Evaluation of Pictorial Dietary Assessment Tool for Hospitalized Patients with Diabetes: Cost, Accuracy, and User Satisfaction Analysis.

Autor:	Budiningsari D; Dietetic Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. budiningsari25@gmail.com.; Department of Health Nutrition, Faculty of Medicine, Gadjah Mada University, Farmako Sekip Utara Street, Yogyakarta 55281, Indonesia. budiningsari25@gmail.com., Shahar S; Dietetic Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. suzana.shahar@ukm.edu.my., Abdul Manaf Z; Dietetic Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. zaharamanaf@ukm.edu.my., Mohd Nordin NA; Physiotherapy Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. norazlin8@ukm.edu.my., Susetyowati S; Department of Health Nutrition, Faculty of Medicine, Gadjah Mada University, Farmako Sekip Utara Street, Yogyakarta 55281, Indonesia. susetyowati@ugm.ac.id.
Jazyk:	angličtina
Zdroj:	Nutrients [Nutrients] 2017 Dec 28; Vol. 10 (1). Date of Electronic Publication: 2017 Dec 28.
DOI:	10.3390/nu10010027
Abstrakt:	Although nutritional screening and dietary monitoring in clinical settings are important, studies on related user satisfaction and cost benefit are still lacking. This study aimed to: (1) elucidate the cost of implementing a newly developed dietary monitoring tool, the Pictorial Dietary Assessment Tool (PDAT); and (2) investigate the accuracy of estimation and satisfaction of healthcare staff after the use of the PDAT. A cross-over intervention study was conducted among 132 hospitalized patients with diabetes. Cost and time for the implementation of PDAT in comparison to modified Comstock was estimated using the activity-based costing approach. Accuracy was expressed as the percentages of energy and protein obtained by both methods, which were within 15% and 30%, respectively, of those obtained by the food weighing. Satisfaction of healthcare staff was measured using a standardized questionnaire. Time to complete the food intake recording of patients using PDAT (2.31 ± 0.70 min) was shorter than when modified Comstock (3.53 ± 1.27 min) was used ( p < 0.001). Overall cost per patient was slightly higher for PDAT (United States Dollar 0.27 ± 0.02) than for modified Comstock (USD 0.26 ± 0.04 ( p < 0.05)). The accuracy of energy intake estimated by modified Comstock was 10% lower than that of PDAT. There was poorer accuracy of protein intake estimated by modified Comstock (<40%) compared to that estimated by the PDAT (>71%) ( p < 0.05). Mean user satisfaction of healthcare staff was significantly higher for PDAT than that for modified Comstock ( p < 0.05). PDAT requires a shorter time to be completed and was rated better than modified Comstock. Competing Interests: None of the authors have any conflicts of interest associated with this study.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu