Primary health care research & development最新文献

{"title":"Feasibility of utilizing the Modified Centor Criteria in adult virtual care.","authors":"Ahmed Allabban, Samay Shah, Neal Sikka, Colton Hood","doi":"10.1017/S1463423625000052","DOIUrl":"10.1017/S1463423625000052","url":null,"abstract":"<p><p>The Modified Centor criteria (MCC) is a validated clinical decision tool determining the need for testing in suspected <i>Streptococcal pharyngitis</i>. This study aims to understand the use of this tool to guide testing during remote evaluation. Patients with sore throats and no more than 3 days of symptoms were recruited from the emergency department and urgent care at an urban academic centre in 2019-2022. All patients enrolled were 18 years or older. Each participant had three MCC recorded, once in person and again by two different blinded telemedicine providers (TP). A total of 172 patients were screened and 40 were enrolled, they had a mean age 32 and were 43% male. We calculated inter-rater reliability between in-person and telemedicine providers, using a threshold score of strep testing (≥2) and non-testing scores (<2). Cohen's kappa between in-person and telemedicine providers was 0.68 while the TP were in complete agreement.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e15"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health professionals' use of smartphone apps for clients with low back pain: an observational study.","authors":"Claudia Didyk, Lucy Kate Lewis, Belinda Lange","doi":"10.1017/S1463423625000209","DOIUrl":"10.1017/S1463423625000209","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore health professionals' use, barriers, confidence, and preferences for technology and smartphone apps to assist clients with self-managing low back pain (LBP).</p><p><strong>Methods: </strong>Prospective observational cross-sectional survey of registered Australian health professionals that managed clients with LBP.</p><p><strong>Results: </strong>In total, 52 survey responses were included (mean age 43 ±13.8 years). Most did not personally use healthy lifestyle apps (60%) and did not recommend apps due to a lack of knowledge of app effectiveness (93%). The largest barrier to recommending apps was the potential for apps to be misused as a substitute to health professional diagnosis. Fifteen recommended smartphone apps (mean age 36 ±10.6 years) and were at least moderately confident in choosing/recommending apps (94%) and assessing app quality (80%). Those more likely to recommend apps personally used apps for healthy lifestyle behaviours (odds ratio (OR) 5.1 (p = 0.009)) were physiotherapists (OR 0.13 (p = 0.035) c/f chiropractors in their profession for <10 years (OR 8.6 (p = 0.015)) c/f >30 years. Increasing age decreased the odds (OR 0.94 (p = 0.013)) of recommending apps.</p><p><strong>Conclusions: </strong>Health professionals do not recommend LBP self-management apps due to a lack of knowledge of their effectiveness. Those that do recommend apps are confident with app choice, recommendation, and app quality assessment. Physiotherapists with <10 years' experience were most likely to recommend apps.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food hygiene practice and associated factors among food handlers working in food establishments in sub-Saharan Africa: a systematic review and meta-analysis.","authors":"Yibeltal Assefa Atalay, Natnael Atnafu Gebeyehu, Kelemu Abebe Gelaw","doi":"10.1017/S146342362500009X","DOIUrl":"10.1017/S146342362500009X","url":null,"abstract":"<p><strong>Introduction: </strong>Food hygiene practices are crucial to avoid foodborne illness and improve human well-being. Millions of people get sick, and many of them pass away due to eating unhealthy food. Foodborne diseases are still a public health problem in developing countries.</p><p><strong>Objective: </strong>This study aimed to determine the prevalence and factors associated with food hygiene practices among food handlers in sub-Saharan Africa.</p><p><strong>Methods: </strong>An extensive search was conducted using various databases including PubMed, Science Direct, African Journal Online, and Google Scholar. The search results were then extracted using Microsoft Excel. The data analysis was conducted using STATA version 14. Publication bias was checked by funnel plot, and more objectively through Begg and Egger regression test, with P < 0.05 considered to indicate potential publication bias. A random effect model was used to calculate the pooled prevalence of hygienic food handling practices. Sub-group analysis was done by country and study site.</p><p><strong>Results: </strong>To estimate the pooled prevalence of food hygiene practices in sub-Saharan Africa, 42 reviewed studies and 12,367 study participants were included. The pooled prevalence of food hygiene practices among food handlers in sub-Saharan Africa was found to be 50.68% (95% CI: 45.35, 56.02) in this study. Factors associated with food hygiene practices included lack of food safety training (OR = 2.14 95% CI: 0.68, 6.76), negative attitude (OR: 2.36, 95% CI: 1.36, 4.09), and lack of regular medical checkups (OR: 2.66, 95% CI: 1.52, 4.65) among food handlers.</p><p><strong>Conclusion: </strong>This research found that only half of sub-Saharan Africa's food handlers had good food hygiene practices. Lack of food safety training, a lack of regular medical checkups, and unfavorable attitudes toward food hygiene practices were factors contributing to food hygiene practices. Thus, the authors recommended that food workers receive food safety training about food hygiene and safety procedures.