{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:11:18Z","timestamp":1787015478723,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T00:00:00Z","timestamp":1580860800000},"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":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Nasogastric tube feeding against a person's will, under restraint, can be a lifesaving intervention for patients with severe anorexia nervosa. Dietetic guidelines have been developed to support dietitians in this specialised area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A modified Delphi process was used in the development of the guidelines; stage 1, initial stakeholders created a draft; stage 2, creation of the working group; stage 3, comments and feedback on draft; stage 4, final draft agreed; stage 5, external review from Psychiatrists, patients and carers; stage 6, endorsement. Specialist mental health dietitians working in both adult and Child and Adolescent Mental Health Services (CAMHS) across four countries contributed to the development of the consensus guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>New guidance is outlined specifically for NGT feeding under restraint, which details the process, rate and volume of feed to comply with lawful guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinical guidelines were developed for dietitians treating patients with anorexia nervosa, using a modified Delphi process, incorporating both expert opinion and all available evidence. The guidance provides new information to dietitians and clinicians in how to enterally feed patients under restraint where none previously existed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.12731","type":"journal-article","created":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T03:17:26Z","timestamp":1580872646000},"page":"287-294","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["The development of consensus\u2010based guidelines for dietetic practice in nasogastric tube feeding under restraint for patients with anorexia nervosa using a modified Delphi process"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2863-158X","authenticated-orcid":false,"given":"S. J.","family":"Fuller","sequence":"first","affiliation":[{"name":"East London NHS Foundation Trust Bedford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Philpot","sequence":"additional","affiliation":[{"name":"Leeds Beckett University Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_8_3_1","unstructured":"Royal College of Psychiatrists(2012)Junior MARSIPAN: Management of Really Sick In\u2010Patients under 18 with Anorexia Nervosa.Royal College of Psychiatrists; Report number: CR168. Available at:https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/improving-care\/better-mh-policy\/college-reports\/college-report-cr168.pdf?sfvrsn=e38d0c3b_2&sfvrsn=e38d0c3b_2(accessed July 2019)."},{"key":"e_1_2_8_4_1","unstructured":"Royal College of Psychiatrists(2014)MARSIPAN: Management of Really Sick In\u2010Patients with Anorexia Nervosa 2nd edn.Royal College of Psychiatrists; Report number: CR189. Available at:https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/improving-care\/better-mh-policy\/college-reports\/college-report-cr189.pdf?sfvrsn=6c2e7ada_2(accessed July 2019)."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-014-0029-8"},{"key":"e_1_2_8_6_1","unstructured":"Mental Health Act 1983. Available at:http:\/\/www.legislation.gov.uk\/ukpga\/1983\/20\/contents(accessed July 2019)."},{"key":"e_1_2_8_7_1","unstructured":"The Mental Health (Care & Treatment) (Scotland) Act 2003. 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Available at:https:\/\/www.medact.org\/wp-content\/uploads\/2018\/03\/dh_111690-Published-Guidelines-HS.pdf(accessed July 2019)."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533615627267"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.01.023"},{"key":"e_1_2_8_19_1","unstructured":"PattonA&PhillpotU. (2018)Practical Guidelines for Refeeding Adult Patients with Anorexia Nervosa.The British Dietetic Association's Mental Health Specialist Group. Available at:https:\/\/www.bda.uk.com\/regionsgroups\/groups\/mentalhealth\/groupresources\/part_3_re-feeding_guidance(accessed July 2019)."},{"key":"e_1_2_8_20_1","first-page":"521","volume-title":"The Maudsley Prescribing Guidelines in Psychiatry","author":"Taylor D","year":"2018"},{"key":"e_1_2_8_21_1","unstructured":"Court of Protection(2016)Medical Treatment: Anorexia. Available at:https:\/\/www.courtofprotectionhub.uk\/cases\/w-medical-treatment-anorexia-re-2016-ewcop-13#(accessed July 2019)."}],"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.12731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.12731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jhn.12731","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.12731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T04:59:09Z","timestamp":1694062749000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.12731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,5]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/jhn.12731"],"URL":"https:\/\/doi.org\/10.1111\/jhn.12731","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,5]]},"assertion":[{"value":"2020-02-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}