Nutrition knowledge and influence on diet in the carer–client relationship in residential care settings for people with intellectual disabilities.

People with intellectual disabilities generally have poorer health outcomes compared with those who do not, including outcomes related to nutrition‐related non‐communicable diseases. Carers support people with intellectual disabilities in many aspects including habitual shopping and preparation of f...

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Publicado en:Nutrition Bulletin Vol. 48; no. 1; pp. 74 - 91
Autores principales: Özdemir, Aslıhan, Hall, Rebecca, Lovell, Andrew, Ellahi, Basma
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2023
      vid: 48
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/nbu.12600
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        atl: Nutrition knowledge and influence on diet in the carer–client relationship in residential care settings for people with intellectual disabilities.
      aug:
        au:
          Özdemir, Aslıhan
          Hall, Rebecca
          Lovell, Andrew
          Ellahi, Basma
        affil: Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
      sug:
        subj:
          Caregivers
          Intellectual Disability
          Nutrition Education
          Caregiver Attitudes
          Human
          Residential Facilities
          Questionnaires
          Descriptive Statistics
          Cooking
          Dietary Supplementation
          Eating Behavior
          Patient Centered Care
          Semi-Structured Interview
          Collaboration
          Male
          Female
          Adolescence
          Young Adult
          Adult
          Middle Age
          Data Analysis Software
          Kruskal-Wallis Test
          One-Way Analysis of Variance
          Mann-Whitney U Test
          Thematic Analysis
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: People with intellectual disabilities generally have poorer health outcomes compared with those who do not, including outcomes related to nutrition‐related non‐communicable diseases. Carers support people with intellectual disabilities in many aspects including habitual shopping and preparation of food, but their own nutrition knowledge and the influence this may have on dietary intakes of clients is unknown. We explored the nutrition knowledge of carers of people with intellectual disabilities in residential care settings, their dietary habits and their influence on clients' food shopping and preparation and therefore the diet consumed by their clients. Ninety‐seven carers belonging to a large independent care sector organisation specialising in the care of people with an intellectual disability completed a validated general nutrition knowledge and behaviour questionnaire. Seventeen carers from the residential care settings were interviewed to contextualise practice. Knowledge about key dietary recommendations scored highly. Carers who had more work experience were found to have higher scores in 'making everyday food choices' (p = 0.034). Daily consumption of fruit and vegetables (at least one portion per day) was observed (for fruit by 46% of the carers and for vegetables by 60% of the carers), whilst most carers reported avoiding consuming full‐fat dairy products, sugary foods and fried foods. The concept of a healthy diet; typical dietary habits of clients; role in food acquisition; and training in nutrition emerged as themes from the interviews. Carers discussed various topics including the importance of a balanced diet, cooking fresh foods and control of food portion sizes for clients relative to the care philosophy of a client‐centred approach, which encapsulates client autonomy. Gaps in knowledge around specific nutrients, making healthy choices and cooking skills remain. Carers have an influence on clients' dietary choices; they are able to provide healthy meals and share good dietary habits with clients. Further training in nutrition is recommended for impact on clients' health.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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