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of alternate nostril breathing on the severity and frequency of migraine attacks: a randomized control trial.","authors":"Oğulcan Çöme, Gizim Limnili, Azize Dilek Güldal","doi":"10.1017/S1463423625000064","DOIUrl":"10.1017/S1463423625000064","url":null,"abstract":"<p><strong>Background: </strong>Migraine is a prevalent and debilitating neurological disorder that significantly affects quality of life. While pharmacological treatments exist, they can have limitations such as side effects, contraindications, and incomplete relief, prompting interest in non-pharmacological approaches for better symptom management.</p><p><strong>Objective: </strong>This study aimed to assess the effectiveness of alternate nostril breathing (ANB) as a non-pharmacological intervention to reduce the frequency and severity of migraine attacks and associated disability in adult patients.</p><p><strong>Methods: </strong>A single-center, open-label, two-arm, parallel-group randomized controlled trial was conducted at six Family Health Centers (FHCs) of Dokuz Eylul University, Izmir, Turkey. A total of 86 migraine patients aged 18-50 years, diagnosed with migraine based on ICD-10 criteria, were randomized into control (n = 43) and intervention (n = 43) groups. The intervention group practiced ANB three times daily for three months, while the control group continued their usual care. The primary outcomes were changes in migraine frequency and severity. Secondary outcomes included changes in migraine-related disability, both outcomes measured using the Migraine Disability Assessment Scale (MIDAS).</p><p><strong>Results: </strong>The intervention group showed a significant reduction in migraine attack frequency (<i>P</i> = 0.002) and MIDAS scores (<i>P</i> = 0.003) compared to the control group. Both groups experienced a reduction in attack severity (<i>P</i> = 0.001), though no significant difference was observed between the groups (<i>P</i> = 0.074). Within-group comparisons showed significant improvements in attack frequency, severity, and MIDAS scores in the intervention group (<i>P</i> = 0.001 for all).</p><p><strong>Conclusion: </strong>ANB significantly reduced migraine frequency and disability, making it a promising non-invasive and accessible treatment option for migraine management. Further research with longer follow-up periods is needed to explore its long-term effects and broader applicability.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e12"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-perceived nutrition competence of primary care physicians in Singapore: a cross-sectional study.","authors":"Andrew Yu Jing Chua, Eng Sing Lee, Poay Sian Sabrina Lee, Jeremy Kaiwei Lew, Sai Zhen Sim","doi":"10.1017/S1463423624000689","DOIUrl":"10.1017/S1463423624000689","url":null,"abstract":"<p><strong>Introduction: </strong>Poor diet is a major contributing factor to the increasing prevalence of non-communicable diseases. There is a need for effective nutrition care in primary care that manages the bulk of such diseases. This study aimed to describe the self-perceived nutrition competence of primary care physicians (PCPs) in Singapore and to evaluate the associated factors.</p><p><strong>Methods: </strong>A cross-sectional study utilizing an anonymous online survey platform was conducted among PCPs from a public primary care institution in Singapore. We collected data on PCPs' sociodemographic information, previous nutrition education and personal dietary habits, and measured self-perceived nutrition competence using the NUTrition COMPetence (NUTCOMP) questionnaire. Multivariable linear regression was conducted to examine the association between PCPs' characteristics with their self-perceived nutrition competence.</p><p><strong>Results: </strong>Totally, 153 PCPs (45.9%) completed the survey in full. Among the four NUTCOMP constructs, 'nutrition knowledge' (2.8 ± 0.6) and 'nutrition skills' (2.9 ± 0.6) had the lowest mean scores followed by 'nutrition communication and counselling' (3.1 ± 0.6) and 'attitudes towards providing nutrition care' (4.3 ± 0.5). PCPs with formal nutrition training had significantly higher NUTCOMP scores compared with those without (β = 10.76, 95%CI:4.57-16.94), and those with 5 to 9 years and more than 10 years of work experience had significantly higher scores than those with less than 5 years (β = 7.62, 95%CI:0.44-14.81, and β = 9.44, 95%CI:2.85-16.04, respectively).</p><p><strong>Conclusion: </strong>PCPs had lowest self-perceived confidence in nutrition knowledge and skills. Previous formal nutrition education and a longer primary care work experience were associated with better self-perceived nutrition competence. Future research to better integrate nutrition competencies into formal education programmes may be useful to improve PCPs' self-perceived nutrition competence.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e11"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel educational strategies to improve the telemedicine clinical skills of medical students.","authors":"Judith Greengold, Harisa Spahic, Janet Serwint, Sharon Dlhosh, Lili Barouch, Karina Gattamorta, Amit Pahwa, Helen Hughes","doi":"10.1017/S1463423625000040","DOIUrl":"10.1017/S1463423625000040","url":null,"abstract":"<p><strong>Aim: </strong>Test educational interventions to increase the quality of care in telemedicine.</p><p><strong>Background: </strong>Telemedicine (TM) has become an essential tool to practise medicine around the world. However, education to address clinical skills in TM remains an area of need globally across the health professions. We aim to evaluate the impact of a pilot online learning platform (OLP) and standardized coaching programme on the quality of medical student TM clinical skills.