title: Feasibility of a patient-centred nutrition intervention to improve oral intakes of patients at risk of pressure ulcer: a pilot randomised control trial.
abstract: OBJECTIVE
  Nutrition is important for pressure ulcer prevention. This randomised control pilot study assessed the feasibility of conducting a larger trial to test the effectiveness of a patient-centred intervention for improving the dietary intakes of patients at risk of pressure ulcer in hospital.
  
  
  METHODS
  A 3-day intervention targeting patients at risk of pressure ulcer was developed, based on three main foundations: patient education, patient participation and guided goal setting. The intervention was piloted in three wards in a metropolitan hospital in Queensland, Australia. Participants were randomised into control or intervention groups and had their oral intakes monitored. A subset of intervention patients was interviewed on their perceptions of the intervention. Feasibility was tested against three criteria: ≥75% recruitment; ≥80% retention; and ≥80% intervention fidelity. Secondary outcomes related to effects on energy and protein intakes.
  
  
  RESULTS
  Eighty patients participated in the study and 66 were included in final analysis. The recruitment rate was 82%, retention rate was 88%, and 100% of intervention patients received the intervention. Patients viewed the intervention as motivating and met significantly more of their estimated energy and protein requirements over time.
  
  
  CONCLUSIONS
  This pilot study indicates that the intervention is feasible and acceptable by patients at risk of pressure ulcer. A larger trial is needed to confirm the effectiveness of the intervention in the clinical setting.
authors.affiliation: Griffith University School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia.|Centre for Health Practice Innovation, Griffith University, Gold Coast, Qld, Australia.|Griffith Health Institute, Griffith University, Gold Coast, Qld, Australia.|NHMRC Centre of Research Excellence in Nursing, Griffith University, Gold Coast, Qld, Australia.
authors.forename: Shelley
authors.initials: S
authors.lastname: Roberts
authors.affiliation: Griffith University School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia.|Centre for Health Practice Innovation, Griffith University, Gold Coast, Qld, Australia.|Griffith Health Institute, Griffith University, Gold Coast, Qld, Australia.
authors.forename: Ben
authors.initials: B
authors.lastname: Desbrow
authors.affiliation: Centre for Health Practice Innovation, Griffith University, Gold Coast, Qld, Australia.|Griffith Health Institute, Griffith University, Gold Coast, Qld, Australia.|NHMRC Centre of Research Excellence in Nursing, Griffith University, Gold Coast, Qld, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Chaboyer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004046:Dietetics; D004435:Eating; D005240:Feasibility Studies; D006801:Humans; D008875:Middle Aged; D010865:Pilot Projects; D003668:Pressure Ulcer / Q000453:epidemiology* / Q000517:prevention & control; D011793:Queensland; D012307:Risk Factors
keywords: nutrition; patient participation; patient-centred care; person-centred care; pressure injury prevention; pressure ulcer prevention