Evidence map›Paper›PMID 42304270›Full record

ArticleBMC geriatrics2026

Maggie Beer's Big Mission: implementation and service-system outcomes of a multi-component and multi-disciplinary mealtime model in residential aged care.

Jade Cartwright, Elizabeth Oliver, Anne Whitworth, Lynette R Goldberg, Chris Roberts, Maggie Beer, Julie Smith, Christopher Etherton-Beer, Sandra Murray, Natalie O'Brien and 3 more

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Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Jade CartwrightSchool of Health Sciences, UTAS Health, University of Tasmania, Launceston, Tasmania, Australia. jade.cartwright@utas.edu.au.
Elizabeth OliverMemory Box Collective, Perth, Western Australia, Australia.
Anne WhitworthSchool of Health Sciences, UTAS Health, University of Tasmania, Launceston, Tasmania, Australia.
Lynette R GoldbergWicking Dementia Research and Education Centre, University of Tasmania, Launceston, Tasmania, Australia.
Chris RobertsMeath Care (Inc), Kingsley, Western Australia, Australia.
Maggie BeerMaggie Beer Foundation, Adelaide, South Australia, Australia.
Julie SmithMemory Box Collective, Perth, Western Australia, Australia.
Christopher Etherton-BeerMedical School, University of Western Australia, Perth, Western Australia, Australia.
Sandra MurraySchool of Health Sciences, UTAS Health, University of Tasmania, Launceston, Tasmania, Australia.
Natalie O'BrienSpeech Plus Therapy Solutions, Perth, Western Australia, Australia.
Emma FalconerVitality Nutrition, Perth, Western Australia, Australia.
Karen RobertsSpeech Plus Therapy Solutions, Perth, Western Australia, Australia.
Denis VisentinSchool of Health Sciences, UTAS Health, University of Tasmania, Launceston, Tasmania, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder people living in residential aged care homes are at high risk of malnutrition. This study evaluated the implementation and service system outcomes of a multi-component and multi-disciplinary mealtime model that sought to transform the meals and dining experiences in a single aged care home.

methodsMixed methods were used to examine the acceptability and adoption of the model through semi-structured interviews, alongside audits and direct observations of mealtimes. Measures were taken at three time points: baseline (T0), early implementation (T1), and early maintenance (T2), spanning a 10 month period. Normalisation Process Theory was used to examine mechanisms supporting early embedding of the model.

resultsStaff and residents endorsed the acceptability and adoption of the mealtime model, with perceived improvements in aspects of meal quality, meal access, and mealtime experiences. Audit and mealtime observation data demonstrated service-system change with a transition towards more person-centred mealtime care practices and a calmer, more home-like dining environment. Factors mediating implementation and service-system outcomes included a shared vision, project timelines, external accountability, communication, training, role modelling, and leadership. There was evidence that normalisation processes had been activated to help embed the model into routine mealtime care.

conclusionsThe study provides evidence for the acceptability and adoption of the multi-component mealtime model from the perspectives of staff and residents. The findings demonstrate that aspects of meal quality, meal access, and mealtime experiences can be transformed simultaneously, enabled by a systematic and multi-disciplinary approach. Future research is needed to examine the sustainability and cost-effectiveness of the model.

Indexed as

Food ServicesHealth PersonnelHomes for the AgedNursing Home ResidentsNursing HomesAgedAged, 80 and overFemaleHumansMaleMealsAged careDiningImplementation researchMalnutritionMulti-disciplinary carePerson-centred careResidential care

Identifiers

PMID42304270
PMCPMC13277019

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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.