</p><p><strong>Methods: </strong>A randomized pilot study was conducted with fourth-year medical students (n = 12). All participants engaged in video-recorded standardized patient (SP) simulated encounters to assess TM clinical skills before and after the intervention. Participants were randomized to either the OLP or OLP + Virtual Coaching Institute (VCI) intervention cohort. Quantitative and qualitative data were collected to address self-reported skills, attitudes, and self-efficacy before the 1st SP encounter and after the 2nd SP encounter. SP encounter recordings were scored by two blinded non-investigator raters based on a standardized rubric to measure the change in TM care delivered pre- and post-intervention. Statistical analysis of quantitative data included descriptive statistics and mixed effects ANOVA.</p><p><strong>Findings: </strong>Recruitment and retention of participants exceeded expectations, pointing to significant enthusiasm for this educational opportunity. Self-reported skills and scored simulation skills demonstrated significant improvements for all participants receiving the interventions. Both OLP and VCI interventions were well received, feasible, and demonstrated statistically significant efficacy in improving TM clinical skills. Participants who received coaching described more improvements in self-efficacy, confidence, and overall virtual clinical skills. This study provides evidence that virtualized clinical learning environments can positively impact the development of TM clinical skills among medical students. As TM continues to evolve, the implementation of innovative training approaches will be crucial in preparing the next generation of healthcare professionals for the demands of modern healthcare delivery.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e10"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of primary care services among Afro-Peruvians in Lima, Peru.","authors":"Elisa Juárez-Chávez, José H Villalobos Ruiz, Kelika A Konda, Dayana Urday-Fernández, María Sofía Cuba-Fuentes","doi":"10.1017/S1463423625000076","DOIUrl":"10.1017/S1463423625000076","url":null,"abstract":"<p><strong>Introduction: </strong>The Peruvian public healthcare system is characterized by various shortcomings that adversely affect healthcare quality as perceived by the general and minority populations, including the Afro-Peruvian community. This population has demonstrated reduced healthcare access due to discrimination and differential treatment, reflecting broader societal inequities.</p><p><strong>Objective: </strong>This study explores the experiences and perceptions of Afro-Peruvian individuals regarding the treatment they receive from public primary healthcare providers in metropolitan Lima.</p><p><strong>Methods: </strong>In-depth qualitative interviews were conducted with Afro-Peruvian individuals recruited from Lima. They were selected based on their responses to a survey conducted in a previous study, which indicated a high or low perception of intercultural adaptation in healthcare. The interviews explored their experiences with healthcare services and their perceptions about their interactions with health providers. The qualitative analysis involved topic coding to interpret the data.</p><p><strong>Results: </strong>We interviewed 19 Afro-Peruvians, including 15 women and 4 men, ages 26 to 70. The findings reveal that Afro-Peruvians generally experience mistreatment in the healthcare system. In their opinion, this is associated with systemic issues such as poor infrastructure, low salaries, and insufficient time allocated for patient care. Furthermore, participants perceive receiving poor quality and inefficient service not only from providers but also from the system presents difficulties in other processes, such as getting the appointment.</p><p><strong>Conclusions: </strong>This study highlights significant areas for improvement in the public healthcare system, specifically enhancing the quality of patient care, improving communication, and upgrading healthcare infrastructure to serve the Afro-Peruvian community better. These insights could guide the development of targeted policy recommendations and practical interventions to address healthcare disparities and improve access to quality healthcare services for minority populations.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Committed leadership: a prerequisite for successful implementation of recovery during the workday.","authors":"Lina Ejlertsson, Annika Brorsson","doi":"10.1017/S1463423625000027","DOIUrl":"10.1017/S1463423625000027","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to explore the role of managers and employees with an assigned responsibility (i.e. inspirers) when integrating recovery-enhancing activities into everyday work in a primary health care setting.</p><p><strong>Background: </strong>The possibility of recovery during the workday is essential for employee wellbeing. However, the literature on workplace interventions focusing on recovery is scarce. Especially with regard to the importance of local driving forces, like managers and inspirers.</p><p><strong>Methods: </strong>Two focus groups and two individual interviews were conducted in this qualitative interview study. In total, ten managers and inspirers from different primary health care centres were interviewed about their experiences of brief recovery interventions at their workplaces. A semi-structured interview guide was used, and the qualitative analysis was conducted by using systematic text condensation.