Advertisement

Supportive Care in Cancer

, Volume 28, Issue 2, pp 683–689 | Cite as

Educational video intervention improves knowledge and self-efficacy in identifying malnutrition among healthcare providers in a cancer center: a pilot study

  • Patricia G. Wolf
  • Joanna Manero
  • Kirsten Berding Harold
  • Morgan Chojnacki
  • Jennifer Kaczmarek
  • Carli Liguori
  • Anna ArthurEmail author
Original Article
  • 102 Downloads

Abstract

Purpose

Cancer is the second leading cause of death in the USA, and malnutrition secondary to cancer progression and treatment side effects is common. While abundant evidence indicates that nutrition support improves patient outcomes, it is estimated that up to half of malnutrition cases are misclassified or undiagnosed. The use of a multidisciplinary team to assess nutrition status has been observed previously to reduce delays in nutritional support. Hence, educating all members of the oncology healthcare team to assess nutrition status may encourage earlier diagnosis and lead to improved patient outcomes. Thus, the objective was to perform a pilot study to assess change in knowledge and self-efficacy among oncology team members after watching an educational video about malnutrition.

Methods

A pre-test post-test educational video intervention was given to 77 ambulatory oncology providers during weekly staff meetings at a community ambulatory oncology center in central Illinois. Change in knowledge and self-efficacy in malnutrition assessment and diagnosis was measured and acceptability of the brief educational video format was also observed.

Results

Mean test scores improved by 1.95 ± 1.48 points (p < 0.001). Individual occupational groups improved scores significantly (p ≤ 0.005) except for specialty clinical staff. Self-efficacy improved from 38 to 70%. 90.8% of participants indicated the educational video improved their confidence in assessing malnutrition.

Conclusions

The educational video was well accepted and improved knowledge and self-efficacy of malnutrition assessment and diagnosis among ambulatory oncology providers. Wider implementation of such an educational intervention and longitudinal testing of knowledge retention and behaviors change is warranted.

Keywords

Malnutrition Cancer Educational video Training video ASPEN guidelines 

Notes

Acknowledgments

The authors would like to acknowledge the University of Illinois at Urbana-Champaign Dietetic Internship Program, including Jessica Madson, PhD, RD, the UIUC Dietetic Internship Program Director. The authors would also like to thank the entire staff at Carle Foundation Hospital Cancer Center who made this study possible, especially Jason Hirschi, Betsy Barnick, Michelle Sedberry, Courtney Cox, Ashley White, Tammie Heiser, Melanie Grigsby, and Stephanie Grote. Permission was provided by all those acknowledged.

Disclaimers

None.

Authors’ contributions

Study concept and design (JK, CL, PGW, AEA); acquisition of data (KBH, JM); analysis and interpretation of data (JM); drafting manuscript (JM, PGW, KBH, MC); critical revision of manuscript (KBH, MC, JK, CL, JM, PGW, AEA).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Disclaimer

Authors have full control of all primary data and agree to allow the journal to review the data if requested.

Supplementary material

520_2019_4850_MOESM1_ESM.docx (12 kb)
Supplementary Table 1 (DOCX 12 kb)

