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

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 misclas...

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Published in:Supportive care in cancer 2020-02, Vol.28 (2), p.683-689
Main Authors: Wolf, Patricia G., Manero, Joanna, Harold, Kirsten Berding, Chojnacki, Morgan, Kaczmarek, Jennifer, Liguori, Carli, Arthur, Anna
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container_title Supportive care in cancer
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creator Wolf, Patricia G.
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Arthur, Anna
description 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  
doi_str_mv 10.1007/s00520-019-04850-w
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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  &lt; 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.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-019-04850-w</identifier><identifier>PMID: 31123871</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Cancer ; Care and treatment ; Clinical outcomes ; Development and progression ; Female ; Health care industry ; Health care reform ; Health Personnel - education ; Humans ; Male ; Malnutrition ; Malnutrition - diagnosis ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasms - complications ; Nursing ; Nursing Research ; Nutrition ; Nutritional Status - physiology ; Oncology ; Oncology, Experimental ; Original Article ; Pain Medicine ; Pilot Projects ; Rehabilitation Medicine ; Self-efficacy ; Videotape Recording - instrumentation</subject><ispartof>Supportive care in cancer, 2020-02, Vol.28 (2), p.683-689</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Supportive Care in Cancer is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-2193e4c1bf430fbf1adb7597a010c7f520cb7dd22cf18fdf25d3995fd8eb6cda3</citedby><cites>FETCH-LOGICAL-c541t-2193e4c1bf430fbf1adb7597a010c7f520cb7dd22cf18fdf25d3995fd8eb6cda3</cites><orcidid>0000-0002-5208-4336</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2229511160/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2229511160?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,21394,21395,27924,27925,33611,33612,34530,34531,43733,44115,74093,74511</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31123871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolf, Patricia G.</creatorcontrib><creatorcontrib>Manero, Joanna</creatorcontrib><creatorcontrib>Harold, Kirsten Berding</creatorcontrib><creatorcontrib>Chojnacki, Morgan</creatorcontrib><creatorcontrib>Kaczmarek, Jennifer</creatorcontrib><creatorcontrib>Liguori, Carli</creatorcontrib><creatorcontrib>Arthur, Anna</creatorcontrib><title>Educational video intervention improves knowledge and self-efficacy in identifying malnutrition among healthcare providers in a cancer center: a pilot study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>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  &lt; 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.</description><subject>Adult</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Clinical outcomes</subject><subject>Development and progression</subject><subject>Female</subject><subject>Health care industry</subject><subject>Health care reform</subject><subject>Health Personnel - education</subject><subject>Humans</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Nutrition</subject><subject>Nutritional Status - physiology</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Pilot Projects</subject><subject>Rehabilitation Medicine</subject><subject>Self-efficacy</subject><subject>Videotape Recording - instrumentation</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp9ks9u1DAQxiMEokvhBTggS1y4pHjseL3hgFRV5Y9UiQucLcce77ok9mInu9p34WFxuqW0CCEfLM38vm_s0VdVL4GeAaXybaZUMFpTaGvarASt94-qBTSc15Lz9nG1oG0DdcOFOKme5XxNKUgp2NPqhAMwvpKwqH5e2sno0cege7LzFiPxYcS0wzAXiR-2Ke4wk-8h7nu0ayQ6WJKxdzU65402h6IgRVkE7uDDmgy6D9OY_I2BHmIpbVD348bohGT2K3TKs0wTo4PBRAzOU9-Vwtb3cSR5nOzhefXE6T7ji9v7tPr24fLrxaf66svHzxfnV7URDYw1g5ZjY6BzDaeuc6BtJ0UrNQVqpCs7Mp20ljHjYOWsY8LythXOrrBbGqv5afX-6LudugHt_Jake7VNftDpoKL26mEn-I1ax52STLCmFcXgza1Bij8mzKMafDbY9zpgnLJijDNgZfm0oK__Qq_jlMr2Z4q1AgCW96i17lH54GKZa2ZTdb4EoIIvuSzU2T-ociwO3sSAzpf6AwE7CkyKOSd0d38EquZMqWOmVMmUusmU2hfRq_vbuZP8DlEB-BHIpRXWmP586T-2vwDd2NvW</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Wolf, Patricia G.</creator><creator>Manero, Joanna</creator><creator>Harold, Kirsten Berding</creator><creator>Chojnacki, Morgan</creator><creator>Kaczmarek, Jennifer</creator><creator>Liguori, Carli</creator><creator>Arthur, Anna</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5208-4336</orcidid></search><sort><creationdate>20200201</creationdate><title>Educational video intervention improves knowledge and self-efficacy in identifying malnutrition among healthcare providers in a cancer center: a pilot study</title><author>Wolf, Patricia G. ; 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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  &lt; 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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31123871</pmid><doi>10.1007/s00520-019-04850-w</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5208-4336</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Cancer
Care and treatment
Clinical outcomes
Development and progression
Female
Health care industry
Health care reform
Health Personnel - education
Humans
Male
Malnutrition
Malnutrition - diagnosis
Medicine
Medicine & Public Health
Middle Aged
Neoplasms - complications
Nursing
Nursing Research
Nutrition
Nutritional Status - physiology
Oncology
Oncology, Experimental
Original Article
Pain Medicine
Pilot Projects
Rehabilitation Medicine
Self-efficacy
Videotape Recording - instrumentation
title Educational video intervention improves knowledge and self-efficacy in identifying malnutrition among healthcare providers in a cancer center: a pilot study
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