{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T08:05:28Z","timestamp":1783065928908,"version":"3.54.6"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp;amp; Dietetics"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Evidence\u2010based guideline translation to practice can improve outcomes but is often impaired by poor implementation. This project aimed to evaluate the implementation of the <jats:italic>Evidence\u2010based guidelines for the nutritional management of adult patients with head and neck cancer<\/jats:italic> among Australian dietitians providing clinical care to this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire was developed, with face and content validity confirmed by an expert panel (n\u00a0=\u00a013), to gauge participant perceptions of the guidelines against an implementation evaluation framework. Dietitians were identified through Dietitians Australia and by contacting experts in the field. Eligibility was determined by questionnaire completion and prior guideline awareness. Responses were provided using a 5\u2010point Likert scale. Results were analysed using descriptive statistics; with inferential analysis to determine if demographic information could reveal trends in guideline use and perception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 43 initial respondents, n\u00a0=\u00a028 completed the questionnaire, with n\u00a0=\u00a024\/28 (86%) meeting full eligibility criteria for analysis. Median (range) scores for all four domains were high: awareness (4.0 [3.2\u20104.8]), agreement (4.4 [4.1\u20104.7]), adoption (3.5 [3.1\u20103.9]), and adherence (4.3 [4.1\u20104.9]). However, perception of guideline awareness and use among multidisciplinary team colleagues was low (mean 3.2\/5.0 and 3.1\/5.0, respectively). Dietitians with &lt;10\u2009years' experience had significantly higher perceptions of the guidelines' ability to positively influence practice; support evidence\u2010based practice; and enhance dietitian credibility (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.04) vs dietitians with \u226510\u2009years' experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Dietitians demonstrated high rates of guideline implementation and positive perceptions for its use in clinical practice. Future implementation strategies and evaluation should expand to engage the wider multidisciplinary team and more experienced clinicians.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1747-0080.12702","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T07:15:40Z","timestamp":1631776540000},"page":"197-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluation of the agreement, adoption, and adherence to the evidence\u2010based guidelines for the nutritional management of adult patients with head and neck cancer among Australian dietitians"],"prefix":"10.1111","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0747-0454","authenticated-orcid":false,"given":"Anna","family":"Edwards","sequence":"first","affiliation":[{"name":"Department of Nutrition &amp; Dietetics Toowoomba Hospital, Darling Downs Health  Toowoomba Queensland Australia"},{"name":"School of Human Movement and Nutrition Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Baldwin","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merran","family":"Findlay","sequence":"additional","affiliation":[{"name":"Cancer Services Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3830-5147","authenticated-orcid":false,"given":"Judy","family":"Bauer","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7023.71"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12247"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2019.01.007"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614554264"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747-0080.12533"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12036"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0555-2"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0396-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_2_7_11_1","first-page":"9","article-title":"Barriers and strategies in guideline implementation: a scoping review","volume":"4","author":"Fischer F","year":"2016","journal-title":"Healthcare (Basel)"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2011.110180"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533611400231"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-018-0276-x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/pdi.1833"},{"key":"e_1_2_7_16_1","first-page":"421","article-title":"Nutritional support in acute pancreatitis: from physiopathology to practice. 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