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Titre : | Experiences of food access in hospital. A new questionnaire measure (2009) |
Auteurs : | S. Naithani ; J. Thomas ; Kevin Whelan ; Collectif |
Type de document : | Article |
Dans : | Clinical nutrition (vol 28 n° 6, 2009) |
Article en page(s) : | pp. 625-630 |
Descripteurs : |
HE Vinci Etudes de validation ; Hôpitaux ; Questionnaire ; Service hospitalier de restauration |
Résumé : | Summary Background & aims People in hospital experience problems gaining access to food. We aimed to develop an experience-based measure of access to food. Methods The 27-item questionnaire has five domains: feeling hungry, physical barriers, organisational barriers, food choice and food quality. A survey was implemented on 29 wards in four hospitals using both self-completion and interview administration formats. Results Questionnaires were analysed for 764/1154 (66%) eligible participants. Values for Cronbach's alpha were: feeling hungry 0.886; physical barriers 0.809; organisational barriers 0.632; food choice 0.414; and food quality 0.738. The proportions of compromised patients in each domain were: hunger 30%; physical barriers 24%; organisational barriers 29%; food choice 24%; and food quality 21%. Poor self-rated health was associated with increased problems from feeling hungry (adjusted odds ratio 2.39, 95% confidence interval 1.10 5.18); older age was associated with increased difficulties with physical problems (2.67, 1.31 5.42) as were admission to a stroke ward (16.8, 5.09 55.3) or elderly care ward (3.50, 1.08 11.40). Problems with food access varied between hospitals and wards. Conclusions We have developed a reliable and valid questionnaire measure of hospital food access. The measure reveals widespread problems of food access in hospital. |
Disponible en ligne : | Non |
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