Barriers and facilitators in the implementation of nutrition interventions to prevent or treat malnutrition in older adults: A scoping review.

Malnutrition among community‐dwelling older adults (OAs) is prevalent, particularly in groups using healthcare services. Malnutrition burdens health, social, and aged‐care systems in terms of expenses for hospital admissions and care in nursing homes and home care settings. Effective management requ...

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Publicado en:Nutrition in Clinical Practice Vol. 40; no. 6; pp. 1411 - 1457
Autores principales: Launholt, Tine Louise, Larsen, Palle, Aadal, Lena, Kristensen, Hanne Kaae
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 40
      iid: 6
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/ncp.11293
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        atl: Barriers and facilitators in the implementation of nutrition interventions to prevent or treat malnutrition in older adults: A scoping review.
      aug:
        au:
          Launholt, Tine Louise
          Larsen, Palle
          Aadal, Lena
          Kristensen, Hanne Kaae
        affil: Department of Nursing, UCL University College, Vejle, Denmark
      sug:
        subj:
          Malnutrition Prevention and Control
          Community Living In Old Age
          Nutritional Support
          Program Implementation
          Malnutrition Diet Therapy
          Primary Health Care
          Long Term Care
          Health Services for Older Persons
          Human
          Funding Source
          Scoping Review
          PubMed
          Medline
          Embase
          CINAHL Database
          Cochrane Library
          Content Analysis
          Caregivers
          Health Personnel
          Professional Knowledge
          Collaboration
          Communication
          Interprofessional Relations
          Patient Education
          Attitude of Health Personnel
          Support, Psychosocial
          Stakeholder Participation
          Implementation Science
          Checklists
          Aged
          Aged, 80 and Over
          Aged: 65+ years
          Aged, 80 & over
      ab: Malnutrition among community‐dwelling older adults (OAs) is prevalent, particularly in groups using healthcare services. Malnutrition burdens health, social, and aged‐care systems in terms of expenses for hospital admissions and care in nursing homes and home care settings. Effective management requires early identification and multimodal interventions; however, studies report a significant gap between recommended nutrition interventions and current healthcare practices. Therefore, this study aimed to identify, present, and map existing evidence on barriers and facilitators in the implementation of nutrition interventions among OAs living in noninstitutional municipal healthcare settings. A scoping review following the Joanna Briggs Institute guidelines and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) extension for Scoping Reviews checklist were conducted. The study included evidence from bibliographic databases and gray‐evidence sources that identify barriers and/or facilitators from stakeholder perspectives that influence the implementation of nutrition interventions for malnutrition prevention or treatment among OAs (≥65 years) in noninstitutional municipal healthcare settings. Stakeholders were OAs, informal caregivers, or healthcare professionals (HCPs). Thirty‐seven articles were included and 10 categories identified. Barriers were (1) lack of knowledge and awareness among HCPs, (2) lack of resources, (3) lack of collaboration and communication, (4) missing links between healthcare settings, and (5) poor insight among OAs and caregivers. Facilitators were (1) education and training of HCPs, (2) self‐care, (3) person‐centered care, (4) technology in nutrition care, and (5) social and psychological factors. Findings from this review indicate an imperative need for targeted implementation strategies for developing evidence‐based nutrition home care practice.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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