Evidence map›Paper›PMID 31932297›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020

Supporting nutrition in frail older people: a qualitative study exploring views of primary care and community health professionals.

Christina Avgerinou, Cini Bhanu, Kate Walters, Helen Croker, Remco Tuijt, Jennifer Rea, Jane Hopkins, Maggie Kirby-Barr, Kalpa Kharicha

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  6. 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 · 2025
    Article
  7. A qualitative descriptive study on the perspectives and experiences of multidisciplinary HCPs in providing nutritional care to older adults with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Christina AvgerinouDepartment of Primary Care and Population Health, University College London, London.
Cini BhanuDepartment of Primary Care and Population Health, University College London, London.
Kate WaltersDepartment of Primary Care and Population Health, University College London, London.
Helen CrokerHealth Behaviour Research Centre, University College London, London.
Remco TuijtDepartment of Primary Care and Population Health, University College London, London.
Jennifer ReaDepartment of Primary Care and Population Health, University College London, London.
Jane HopkinsPatient and Public Involvement representative, London.
Maggie Kirby-BarrPatient and Public Involvement representative, London.
Kalpa KharichaDepartment of Primary Care and Population Health, University College London, London.
University College London · GB

Funding

Department of Health 12/192/10Department of Health NIHR128334
6 · The paper itself

Abstract

backgroundMalnutrition is associated with increased morbidity and mortality, and is very common in frail older people. However, little is known about how weight loss in frail older people can be managed in primary care.

aimsTo explore the views and practices of primary care and community professionals on the management of malnutrition in frail older people; identify components of potential primary care-based interventions for this group; and identify training and support required to deliver such interventions. DESIGN AND

settingQualitative study in primary care and community settings.

methodSeven focus groups and an additional interview were conducted with general practice teams, frailty multidisciplinary teams (MDTs), and community dietitians in London and Hertfordshire, UK (

resultsPrimary care and community health professionals perceived malnutrition as a multifaceted problem. There was an agreement that there is a gap in care provided for malnutrition in the community. However, there were conflicting views regarding professional accountability. Challenges commonly reported by primary care professionals included overwhelming workload and lack of training in nutrition. Community MDT professionals and dietitians thought that an intervention to tackle malnutrition would be best placed in primary care and suggested opportunistic screening interventions. Education was an essential part of any intervention, complemented by social, emotional, and/or practical support for frailer or socially isolated older people.

conclusionsFuture interventions should include a multifaceted approach. Education tailored to the needs of older people, carers, and healthcare professionals is a necessary component of any intervention.

Indexed as

Attitude of Health PersonnelGeneral PracticeNutritional SupportPrimary Health CareAgedAged, 80 and overCommunity Health ServicesFemaleFocus GroupsFrail ElderlyFrailtyHumansMaleMalnutritionQualitative ResearchUnited Kingdomcommunityfrailtyhealth educationmalnutritionolder peopleprimary care

Identifiers

PMID31932297
PMCPMC6960002
OpenAlexW3000703207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.