{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T11:02:41Z","timestamp":1768474961745,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,6,27]],"date-time":"2017-06-27T00:00:00Z","timestamp":1498521600000},"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":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2018,2]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>The Patient\u2010Generated Subjective Global Assessment (PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content>) is an instrument used to assess malnutrition and its risk factors. Some items of the PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content> may be perceived as hard to comprehend or as difficult by healthcare professionals. The present study aimed to determine whether and how dietitians\u2019 perceptions of comprehensibility and difficulty of the PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content> change after a single training in PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content> use.<\/jats:p><\/jats:sec>Methods<\/jats:title>In this prospective evaluation study, Dutch PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content>\u2010na\u00efve dietitians completed a questionnaire regarding perceived comprehensibility and difficulty of the PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content> before (T0) and after (T1) receiving a single training in the use of the instrument. Perceived comprehensibility and difficulty were operationalised by calculating item and scale indices for comprehensibility (I\u2010CI<\/jats:styled-content>, S\u2010CI<\/jats:styled-content>) and difficulty (I\u2010DI<\/jats:styled-content>, S\u2010DI<\/jats:styled-content>) at T0 and T1. An item index of 0.78 was considered acceptable, a scale index of 0.80 was considered acceptable and a scale index of 0.90 was considered excellent.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 35 participants completed the questionnaire both at T0 and T1. All item indices related to comprehensibility and difficulty improved, although I\u2010DI<\/jats:styled-content> for the items regarding food intake and physical examination remained below 0.78. Scale indices for difficulty and comprehensibility of the PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content> changed significantly (P\u00a0<\/jats:italic><\u00a0<\/jats:italic>0.001) from not acceptable at T0 (S\u2010CI<\/jats:styled-content>\u00a0=\u00a00.69; S\u2010DI<\/jats:styled-content>\u00a0=\u00a00.57) to excellent for comprehensibility (S\u2010CI<\/jats:styled-content>\u00a0=\u00a00.95) and acceptable for difficulty (S\u2010DI<\/jats:styled-content>\u00a0=\u00a00.86) at T1.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The findings of the present study suggest that significant improvement in PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content>\u2010na\u00efve dietitians\u2019 perception of comprehensibility and difficulty of the PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content> can be achieved quickly by providing a 1\u00a0day of training in the use of the PG<\/jats:styled-content>\u2010SGA<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12491","type":"journal-article","created":{"date-parts":[[2017,6,27]],"date-time":"2017-06-27T09:25:15Z","timestamp":1498555515000},"page":"58-66","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Evaluation of change in dietitians\u2019 perceived comprehensibility and difficulty of the Patient\u2010Generated Subjective Global Assessment (PG<\/scp>\u2010SGA<\/scp>) after a single training in the use of the instrument"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0782-8498","authenticated-orcid":false,"given":"M. J.","family":"Sealy","sequence":"first","affiliation":[{"name":"Research Group Healthy Ageing Allied Health Care and Nursing Hanze University of Applied Sciences Groningen The Netherlands"},{"name":"Department of Maxillofacial Surgery University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. D.","family":"Ottery","sequence":"additional","affiliation":[{"name":"Research Group Healthy Ageing Allied Health Care and Nursing Hanze University of Applied Sciences Groningen The Netherlands"},{"name":"Ottery & Associates, LLC Oncology Care Consultants Vernon Hills Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. P.","family":"van der Schans","sequence":"additional","affiliation":[{"name":"Research Group Healthy Ageing Allied Health Care and Nursing Hanze University of Applied Sciences Groningen The Netherlands"},{"name":"Department of Rehabilitation Medicine Department Health Psychology Research University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. L. N.","family":"Roodenburg","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Jager\u2010Wittenaar","sequence":"additional","affiliation":[{"name":"Research Group Healthy Ageing Allied Health Care and Nursing Hanze University of Applied Sciences Groningen The Netherlands"},{"name":"Department of Maxillofacial Surgery University of Groningen University Medical Center Groningen Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860718701100108"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3196-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1601412"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0899-9007(95)00067-4"},{"key":"e_1_2_8_6_1","first-page":"44","volume-title":"The Clinical Guide To Oncology Nutrition","author":"Ottery FD","year":"2006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269216302pm486oa"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2004.10.005"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2015.06.013"},{"key":"e_1_2_8_10_1","article-title":"Translation and cultural adaptation of the Scored Patient\u2010Generated Subjective Global Assessment (PG\u2010SGA): an interdisciplinary nutritional instrument appropriate for Dutch cancer patients","author":"Sealy MJ","year":"2017","journal-title":"Cancer Nurs"},{"key":"e_1_2_8_11_1","first-page":"1","article-title":"Comprehensibility","volume":"3","author":"Pettersson R","year":"1993","journal-title":"Int Symp Int Vis Lit Assoc Verbo\u2010Vis Lit"},{"issue":"9","key":"e_1_2_8_12_1","first-page":"II102","article-title":"Health\u2010related quality\u2010of\u2010life assessments in diverse population groups in the united states","volume":"38","author":"Stewart AL","year":"2000","journal-title":"Med Care"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-37132014000300002"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000421-198212000-00014"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20147"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198611000-00017"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0897-1897(05)80008-4"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20199"},{"key":"e_1_2_8_19_1","volume-title":"Measurement in Nursing And Health Research","author":"Waltz CF","year":"2010"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-326X(01)00097-2"},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2016\/9026098","article-title":"Malnutrition: the importance of identification, documentation, and coding in the acute care setting","volume":"2016","author":"Kellett Jane J","year":"2016","journal-title":"J Nutr Metab"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2012.03.005"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(99)80054-5"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0120644"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjhn.12491","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.12491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T14:27:19Z","timestamp":1695824839000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.12491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,27]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/jhn.12491"],"URL":"https:\/\/doi.org\/10.1111\/jhn.12491","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,27]]},"assertion":[{"value":"2017-06-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}