References

  1. 1.
    National Vital Statistics System: 2015Vital statistics of the United States. Vol II. Hyattsville, MDGoogle Scholar
  2. 2.
    Side Effects of Cancer Treatment. National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/side-effects. Published 2017
  3. 3.
    Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC, Deutz NEP, Erickson N, Laviano A, Lisanti MP, Lobo DN, McMillan DC, Muscaritoli M, Ockenga J, Pirlich M, Strasser F, de van der Schueren M, van Gossum A, Vaupel P, Weimann A (2017) ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr 36(5):1187–1196CrossRefGoogle Scholar
  4. 4.
    Demling R (2009) Nutrition, anabolism, and wound healing process: an overview. Eplasty 9:65–94Google Scholar
  5. 5.
    Odelli C, Burgess D, Bateman L, Hughes A, Ackland S, Gillies J, Collins CE (2005) Nutrition support improves patient outcomes, treatment tolerance and admission characteristics in oesophageal cancer. Clin Oncol 17(8):639–645CrossRefGoogle Scholar
  6. 6.
    Sesterhenn A, Szalay A, Zimmermann A, Werner J, Barth P, Wiegand S (2012) Significance of autopsy in patients with head and neck cancer. Laryngorhinootologie. 91(6):375–380MCrossRefGoogle Scholar
  7. 7.
    Pressoir S, Desne D, Bercherv G et al (2010) Prevalence, risk factors and clinical implications of malnutrition in French Comprehensive Cancer Centers. Br J Cancer 102(6):966–971CrossRefGoogle Scholar
  8. 8.
    Hebuterne X, Lemare E, Michallet M, DeMontreil C, Shneider S, Goldwasser F (2014) Prevalence of malnutrition and current use of nutrition support in patients with cancer. J Parenter Enter Nutr 38(2):196–204CrossRefGoogle Scholar
  9. 9.
    Planas M, Alvarez-Hernandez J, Leon-Sanz M, Celaya-Perez S, Araujo K, Garcia de Lorenzo A (2016) Prevalence of hospital malnutrition in cancer patients: a sub-analysis of the PREDyCES study. Suppore Care Cancer 24(1):429–435CrossRefGoogle Scholar
  10. 10.
    Attar D, Malka J, Sabate F et al (2012) Malnutrition is high and underestimated during chemotherapy in gastrointestinal cancer: an AGEO prospective cross-sectional multicenter study. Nutr Cancer 64(4):535–542CrossRefGoogle Scholar
  11. 11.
    White J, Guenter O, Jensen G et al (2012) Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J Acad Nutr Diet 112(5):730–738CrossRefGoogle Scholar
  12. 12.
    Jensen G, Compher C, Sullivan D, Mullin G (2013) Recognizing malnutrition in adults: definitions and characteristics, screening, assessment, and team approach. J Parenter Enter Nutr 37(6):802–807CrossRefGoogle Scholar
  13. 13.
    Tappenden K, Quatrara B, Parkhuurst M, Malone A, Fanjiang G, Ziegler T (2013) Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. J Parenter Enter Nutr 37(4):482–497CrossRefGoogle Scholar
  14. 14.
    Grant JS, Davis LL (1997) Selection and use of content experts for instrument development. Res Nurs Health 20(3):269–274CrossRefGoogle Scholar
  15. 15.
    Aeberhard C, Birrenbach T, Joray M, Mühlebach S, Perrig M, Stanga Z (2016) Simple training tool is insufficient for appropriate diagnosis and treatment of malnutrition: a pre-post intervention study in a tertiary center. Nutrition. 32(3):355–361.  https://doi.org/10.1016/j.nut.2015.09.012 CrossRefPubMedGoogle Scholar
  16. 16.
    Duerksen DR, Keller HH, Vesnaver E, Allard JP, Bernier P, Gramlich L, Payette H, Laporte M, Jeejeebhoy K (2015) Physicians’ perceptions regarding the detection and Management of Malnutrition in Canadian Hospitals. J Parenter Enter Nutr 39(4):410–417.  https://doi.org/10.1177/0148607114534731 CrossRefGoogle Scholar
  17. 17.
    Karim SA, Ibrahim B, Tangiisuran B, Davies JG (2015) What do healthcare providers know about nutrition support? A survey of the knowledge, attitudes, and practice of pharmacists and doctors toward nutrition support in Malaysia. J Parenter Enter Nutr 39(4):482–488.  https://doi.org/10.1177/0148607114525209 CrossRefGoogle Scholar
  18. 18.
    Adams KM, Kohlmeier M, Zeisel SH (2010) Nutrition education in U.S. medical schools: latest update of a national survey. Acad Med 85(9):1537–1542.  https://doi.org/10.1097/ACM.0b013e3181eab71b CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Levy MD, Loy L, Zatz LY (2014) Policy approach to nutrition and physical activity education in health care professional training. Am J Clin Nutr 99(5):1194S–1201S.  https://doi.org/10.3945/ajcn.113.073544 CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, Fearon K, Hütterer E, Isenring E, Kaasa S, Krznaric Z, Laird B, Larsson M, Laviano A, Mühlebach S, Muscaritoli M, Oldervoll L, Ravasco P, Solheim T, Strasser F, de van der Schueren M, Preiser JC (2017) ESPEN guidelines on nutrition in cancer patients. Clin Nutr 36(1):11–48.  https://doi.org/10.1016/j.clnu.2016.07.015 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Nutritional SciencesUniversity of Illinois at Urbana-ChampaignUrbanaUSA
  2. 2.Department of Food Science and Human NutritionUniversity of Illinois at Urbana-ChampaignUrbanaUSA
  3. 3.Carle Cancer CenterCarle Foundation HospitalUrbanaUSA

Personalised recommendations