrition, prevention & health · 2024Review
- Article
- Impact of malnutrition management e-learning module on GPs' knowledge: a pilot study.BJGP open · 2023Article
- Physicians' Perception of Oral Nutritional Supplement Acceptance and Tolerability in Malnourished Outpatients: PerceptiONS Study.Nutrients · 2023Observational
- Improving the assessment of older adult's nutrition in primary care: recommendations for a proactive, patient-centred and aetiology approach.BMJ nutrition, prevention & health · 2023Article
- Nutritional status of hospitalized elderly patients in Ethiopia: a cross-sectional study of an important yet neglected problem in clinical practice.Frontiers in nutrition · 2023Article
- Underlying Causes and Co-existence of Malnutrition and Infections: An Exceedingly Common Death Risk in Cancer.Frontiers in nutrition · 2022Review
- Socioeconomic Risk Factors of Poor Nutritional Status in Polish Elderly Population: The Results of PolSenior2 Study.Nutrients · 2021Article
- Optimising an intervention to support home-living older adults at risk of malnutrition: a qualitative study.BMC family practice · 2021Article
- Characteristics and determinants of high volume dispensing in long-term oral nutritional supplement users in primary care: a secondary analysis.BJGP open · 2021Article
Corrections and comments
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Authors and funding
15 authors at 8 institutions in 1 country.
Funding
Abstract
backgroundMalnutrition (specifically undernutrition) in older, community-dwelling adults reduces well-being and predisposes to disease. Implementation of screen-and-treat policies could help to systematically detect and treat at-risk and malnourished patients. We aimed to identify barriers and facilitators to implementing malnutrition screen and treat policies in primary/community care, which barriers have been addressed and which facilitators have been successfully incorporated in existing interventions.
methodA data-base search was conducted using MEDLINE, Embase, PsycINFO, DARE, CINAHL, Cochrane Central and Cochrane Database of Systematic Reviews from 2012 to June 2016 to identify relevant qualitative and quantitative literature from primary/community care. Studies were included if participants were older, community-dwelling adults (65+) or healthcare professionals who would screen and treat such patients. Barriers and facilitators were extracted and mapped onto intervention features to determine whether these had addressed barriers.
resultsOf a total of 2182 studies identified, 21 were included (6 qualitative, 12 quantitative and 3 mixed; 14 studies targeting patients and 7 targeting healthcare professionals). Facilitators addressing a wide range of barriers were identified, yet few interventions addressed psychosocial barriers to screen-and-treat policies for patients, such as loneliness and reluctance to be screened, or healthcare professionals' reservations about prescribing oral nutritional supplements.
conclusionThe studies reviewed identified several barriers and facilitators and addressed some of these in intervention design, although a prominent gap appeared to be psychosocial barriers. No single included study addressed all barriers or made use of all facilitators, although this appears to be possible. Interventions aiming to implement screen-and-treat approaches to malnutrition in primary care should consider barriers that both patients and healthcare professionals may face. REVIEW REGISTRATIONS: PROSPERO: CRD42017071398 . The review protocol was registered retrospectively.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.