title: Elderly patients compliance and elderly patients and health professional's, views, and attitudes towards prescribed sip- feed supplements.
abstract: BACKGROUND
  Although nutritional supplements are widely prescribed in hospital and community settings compliance with supplements and factors affecting compliance are not well understood.
  
  
  OBJECTIVE
  The aims of this study were therefore to examine compliance, factors that influence compliance, views and attitudes of elderly patients and their health professionals on prescribed oral nutritional supplements.
  
  
  METHODS
  Forty medically stable hospitalised elderly patients prescribed nutritional supplements by a hospital dietician after nutritional screening had their compliance with supplement intake measured. Sixteen patients prescribed nutritional supplements and their health professionals had their views and attitudes on the factors that influence compliance with supplements intake explored using qualitative face-to- face interviews and postal questionnaires respectively. Qualitative data analysis adhered to the principles of grounded theory and followed the 'Framework' approach. Quantitative data were entered on to a standard spreadsheet and simple descriptive statistics was examined.
  
  
  RESULTS
  A total of 40 hospitalised elderly patient (Age range 60-91 yrs; mean age 78 years; 20 female); 24 doctors, 13 dietician and 33 nurses were recruited. The main finding of this study was that compliance with prescribed nutritional supplements was low in hospital and in the community. Only 43% of the study population consumed more than 80% of the prescribed amount. Factors that affected compliance included flavour, taste, texture and predictability of the supplements as well as personal preferences and life style. Health professionals dealing with elderly patients have wide-range and different views on the criteria used to prescribe nutritional supplements and factors affecting their subsequent intake.
  
  
  CONCLUSIONS
  Compliance with prescribed nutritional supplements was low in hospital and in the community. Elderly patients and their health professionals have wide-range and different views on factors that influence compliance with nutritional supplements.
authors.affiliation: Sheffield Institute For Studies on Ageing, Community Sciences Centre, Northern General Hospital, Sheffield S5 7AU, United Kingdom.
authors.forename: H
authors.initials: H
authors.lastname: Lad
authors.forename: M
authors.initials: M
authors.lastname: Gott
authors.forename: S
authors.initials: S
authors.lastname: Gariballa
mesh_terms: D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D019587:Dietary Supplements; D005260:Female; D015577:Geriatric Assessment; D007722:Health Knowledge, Attitudes, Practice; D006760:Hospitalization; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D009752:Nutritional Status; D010349:Patient Compliance; D011795:Surveys and Questionnaires