Evaluating the impact of 2006 Australasian Clinical Practice Guidelines for nutrition in children with cystic fibrosis in Australia

Journal article

Rasa Ruseckaite, Natalie Pekin, Susannah King, Erin Carr, Susannah Ahern, John Oldroyd, Arul Earnest, Claire Wainwright and David Armstrong. (2018). Evaluating the impact of 2006 Australasian Clinical Practice Guidelines for nutrition in children with cystic fibrosis in Australia. Respiratory Medicine. 142, pp. 7-14. https://doi.org/10.1016/j.rmed.2018.07.007
AuthorsRasa Ruseckaite, Natalie Pekin, Susannah King, Erin Carr, Susannah Ahern, John Oldroyd, Arul Earnest, Claire Wainwright and David Armstrong
Abstract

Objectives
To determine the association between the implementation of the 2006 Australasian Clinical Practice Guidelines for Nutrition in Cystic Fibrosis (CF) and the nutritional status of children participating in the Australian Cystic Fibrosis Data Registry (ACFDR).

Methods
This research consisted of a quantitative study using ACFDR data and a survey of clinicians and dietitians treating children with CF. Two independent cohorts of children (2–5 years and 6–11 years) were selected from ACFDR between 1998 and 2014 (N = 2304). Generalised estimating equation model was used to assess weight, height and body mass index (BMI) z-scores for each patient before and after the implementation of the nutrition guidelines. A nationwide online survey was sent to 48 clinicians to explore the enablers and barriers to implementation of the guidelines.

Results
Data analysis showed significant increase (p < 0.05) in mean weight, height and BMI z-scores ranging from 0.06 to 0.18 after implementation of the guidelines in both cohorts of children. Nineteen (39%) clinicians participated in the survey. The majority of the respondents adopted the recommendations into their practice and used the guidelines as part of their professional development. Structural barriers included a lack of adequate staff resources and clinic space for consultations, inappropriate staff classification, high staff turnover and lack of mentoring support.

Conclusion
In children participating in the ACFDR, nutritional status improved after the implementation of the 2006 guidelines. Survey results revealed enablers and barriers to guideline implementation and will inform implementation strategies for the revised Australasian nutrition guidelines for CF, released in 2017.

Keywordscystic fibrosis; guidelines; nutrition; registry
Year2018
JournalRespiratory Medicine
Journal citation142, pp. 7-14
PublisherElsevier Ltd
ISSN0954-6111
Digital Object Identifier (DOI)https://doi.org/10.1016/j.rmed.2018.07.007
Scopus EID2-s2.0-85050130702
Publisher's version
File Access Level
Controlled
Publication process dates
Deposited11 May 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8w037/evaluating-the-impact-of-2006-australasian-clinical-practice-guidelines-for-nutrition-in-children-with-cystic-fibrosis-in-australia

