title: Long-term effects of a computer-based nutritional training program for inpatient hospital care.
abstract: BACKGROUND
  A previous short-term study showed that a computer-based training in eating and nutrition increased the probability for hospital inpatients at undernutrition (UN) risk to receive nutritional treatment and care without increasing overtreatment (providing nutritional treatment to those not at UN risk). The aim of this study was to investigate if a computer-based training in eating and nutrition influences the precision in nutritional treatment and care in a longer-term perspective.
  
  
  METHODS
  A preintervention and postintervention study was conducted with a cross-sectional design at each time points (baseline and 7 months postintervention). Hospital inpatients >18 years old at baseline (2013; n = 201) and follow-up (2014; n = 209) were included. A computer-based training was implemented during a period of 3 months with 297 (84%) participating registered nurses and nurse assistants. Undernutrition risk was screened for using the minimal eating observation and nutrition form-version II. Nutritional treatment and care was recorded using a standardized protocol.
  
  
  RESULTS
  The share of patients at UN risk that received energy-dense food (+25.2%) and dietician consultations (+22.3%) increased between baseline and follow-up, while fewer received oral nutritional supplements (-18.9%). "Overtreatment" (providing nutritional treatment to those not at UN risk) did not change between baseline and follow-up.
  
  
  CONCLUSIONS
  The computer-based training increased the provision of energy-dense food and dietician consultations to patients at UN risk without increasing overtreatment of patients without UN risk.
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Albert
authors.identifier: http://orcid.org/0000-0003-4820-6203
authors.initials: A
authors.lastname: Westergren
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Ellinor
authors.initials: E
authors.lastname: Edfors
authors.affiliation: Central Hospital Kristianstad, Kristianstad, Sweden.
authors.forename: Erika
authors.initials: E
authors.lastname: Norberg
authors.affiliation: The County Council of Skåne, Lund, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Stubbendorff
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Gita
authors.initials: G
authors.lastname: Hedin
authors.affiliation: Digital Design, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Martin
authors.initials: M
authors.lastname: Wetterstrand
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Peter
authors.initials: P
authors.lastname: Hagell
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003194:Computer-Assisted Instruction / Q000379:methods*; D003430:Cross-Sectional Studies; D019587:Dietary Supplements; D002149:Energy Intake; D005260:Female; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D008297:Male; D044342:Malnutrition / Q000517:prevention & control*; D008875:Middle Aged; D009728:Nursing Assistants / Q000193:education*; D009741:Nursing Staff, Hospital / Q000193:education*; D015596:Nutrition Assessment; D012017:Referral and Consultation; D018570:Risk Assessment
keywords: MEONF-II; education; health informatics; intervention; nutritional treatment