{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T18:52:11Z","timestamp":1792695131550,"version":"4.5.0"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001789","name":"Bond University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001789","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Family carers have a key role in supporting malnourished older adults; yet, intervention evidence is lacking in the rehabilitation setting. This study aimed to explore the preliminary effects and acceptability of a family\u2010centred, telehealth\u2010enhanced dietary counselling intervention for treating protein\u2010energy malnutrition (PEM) in rural\u2010living older adults transitioning from rehabilitation to home, compared with usual care, in matched patient\u2010carer dyads.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pragmatic, historically controlled, prospective, two\u2010arm non\u2010randomised controlled trial was conducted as a pilot study. Fifteen malnourished older adults admitted to rural rehabilitation units in New South Wales, Australia, and their family carers, were recruited and matched to 15 historical controls. The Patient\u2010Generated Subjective Global Assessment (PG\u2010SGA) was the primary outcome for nutrition status assessed at rehabilitation admission, discharge, and 3 months post\u2010discharge. Quality of life, physical function, length of stay, discharge location, institutionalisation, mortality, carer burden, and service satisfaction were secondary outcomes. The historical control group received usual care. The intervention group received a telehealth\u2010enhanced dietary counselling intervention developed with co\u2010design principles, which engaged the family carer as a partner in the nutrition care team, delivered during the rehabilitation admission and for 3 months post\u2010discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The difference in PG\u2010SGA score from baseline to 3 months post\u2010discharge between the two groups was 3.46 (95%CI: \u22122.07, 9.01;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.238). The intervention group had a higher proportion of patients who were well\u2010nourished at 3 months post\u2010discharge compared to controls (60% vs 13%). At 3 months post\u2010discharge, the intervention group had lower odds of being rated malnourished or with more severe malnutrition (i.e., moderate vs. well\u2010nourished, severe vs. moderate) on the PG\u2010SGA (OR 0.01, 95%CI: 0.00, 0.27;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). There was a trend towards the intervention group having reduced odds of being discharged to a location other than home (OR 0.18, 95%CI: 0.03, 1.07;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.06). The intervention was perceived as acceptable to patients and family carers. There were no differences between groups in other outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared with usual care, the family\u2010centred telehealth\u2010enhanced dietary counselling intervention for the treatment of PEM in rural\u2010living older adults transitioning from rehabilitation to home demonstrated preliminary efficacy and was acceptable to both patients and family carers. Future research aiming to improve PEM should meaningfully engage family carers as partners in the nutrition care team.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70291","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T11:11:24Z","timestamp":1781521884000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Family\u2010Centred Telehealth\u2010Enhanced Dietary Counselling for the Treatment of Protein\u2010Energy Malnutrition in Rural\u2010Living Older Adults Transitioning From Rehabilitation to Home: A Pilot Controlled Trial"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8953-5068","authenticated-orcid":false,"given":"Skye","family":"Marshall","sequence":"first","affiliation":[{"name":"Centre for Quality and Patient Safety Research, Institute for Health Transformation, School of Nursing and Midwifery, Faculty of Health Deakin 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Netherlands"},{"name":"Department of Human Nutrition and Health Wageningen University and Research Wageningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5693-0811","authenticated-orcid":false,"given":"Marian A.E.","family":"de van der Schueren","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Dietetics and Lifestyle, School of Allied Health HAN University of Applied Sciences Nijmegen the Netherlands"},{"name":"Department of Human Nutrition and Health Wageningen University and Research Wageningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5198-8843","authenticated-orcid":false,"given":"Lucy","family":"Leigh","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute Newcastle New South Wales Australia"},{"name":"School of Medicine and Public Health University of Newcastle Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9486-5704","authenticated-orcid":false,"given":"Elizabeth","family":"Johnston","sequence":"additional","affiliation":[{"name":"Cancer Council Queensland Fortitude Valley Brisbane Queensland Australia"},{"name":"School of Exercise and Nutrition Sciences, Faculty of Health Queensland University of Technology Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2918-6032","authenticated-orcid":false,"given":"Charlene","family":"Wright","sequence":"additional","affiliation":[{"name":"Centre for Quality and Patient Safety Research, Institute for Health Transformation, School of Nursing and Midwifery, Faculty of Health Deakin University Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robina","family":"Rogan","sequence":"additional","affiliation":[{"name":"Consumer representative, Equitable Cancer Outcomes across Rural and Remote Australia (ECORRA) National Consumer Program, Institute for Health Transformation Deakin University Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1273-5368","authenticated-orcid":false,"given":"Megan","family":"Crichton","sequence":"additional","affiliation":[{"name":"School of Nursing, Cancer and Palliative Outcomes Centre Queensland University of Technology Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2791-7209","authenticated-orcid":false,"given":"Helena","family":"Rodi","sequence":"additional","affiliation":[{"name":"Centre for Quality and Patient Safety Research, Institute for Health Transformation, School of Nursing and Midwifery, Faculty of Health Deakin University Geelong Victoria 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