Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient‐Generated Subjective Global Assessment (PG‐SGA) after a single training in the use of the instrument

Background The Patient‐Generated Subjective Global Assessment (PG‐SGA) is an instrument used to assess malnutrition and its risk factors. Some items of the PG‐SGA may be perceived as hard to comprehend or as difficult by healthcare professionals. The present study aimed to determine whether and how...

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Veröffentlicht in:Journal of human nutrition and dietetics 2018-02, Vol.31 (1), p.58-66
Hauptverfasser: Sealy, M. J., Ottery, F. D., Schans, C. P., Roodenburg, J. L. N., Jager‐Wittenaar, H.
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container_issue 1
container_start_page 58
container_title Journal of human nutrition and dietetics
container_volume 31
creator Sealy, M. J.
Ottery, F. D.
Schans, C. P.
Roodenburg, J. L. N.
Jager‐Wittenaar, H.
description Background The Patient‐Generated Subjective Global Assessment (PG‐SGA) is an instrument used to assess malnutrition and its risk factors. Some items of the PG‐SGA may be perceived as hard to comprehend or as difficult by healthcare professionals. The present study aimed to determine whether and how dietitians’ perceptions of comprehensibility and difficulty of the PG‐SGA change after a single training in PG‐SGA use. Methods In this prospective evaluation study, Dutch PG‐SGA‐naïve dietitians completed a questionnaire regarding perceived comprehensibility and difficulty of the PG‐SGA before (T0) and after (T1) receiving a single training in the use of the instrument. Perceived comprehensibility and difficulty were operationalised by calculating item and scale indices for comprehensibility (I‐CI, S‐CI) and difficulty (I‐DI, S‐DI) at T0 and T1. An item index of 0.78 was considered acceptable, a scale index of 0.80 was considered acceptable and a scale index of 0.90 was considered excellent. Results A total of 35 participants completed the questionnaire both at T0 and T1. All item indices related to comprehensibility and difficulty improved, although I‐DI for the items regarding food intake and physical examination remained below 0.78. Scale indices for difficulty and comprehensibility of the PG‐SGA changed significantly (P 
doi_str_mv 10.1111/jhn.12491
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J. ; Ottery, F. D. ; Schans, C. P. ; Roodenburg, J. L. N. ; Jager‐Wittenaar, H.</creator><creatorcontrib>Sealy, M. J. ; Ottery, F. D. ; Schans, C. P. ; Roodenburg, J. L. N. ; Jager‐Wittenaar, H.</creatorcontrib><description>Background The Patient‐Generated Subjective Global Assessment (PG‐SGA) is an instrument used to assess malnutrition and its risk factors. Some items of the PG‐SGA may be perceived as hard to comprehend or as difficult by healthcare professionals. The present study aimed to determine whether and how dietitians’ perceptions of comprehensibility and difficulty of the PG‐SGA change after a single training in PG‐SGA use. Methods In this prospective evaluation study, Dutch PG‐SGA‐naïve dietitians completed a questionnaire regarding perceived comprehensibility and difficulty of the PG‐SGA before (T0) and after (T1) receiving a single training in the use of the instrument. Perceived comprehensibility and difficulty were operationalised by calculating item and scale indices for comprehensibility (I‐CI, S‐CI) and difficulty (I‐DI, S‐DI) at T0 and T1. An item index of 0.78 was considered acceptable, a scale index of 0.80 was considered acceptable and a scale index of 0.90 was considered excellent. Results A total of 35 participants completed the questionnaire both at T0 and T1. All item indices related to comprehensibility and difficulty improved, although I‐DI for the items regarding food intake and physical examination remained below 0.78. Scale indices for difficulty and comprehensibility of the PG‐SGA changed significantly (P &lt; 0.001) from not acceptable at T0 (S‐CI = 0.69; S‐DI = 0.57) to excellent for comprehensibility (S‐CI = 0.95) and acceptable for difficulty (S‐DI = 0.86) at T1. Conclusions The findings of the present study suggest that significant improvement in PG‐SGA‐naïve dietitians’ perception of comprehensibility and difficulty of the PG‐SGA can be achieved quickly by providing a 1 day of training in the use of the PG‐SGA.</description><identifier>ISSN: 0952-3871</identifier><identifier>EISSN: 1365-277X</identifier><identifier>DOI: 10.1111/jhn.12491</identifier><identifier>PMID: 28653775</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Attitude of Health Personnel ; Child ; Comprehension ; dietetic practice ; Dietetics ; Dietitians ; education ; Evaluation ; Food intake ; Health care ; Humans ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - etiology ; Medical personnel ; Nutrition Assessment ; nutritional assessment ; Nutritional Status ; Nutritionists ; Patient assessment ; PG‐SGA ; Risk analysis ; Risk Factors ; Surveys and Questionnaires ; Training</subject><ispartof>Journal of human nutrition and dietetics, 2018-02, Vol.31 (1), p.58-66</ispartof><rights>2017 The British Dietetic Association Ltd.</rights><rights>2018 The British Dietetic Association Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3881-dd5722910930dad219d3e7fdbd31c267a93269d769f81878d6610027f114409e3</citedby><cites>FETCH-LOGICAL-c3881-dd5722910930dad219d3e7fdbd31c267a93269d769f81878d6610027f114409e3</cites><orcidid>0000-0002-0782-8498</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjhn.12491$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjhn.12491$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28653775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sealy, M. J.