{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T07:02:35Z","timestamp":1780297355235,"version":"3.54.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Naso\u2010gastric tube (NGT) feeding under physical restraint is a lifesaving clinical intervention that is sometimes needed in mental health patients, particularly those with restrictive eating disorders. Initial guidance was published in 2020 and subsequently reviewed and updated to support dietitians in this specialist area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using purposeful recruitment, we brought together specialist mental health dietitians from England, Wales, Scotland and Northern Ireland who work in inpatient child and adolescent mental health services or adult inpatient mental health services. We followed modified nominal group technique in the update of these guidelines. Nominal group technique has four stages. Stage one is for silent idea generation, stage two facilitates round\u2010robin discussion, stage three is the discussion and refining of ideas and stage four the voting and ranking of ideas to generate consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We have updated the clinical guidelines for dietetic prescribing when NGT feeding under physical restraint for a mental health condition is needed. This updated guideline promotes the least restrictive practice and encourages dietetic prescribing to be proportionate to medical risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We have provided an updated version of the dietetic prescribing guidelines when NGT feeding under physical restraint is needed. These guidelines now apply to mental health patients in general, not just those with Anorexia Nervosa and incorporate expert clinical opinion regarding strategies to wean off this clinical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70242","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T04:48:29Z","timestamp":1775796509000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Updated Dietetic Prescribing Guidelines When Naso\u2010Gastric Tube Feeding Under Physical Restraint Is Required: A Modified Nominal Group Technique Study"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2863-158X","authenticated-orcid":false,"given":"Sarah J.","family":"Fuller","sequence":"first","affiliation":[{"name":"Northamptonshire Healthcare NHS Foundation Trust Northampton England"},{"name":"Imperial College London London England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ursula","family":"Philpot","sequence":"additional","affiliation":[{"name":"Leeds Beckett University Leeds England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"West","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Midwifery and Palliative Care King's College London London England"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12731"},{"key":"e_1_2_13_3_1","first-page":"1","article-title":"Nasogastric Tube Feeding under Physical Restraint: Comprehensive Audit and Case Series Across In\u2010Patient Mental Health Units in England","volume":"11","author":"Fuller S. J.","year":"2023","journal-title":"BJPsych Bulletin"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2024-327039"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00297-1"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2023.58"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-085955"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361320912143"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12758"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-024-01126-5"},{"issue":"345","key":"e_1_2_13_11_1","first-page":"21","article-title":"Autism Spectrum Disorders in Eating Disorder Populations: A Systematic Review","volume":"2","author":"Huke V.","year":"2013","journal-title":"European Eating Disorders Review"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00518-1"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2598"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-024-01108-x"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.62.3.337"},{"key":"e_1_2_13_16_1","unstructured":"Care Quality Commission \u201cRegulations for Service Providers and Managers \u201d2025 https:\/\/www.cqc.org.uk\/guidance-regulation\/providers\/regulations-service-providers-and-managers\/health-social-care-act\/regulation-14."},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16142316"},{"issue":"143","key":"e_1_2_13_18_1","article-title":"Restraint for Nasogastric Tube Feeding in Young People With Anorexia Nervosa or Atypical Anorexia Nervosa: A Retrospective Audit","volume":"13","author":"Hawley M.","year":"2025","journal-title":"Journal of Eating Disorders"},{"key":"e_1_2_13_19_1","unstructured":"Royal College of Psychiatrists Medical Emergencies in Eating Disorders (MEED)(Royal College of Psychiatrists 2022). Report No.: CR233."},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00513-6"},{"key":"e_1_2_13_21_1","first-page":"2","article-title":"Top Tips for Preventing and Managing Refeeding Syndrome","author":"Nightingale J.","year":"2022","journal-title":"British Association of Parenteral and Enteral Nutrition, British Intestinal Failure Alliance (BIFA)"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.65031\/cpsv5228"},{"key":"e_1_2_13_23_1","volume-title":"The Zones of Regulation: A Curriculum Designed to Foster Self\u2010regulation and Emotional Control, San Jose (CA)","author":"Kuypers L. M.","year":"2011"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70242","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jhn.70242","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T06:28:09Z","timestamp":1780295289000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.70242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/jhn.70242"],"URL":"https:\/\/doi.org\/10.1111\/jhn.70242","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70242"}}