Log in to edit

Restricted files

Publisher's version

  • 65
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Resting heart rate and heart rate variability in the year following acute coronary syndrome : How do women fare?
Scovelle, Anna J., Oldenburg, Brian, Taylor, C. Barr, Hare, David L., Thomas, Emma E., Toukhsati, Samia R., Oldroyd, John, Russell, Josephine D. and O’Neil, Adrienne. (2021). Resting heart rate and heart rate variability in the year following acute coronary syndrome : How do women fare? Heart, Lung and Circulation. 30(1), pp. 128-134. https://doi.org/10.1016/j.hlc.2020.06.019
The use of journal clubs to teach evidence-based medicine to health professionals : A systematic review and meta-analysis
Ilic, Dragan, de Voogt, Annelies and Oldroyd, John. (2020). The use of journal clubs to teach evidence-based medicine to health professionals : A systematic review and meta-analysis. Journal of Evidence-Based Medicine. 13(1), pp. 42-56. https://doi.org/10.1111/jebm.12370
Sex-specific differences in percutaneous coronary intervention outcomes after a cardiac event : A cohort study examining the role of depression, worry and autonomic function
O'Neil, Adrienne, Scovelle, Anna J., Thomas, Emma, Russell, Josephine D., Taylor, C. Barr, Hare, David L., Toukhsati, Samia, Oldroyd, John, Rangani, W. P. Thanuja, Dheerasinghe, D. S. Anoja F. and Oldenburg, Brian. (2020). Sex-specific differences in percutaneous coronary intervention outcomes after a cardiac event : A cohort study examining the role of depression, worry and autonomic function. Heart, Lung and Circulation. 29(10), pp. 1449-1458. https://doi.org/10.1016/j.hlc.2020.03.001
The relationship between phobic anxiety and 2-year readmission after acute coronary syndrome : What is the role of heart rate variability?
O'Neil, Adrienne, Taylor, C. Barr, Hare, David L., Thomas, Emma, Toukhsati, Samia R., Oldroyd, John, Scovelle, Anna J. and Oldenburg, Brian. (2019). The relationship between phobic anxiety and 2-year readmission after acute coronary syndrome : What is the role of heart rate variability? Journal of Affective Disorders. 247, pp. 73-80. https://doi.org/10.1016/j.jad.2018.12.078
Prevalence of symptomatic pelvic floor disorders in community-dwelling women in low and middle-income countries : A systematic review and meta-analysis
Islam, Rakibul M., Oldroyd, John, Rana, Juwel, Romero, Lorena and Karim, Md Nazmul. (2019). Prevalence of symptomatic pelvic floor disorders in community-dwelling women in low and middle-income countries : A systematic review and meta-analysis. International Urogynecology Journal and Pelvic Floor Dysfunction. 30(12), pp. 2001-2011. https://doi.org/10.1007/s00192-019-03992-z
A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: Implementation evaluation of the Kerala Diabetes Prevention Program
Aziz, Zahra, Mathews, Elezebeth, Absetz, Pilvikki, Sathish, Thirunavukkarasu, Oldroyd, John, Balachandran, Sajitha, Shetty, Suman S., Thankappan, K. R. and Oldenburg, Brian. (2018). A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: Implementation evaluation of the Kerala Diabetes Prevention Program. Implementation Science. 13(1), pp. 1 - 14. https://doi.org/10.1186/s13012-018-0791-0
Systematic review and meta-analysis of prevalence of, and risk factors for, pelvic floor disorders in community-dwelling women in low and middle-income countries : A protocol study
Islam, Rakibul M., Oldroyd, John, Karim, Md Nazmul, Hossain, Sultana Monira, Md Emdadul Hoque, Dewan, Romero, Lorena and Fisher, Jane. (2017). Systematic review and meta-analysis of prevalence of, and risk factors for, pelvic floor disorders in community-dwelling women in low and middle-income countries : A protocol study. BMJ Open. 7(6), p. e015626. https://doi.org/10.1136/bmjopen-2016-015626
Descriptive characteristics and in-hospital mortality of critically bleeding patients requiring massive transfusion: Results from the Australian and New Zealand Massive Transfusion Registry
Ruseckaite, Rasa, McQuilten, Z. K., Oldroyd, John C., Richter, T. H., Cameron, Peter A., Isbister, J. P. and Wood, E. M.. (2017). Descriptive characteristics and in-hospital mortality of critically bleeding patients requiring massive transfusion: Results from the Australian and New Zealand Massive Transfusion Registry. Vox Sanguinis. 112(3), pp. 240 - 248. https://doi.org/10.1111/vox.12487