</creatorcontrib><creatorcontrib>Ottery, F. D.</creatorcontrib><creatorcontrib>Schans, C. P.</creatorcontrib><creatorcontrib>Roodenburg, J. L. N.</creatorcontrib><creatorcontrib>Jager‐Wittenaar, H.</creatorcontrib><title>Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient‐Generated Subjective Global Assessment (PG‐SGA) after a single training in the use of the instrument</title><title>Journal of human nutrition and dietetics</title><addtitle>J Hum Nutr Diet</addtitle><description>Background The Patient‐Generated Subjective Global Assessment (PG‐SGA) is an instrument used to assess malnutrition and its risk factors. Some items of the PG‐SGA may be perceived as hard to comprehend or as difficult by healthcare professionals. The present study aimed to determine whether and how dietitians’ perceptions of comprehensibility and difficulty of the PG‐SGA change after a single training in PG‐SGA use. Methods In this prospective evaluation study, Dutch PG‐SGA‐naïve dietitians completed a questionnaire regarding perceived comprehensibility and difficulty of the PG‐SGA before (T0) and after (T1) receiving a single training in the use of the instrument. Perceived comprehensibility and difficulty were operationalised by calculating item and scale indices for comprehensibility (I‐CI, S‐CI) and difficulty (I‐DI, S‐DI) at T0 and T1. An item index of 0.78 was considered acceptable, a scale index of 0.80 was considered acceptable and a scale index of 0.90 was considered excellent. Results A total of 35 participants completed the questionnaire both at T0 and T1. All item indices related to comprehensibility and difficulty improved, although I‐DI for the items regarding food intake and physical examination remained below 0.78. Scale indices for difficulty and comprehensibility of the PG‐SGA changed significantly (P &lt; 0.001) from not acceptable at T0 (S‐CI = 0.69; S‐DI = 0.57) to excellent for comprehensibility (S‐CI = 0.95) and acceptable for difficulty (S‐DI = 0.86) at T1. 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J.</creator><creator>Ottery, F. D.</creator><creator>Schans, C. P.</creator><creator>Roodenburg, J. L. N.</creator><creator>Jager‐Wittenaar, H.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0782-8498</orcidid></search><sort><creationdate>201802</creationdate><title>Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient‐Generated Subjective Global Assessment (PG‐SGA) after a single training in the use of the instrument</title><author>Sealy, M. J. ; Ottery, F. D. ; Schans, C. P. ; Roodenburg, J. L. 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N.</au><au>Jager‐Wittenaar, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient‐Generated Subjective Global Assessment (PG‐SGA) after a single training in the use of the instrument</atitle><jtitle>Journal of human nutrition and dietetics</jtitle><addtitle>J Hum Nutr Diet</addtitle><date>2018-02</date><risdate>2018</risdate><volume>31</volume><issue>1</issue><spage>58</spage><epage>66</epage><pages>58-66</pages><issn>0952-3871</issn><eissn>1365-277X</eissn><abstract>Background The Patient‐Generated Subjective Global Assessment (PG‐SGA) is an instrument used to assess malnutrition and its risk factors. Some items of the PG‐SGA may be perceived as hard to comprehend or as difficult by healthcare professionals. The present study aimed to determine whether and how dietitians’ perceptions of comprehensibility and difficulty of the PG‐SGA change after a single training in PG‐SGA use. Methods In this prospective evaluation study, Dutch PG‐SGA‐naïve dietitians completed a questionnaire regarding perceived comprehensibility and difficulty of the PG‐SGA before (T0) and after (T1) receiving a single training in the use of the instrument. Perceived comprehensibility and difficulty were operationalised by calculating item and scale indices for comprehensibility (I‐CI, S‐CI) and difficulty (I‐DI, S‐DI) at T0 and T1. An item index of 0.78 was considered acceptable, a scale index of 0.80 was considered acceptable and a scale index of 0.90 was considered excellent. Results A total of 35 participants completed the questionnaire both at T0 and T1. All item indices related to comprehensibility and difficulty improved, although I‐DI for the items regarding food intake and physical examination remained below 0.78. Scale indices for difficulty and comprehensibility of the PG‐SGA changed significantly (P &lt; 0.001) from not acceptable at T0 (S‐CI = 0.69; S‐DI = 0.57) to excellent for comprehensibility (S‐CI = 0.95) and acceptable for difficulty (S‐DI = 0.86) at T1. Conclusions The findings of the present study suggest that significant improvement in PG‐SGA‐naïve dietitians’ perception of comprehensibility and difficulty of the PG‐SGA can be achieved quickly by providing a 1 day of training in the use of the PG‐SGA.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>28653775</pmid><doi>10.1111/jhn.12491</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-0782-8498</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Attitude of Health Personnel
Child
Comprehension
dietetic practice
Dietetics
Dietitians
education
Evaluation
Food intake
Health care
Humans
Malnutrition
Malnutrition - diagnosis
Malnutrition - etiology
Medical personnel
Nutrition Assessment
nutritional assessment
Nutritional Status
Nutritionists
Patient assessment
PG‐SGA
Risk analysis
Risk Factors
Surveys and Questionnaires
Training
title Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient‐Generated Subjective Global Assessment (PG‐SGA) after a single training in the use of the instrument
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