</p><p><strong>Findings: </strong>From a leadership perspective, two themes with promoting factors for recovery interventions were identified. These were structural promoting factors (including authorisation, communication, and integration) and cultural promoting factors (including attitude, support, and open-mindedness). This knowledge can contribute to future workplace environment development with the focus on recovery during the workday. The results also showed several positive effects of integrated recovery, both on an individual and group level. Hence, this study is a valuable addition to the work recovery research, in terms of understanding the importance of investing in recovery at work.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143049000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The incentivized drug information services among community pharmacists: a multi-centre cross-sectional study in Indonesia.","authors":"Muh Akbar Bahar, Mersa N Kausar, Khairunnisa Khairunnisa, Ivan S Pradipta","doi":"10.1017/S1463423624000537","DOIUrl":"10.1017/S1463423624000537","url":null,"abstract":"<p><strong>Background: </strong>Community pharmacists should provide qualified drug information services for the rational use of medicine in community. However, there is no standard professional incentive for the service in Indonesia. This study aimed to assess drug information services with incentives and its associated factors among community pharmacists in Indonesia.</p><p><strong>Method: </strong>A multi-centre cross-sectional study was conducted among community pharmacists in Medan City, Bandung City, Bandung Regency, and Makassar City. A validated online self-administered questionnaire was used to collect data on pharmacists' demographics, pharmacy characteristics, and drug information provision practices. Multivariate logistic regression was applied to identify factors associated with incentivized drug information services.</p><p><strong>Results: </strong>A total of 639 community pharmacists participated, with representation from Medan (21.9%), Bandung City (20.8%), Bandung Regency (26%), and Makassar (31.3%). Most respondents were female (79%) with a median age of 31 years (IQR: 9). Only 12% of pharmacists reported receiving incentives for providing drug information services. Factors significantly associated with receiving incentives included being male (OR: 2.04, 95% CI: 1.16-3.58), aged 20-30 years (OR: 3.25, 95% CI: 1.10-9.58), working over 40 hours per week (OR: 2.30, 95% CI: 1.16-4.58), working in a chain pharmacy (OR: 2.08, 95% CI: 1.18-3.67), and having an onsite physician practice (OR: 1.72, 95% CI: 1.04-2.85).</p><p><strong>Conclusion: </strong>Limited number of community pharmacists received an incentive for drug information services. The development of a remuneration system for drug information services can be considered to enhance the quality of pharmaceutical care services in the community setting.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of an updated educational intervention on nutritional care to prevent undernutrition among older adults in primary health care.","authors":"Erika Berggren, Christina Sandlund, Liisa Samuelsson, Lena Lundh","doi":"10.1017/S1463423624000690","DOIUrl":"10.1017/S1463423624000690","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate district nurses' perceived and factual knowledge about nutritional care after an updated and expanded educational intervention. Furthermore, we aimed to compare the outcomes of the revised and the original educational intervention.</p><p><strong>Background: </strong>In-depth knowledge of nutritional care is a prerequisite to supporting older adults' well-being and health. District nurses' actual knowledge of the nutrition care process, older adults' need for food, and palliative care in diverse phases of disease is therefore of utmost importance. An updated and expanded educational intervention meeting these needs was evaluated.</p><p><strong>Methods: </strong>A study-specific questionnaire about nutritional care was used before and after the educational intervention. Participants (<i>n</i> = 118) were district nurses working in primary health care in Region Stockholm. Additionally, a pre- and post-test quasi-experimental design was used to assess differences in learning outcomes of the revised intervention compared with the original intervention.</p><p><strong>Findings: </strong>District nurses who completed the questionnaire had worked in health care for about 18 years and as district nurses for 5 years after their specialist examination. After the revised educational intervention, significant improvements were found in all statements concerning perceived challenges and actions related to nutritional care, while questions about factual knowledge showed significant improvements in three of the four questions.Comparison between the revised and the original intervention revealed no differences in most areas of perceived challenges and actions related to nutritional care. Additionally, in half of the areas assessed, factual knowledge improved more after the revision than after the original educational intervention, including the maximum length of overnight fast and the type of oral nutritional supplements (ONS) that should be prescribed.</p><p><strong>Conclusion: </strong>The intervention was successful in increasing knowledge about nutritional care, nutritional counselling, food adaptation, and prescribing ONS in an individually tailored way. In-depth knowledge supports usability in clinical practice. Nevertheless, we need to follow-up and understand how increased knowledge about undernutrition and ONS prescription are implemented in primary health care when caring for older adults' desires and needs.</p>","PeriodicalId":74493,"journal":{"name":"Primary health care research & development","volume":"26 ","pages":"e6"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}