Document Detail

Experiences of food access in hospital. A new questionnaire measure.
MedLine Citation:
PMID:  19477558     Owner:  NLM     Status:  MEDLINE    
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.
Smriti Naithani; Jane E Thomas; Kevin Whelan; Myfanwy Morgan; Martin C Gulliford
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Validation Studies     Date:  2009-05-27
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  28     ISSN:  1532-1983     ISO Abbreviation:  Clin Nutr     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-16     Completed Date:  2010-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  625-30     Citation Subset:  IM    
Department of Public Health Sciences, King's College London, Capital House, 42 Weston Street, London SE1 3QD, UK.
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MeSH Terms
Eating* / psychology
Food Preferences
Food Service, Hospital* / organization & administration,  standards,  statistics & numerical data
Health Status
Hospital Units / statistics & numerical data
Middle Aged
Patient Satisfaction
Quality Control

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