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Poster Abstracts

Quality collaboratives as a method to increase nutritional knowledge among caregivers for adults with intellectual disabilities in municipality healthcare in Norway.

Authors:

Thomas Gordeladze ,

Kristiansand Kommune, Norway, NO
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Stian Brødsjø,

NO
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Jarle Hansen Stålesen,

NO
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Ellida Grøsle Henriksen

NO
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Abstract

Introduction: In Norway, majority of adults with intellectual disabilities (ID) live in a community-based setting. Services provided are meant to be tailored to personal needs; but in practice determined by municipal economy, number of staff available, organization and education/competence of caregivers. Research show that adults with ID gain weight and obtain an unhealthy diet leading to lifestyle challenges. These challenges are associated with increased morbidity or serious chronic conditions that can reduce quality of life or cause premature death. Quality collaboratives is one tool that is used to improve quality in the health care services.

Aim and method: The aim was to establish a method to ensure sufficient nutrition knowledge among caregivers of adults with ID living in group homes. In total 28 participants from 9 different community-based resident homes participated in nutritional quality collaboratives during the fall of 2021. Nine department managers and 19 caregivers participated. The collaboratives were held by a clinical dietitian over two sessions, lasting approximately 1,5 hour each. Counselling was given between sessions, focusing on establishing routines, writing nutrition plans, learning methods and tools to better guide residents with ID in decision-making regarding nutrition.

A self-developed questionnaire was used to measure the competence of caretakers pre and post sessions of quality collaboratives.

Key findings: After the quality collaboratives the number of caregivers that were confident in performing nutritional risk assessments increased from 28% to 75%. The share of participants who knew how to make a nutrition plan and calculate total energy expenditure increased from 11% to 38%. The share of persons with ID associated to the participants did not have a documented nutritional plan increased from 87% after. When asked how the caretakers ranked themselves regarding knowledge about the energy content in food from 1 to 5, the average was 2,94 in the prequestionnaire and 3,38 in post questionnaire.

Conclusion: The lack of documented nutritional plans for persons with ID under municipal care is worrying. The quality collaboratives showed small effect on the number of documented plans, although the general nutritional competence increased. Given more time this may have been better addressed than in these results.

Limitations: The nutrition quality collaborative is not yet completed, so preliminary results only include two points of measurement. Another limitation is that the method is a not-controlled design. Furthermore, the pandemic may have affected the results as no physical meetings took place, only digital platform was used. The caretakers had difficulties in implementing the work, due to more pressing work and/or challenges related to the pandemic. The results can still be useful, as the target group and method used both are under-studied at large.

How to Cite: Gordeladze T, Brødsjø S, Hansen Stålesen J, Grøsle Henriksen E. Quality collaboratives as a method to increase nutritional knowledge among caregivers for adults with intellectual disabilities in municipality healthcare in Norway.. International Journal of Integrated Care. 2022;22(S3):405. DOI: http://doi.org/10.5334/ijic.ICIC22371
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Published on 04 Nov 2022.

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