Development of a mobile application to represent food intake in inpatients: dietary data systematization

Nutritional risk situations related to decreased food intake in the hospital environment hinder nutritional care and increase malnutrition in hospitalized patients and are often associated with increased morbidity and mortality. The objective of this study is to develop and test the reliability and...

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Bibliographic Details
Published in:	BMC medical informatics and decision making Vol. 24; no. 1; pp. 28 - 10
Main Authors:	Molter, Alan Renier Jamal Occhioni, da Rocha Carvalho, Naise Oliveira, Torres, Paloma Ribeiro, da Silva, Marlete Pereira, de Brito, Patrícia Dias, do Brasil, Pedro Emmanuel Alvarenga Americano, Fonseca, Claudio Fico, Bacelo, Adriana Costa
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 30-01-2024 BioMed Central BMC
Subjects:	Applications programs Calories Causes of Decision making Diagnosis Diet Dietary intake Dietetics Equivalence Food Food intake Health app Health aspects Hospitals Infectious diseases Malnutrition Medical diagnosis mHealth Mobile applications Mobile computing Monitoring Morbidity Prevention Proteins Quality assessment Reliability analysis Research ethics Risk Software Statistical analysis Statistics Vector-borne diseases Brazil Dietetics mHealth Diagnosis Health app Malnutrition Monitoring
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Summary:	Nutritional risk situations related to decreased food intake in the hospital environment hinder nutritional care and increase malnutrition in hospitalized patients and are often associated with increased morbidity and mortality. The objective of this study is to develop and test the reliability and data similarity of a mobile application as a virtual instrument to assess the acceptability and quality of hospital diets for inpatients. This intra- and interobserver development and reliability study investigated an in-hospital food intake monitoring application based on a validated instrument for patients with infectious diseases who were treated at the Evandro Chagas National Institute of Infectious Diseases (INI/FIOCRUZ). The instrument was sequentially administered to patients 48 h after admission to INI hospital units using the printed instrument (paper) and the digital application (ARIETI) simultaneously. The tested reliability factor was the consistency of the method in the digital platform, checking whether the application provided equivalent data to the paper instrument, and finally, a statistical analysis plan was performed in the R platform version 4.2.0. This project was authorized by the FIOCRUZ/INI Research Ethics Committee. The ARIETI was developed and tested for reliability in 70 participants, showing a similar ability to calculate caloric intake in Kcal, protein intake (g), the proportion of caloric intake and protein intake relative to the prescribed goal. These instrument comparison analyses showed statistical significance (p < 0.001). The application was superior to the paper-based instrument, accelerating the time to perform the nutritional risk diagnosis based on food intake by approximately 250 s (average time). The ARIETI application has demonstrated equivalent reliability compared to the original instrument. Moreover, it optimized the time between the diagnosis of nutritional risk related to dietary intake and the nutritionist's decision making, showing an improved ability to maintain information quality compared to the paper-based instrument.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1472-6947 1472-6947
DOI:	10.1186/s12911-023-02406-x