Barriers to cervical cancer and breast cancer screening uptake in low-income and middle-income countries: A systematic review
Islam, Rakibul M., Billah, Baki, Hossain, Md Nassif and Oldroyd, John. (2017). Barriers to cervical cancer and breast cancer screening uptake in low-income and middle-income countries: A systematic review. Asian Pacific Journal of Cancer Prevention. 18(7), pp. 1751 - 1763. https://doi.org/10.22034/APJCP.2017.18.7.1751
Program evaluation of the inner south community health oral health program for priority populations
Oldroyd, John C., White, Sue, Stephens, Mary, Neil, Andrew A. and Nanayakkara, Vajira. (2017). Program evaluation of the inner south community health oral health program for priority populations. Journal of Health Care for the Poor and Underserved. 28(3), pp. 1222 - 1239. https://doi.org/10.1353/hpu.2017.0107
Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study
Akter, Farjana, Gartoulla, Pragya, Oldroyd, John and Islam, Rakibul M.. (2016). Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study. International Urogynecology Journal. 27(11), pp. 1753 - 1759. https://doi.org/10.1007/s00192-016-3038-0
Improving outcomes for hospital patients with critical bleeding requiring massive transfusion: The Australian and New Zealand Massive Transfusion Registry study methodology
Oldroyd, John C., Venardos, K. M., Aoki, N. J., Zatta, A. J., McQuilten, Z. K., Phillips, L. E., Andrianopoulos, Nick, Cooper, D. J., Cameron, Peter A., Isbister, J. P. and Wood, E. M.. (2016). Improving outcomes for hospital patients with critical bleeding requiring massive transfusion: The Australian and New Zealand Massive Transfusion Registry study methodology. BMC Research Notes. 9(1), pp. 1 - 10. https://doi.org/10.1186/s13104-016-2261-6
The impact of intensive care in a private hospital on patients aged 80 and over: Health-related quality of life, functional status and burden versus benefit
Levinson, Michele, Mills, A., Oldroyd, John, Gellie, A., Barrett, J., Staples, Margaret and Stephenson, G.. (2016). The impact of intensive care in a private hospital on patients aged 80 and over: Health-related quality of life, functional status and burden versus benefit. Internal Medicine Journal. 46(6), pp. 694 - 702. https://doi.org/10.1111/imj.13079
A systematic review of real-world diabetes prevention programs: Learnings from the last 15 years
Aziz, Zahra, Absetz, Pilvikki, Oldroyd, John, Pronk, Nicolaas P. and Oldenburg, Brian. (2015). A systematic review of real-world diabetes prevention programs: Learnings from the last 15 years. Implementation Science. 10(1), pp. 1 - 17. https://doi.org/10.1186/s13012-015-0354-6
Circulating insulin-like growth factor-binding protein 3 levels, independent of insulin-like growth factor 1, associate with truncal fat and systolic blood pressure in South Asian and white European preschool children
Leena Patel, Andrew Whatmore, Jill Davies, Narinder Bansal, Avni Vyas, Isla Gemmell, John Oldroyd, John Kennedy Cruickshank and Peter Clayton. (2014). Circulating insulin-like growth factor-binding protein 3 levels, independent of insulin-like growth factor 1, associate with truncal fat and systolic blood pressure in South Asian and white European preschool children. Hormone Research in Paediatrics: from developmental endocrinology to clinical research. 81(2), pp. 109-117. https://doi.org/10.1159/000355824
Closing the gap in maternal and child health: A qualitative study examining health needs of migrant mothers in Dandenong, Victoria, Australia
Renzaho, Andre M. N. and Oldroyd, John C.. (2014). Closing the gap in maternal and child health: A qualitative study examining health needs of migrant mothers in Dandenong, Victoria, Australia. Maternal and Child Health Journal. 18(6), pp. 1391 - 1402. https://doi.org/10.1007/s10995-013-1378-7
A focus group study investigating medical decision making in octogenarians of high socioeconomic status with successful outcomes following cardiac surgery
Oldroyd, John C., Levinson, Michele R., Stephenson, Gemma, Rouse, Alice and Leeuwrik, Tina. (2014). A focus group study investigating medical decision making in octogenarians of high socioeconomic status with successful outcomes following cardiac surgery. Australasian Journal on Ageing. 33(3), pp. 174 - 179. https://doi.org/10.1111/ajag.12022