{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:35:46Z","timestamp":1762432546282,"version":"build-2065373602"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T00:00:00Z","timestamp":1760227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults with dementia are at heightened risk of malnutrition, but nutrition screening is an uncommon practice in this population. This study aimed to determine the feasibility of malnutrition screening and to determine nutrition risk prevalence in an outpatient memory care clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quality improvement project used the eight\u2010item Seniors in the Community: Risk Evaluation for Eating and Nutrition screener to determine nutrition risk. The Organizational Readiness to Change Assessment (ORCA) determined providers' views on readiness for change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the 12\u2010week trial, 15.3% of eligible memory care clinic patients were screened. Of these, 58.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009123) had high nutrition risk. Lack of staffing was the most significant barrier to completion of nutrition screening. Clinic staff responses on the ORCA indicated moderate agreement that screening among persons with dementia is evidence based (mean\u2009=\u20093.7 of 5; SD\u2009=\u20090.26) and strong agreement for evidence of organizational support (mean\u2009=\u20094.12 of 5; SD\u2009=\u20090.38). A majority of patients and\/or caregivers reported nutrition screening was easy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200979 of 211) or extremely easy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944 of 211). A total of 69 patients (33.7%) who completed the screener indicated interest in a nutrition consultation. The most common barriers to nutrition services reported by caregivers and\/or patients were difficulty accessing the clinic and unwillingness to use nutrition services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study detected barriers and facilitators to administering nutrition screening in a memory care clinic. These preliminary findings suggest further efforts to implement nutrition screening in outpatient memory care clinics are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.70050","type":"journal-article","created":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T22:16:03Z","timestamp":1760307363000},"page":"1518-1528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preimplementation of malnutrition screening in the context of outpatient memory care: A quality improvement project"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5404-7982","authenticated-orcid":false,"given":"Austin M.","family":"Sullivan","sequence":"first","affiliation":[{"name":"Health Sciences Program University of Kansas Overland Park Kansas USA"},{"name":"Department of Dietetics and Nutrition University of Kansas Medical Center Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey M.","family":"Burns","sequence":"additional","affiliation":[{"name":"Alzheimer's Disease Research Center University of Kansas Fairway Kansas USA"},{"name":"Department of Neurology University of Kansas Medical Center Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra K.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Dietetics and Nutrition University of Kansas Medical Center Kansas City Kansas USA"},{"name":"Alzheimer's Disease Research Center University of Kansas Fairway Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew K.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Dietetics and Nutrition University of Kansas Medical Center Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego R.","family":"Mazzotti","sequence":"additional","affiliation":[{"name":"Division of Medical Informatics University of Kansas Medical Center Kansas City Kansas USA"},{"name":"Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7383-5496","authenticated-orcid":false,"given":"Heather D.","family":"Gibbs","sequence":"additional","affiliation":[{"name":"Department of Dietetics and Nutrition University of Kansas Medical Center Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.73.4.371"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2020.604488"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-200961"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-012-0401-9"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12448"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/089198878900200404"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/23337214231194965"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101336"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2024.03.013"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(03)00098-0"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/NT.0000000000000218"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/7462940"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2013.04.008"},{"issue":"2","key":"e_1_2_8_15_1","first-page":"67","article-title":"The development of Seniors in the Community: Risk Evaluation for Eating and Nutrition (SCREEN)","volume":"61","author":"Keller HH","year":"2000","journal-title":"Can J Diet Pract Res"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.9.M552"},{"issue":"4","key":"e_1_2_8_17_1","first-page":"274","article-title":"Nutritional risk and time to death; 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