A Public Health Nutrition Intervention to Delay the Progression of Cachexia to Refractory Cachexia in Indian Female Cancer Patients: A Conceptual Framework

Author(s):  
Neha Kulkarni ◽  
◽  
Jane Naufahu ◽  
Sundus Tewfik ◽  
Sushma Bhatnagar ◽  
...  
2009 ◽  
Vol 12 (8) ◽  
pp. 1031-1038 ◽  
Author(s):  
Elizabeth Baillie ◽  
Christel Bjarnholt ◽  
Marlies Gruber ◽  
Roger Hughes

AbstractObjectivesTo describe a conceptual framework to assist in the application of capacity-building principles to public health nutrition practice.DesignA review of the literature and consideration of the determinants of effective public health nutrition practice has been used to inform the development of a conceptual framework for capacity building in the context of public health nutrition practice.ResultThe limited literature supports a greater integration and application of capacity-building strategies and principles in public health nutrition practice, and that this application should be overt and strategic. A framework is proposed that identifies a number of determinants of capacity for effective public health nutrition action. The framework represents the key foundations for building capacity including leadership, resourcing and intelligence. Five key strategic domains supported by these foundation elements, including partnerships, organisational development, project management quality, workforce development and community development, are proposed. This framework can be used to assist the systematic assessment, development and evaluation of capacity-building activity within public health nutrition practice.ConclusionsCapacity building is a strategy within public health nutrition practice that needs to be central to public health nutrition intervention management. The present paper defines, contextualises and outlines a framework for integrating and making explicit the importance of capacity building within public health nutrition practice at many levels.


2015 ◽  
Vol 18 (13) ◽  
pp. 2333-2340 ◽  
Author(s):  
Mark A Lawrence ◽  
Sharon Friel ◽  
Kate Wingrove ◽  
Sarah W James ◽  
Seona Candy

AbstractObjectiveTo develop a policy formulation tool for strategically informing food and nutrition policy activities to promote healthy and sustainable diets (HSD).DesignA policy formulation tool consisting of two complementary components was developed. First, a conceptual framework of the environment–public health nutrition relationship was constructed to characterise and conceptualise the food system problem. Second, an ‘Orders of Food Systems Change’ schema drawing on systems dynamics thinking was developed to identify, assess and propose policy options to redesign food systems.SettingFood and nutrition policy activities to promote HSD have been politicised, fragmented and lacking a coherent conceptual and strategic focus to tackle complex food system challenges.ResultsThe tool’s conceptual framework component comprises three integrated dimensions: (i) a structure built around the environment and public health nutrition relationship that is mediated via the food system; (ii) internal mechanisms that operate through system dynamics; and (iii) external interactions that frame its nature and a scope within ecological parameters. The accompanying schema is structured around three orders of change distinguished by contrasting ideological perspectives on the type and extent of change needed to ‘solve’ the HSD problem.ConclusionsThe conceptual framework’s systems analysis of the environment–public health nutrition relationship sets out the food system challenges for HSD. The schema helps account for political realities in policy making and is a key link to operationalise the framework’s concepts to actions aimed at redesigning food systems. In combination they provide a policy formulation tool to strategically inform policy activities to redesign food systems and promote HSD.


2003 ◽  
Vol 6 (6) ◽  
pp. 599-605 ◽  
Author(s):  
Roger Hughes

AbstractObjective:This paper describes a conceptual framework and associated intelligence requirements for problem-based workforce development for public health nutrition.Methods:A conceptual framework for public health nutrition workforce development was constructed based on a review of the literature and consideration of the intelligence needs to inform workforce development planning.Results:A cyclical conceptual framework including five intelligence-linked components including public health nutrition problems and priorities, solutions and best buys, work needed, capacity to do the work and workforce development needs. This framework applied to the Australian situation illustrates its applications in workforce development research and planning. Although the existing availability of workforce development intelligence in each of these components varies, the framework does provide a systematic approach for workforce development research and planning directly related to public health nutrition problem resolution.Conclusions:This framework highlights deficiencies in the existing public health nutrition workforce development intelligence and the need for further research to inform workforce development strategy planning.


2014 ◽  
Vol 18 (10) ◽  
pp. 1898-1905 ◽  
Author(s):  
Elizabeth Swanepoel ◽  
Ann Fox ◽  
Roger Hughes

AbstractObjectiveTo assess and develop consensus among experienced public health nutrition practitioners from high-income countries regarding conceptualisation of capacity building in practice, and to test the content validity of a previously published conceptual framework for capacity building in public health nutrition practice.DesignA Delphi study involving three iterations of email-delivered questionnaires testing a range of capacity determinants derived from the literature. Consensus was set at >50 % of panellists ranking items as ‘very important’ on a five-point Likert scale across three survey rounds.SettingPublic health nutrition practice in Australia, the UK, Canada and the USA.SubjectsPublic health nutrition practitioners and academics.ResultA total of thirty expert panellists (68 % of an initial panel of forty-four participants) completed all three rounds of Delphi questionnaires. Consensus identified determinants of capacity building in practice including partnerships, resourcing, community development, leadership, workforce development, intelligence and quality of project management.ConclusionsThe findings from the study suggest there is broad agreement among public health nutritionists from high-income countries about how they conceptualise capacity building in public health nutrition practice. This agreement suggests considerable content validity for a capacity building conceptual framework proposed by Baillieet al. (Public Health Nutr12, 1031–1038). More research is needed to apply the conceptual framework to the implementation and evaluation of strategies that enhance the practice of capacity building approaches by public health nutrition professionals.


2011 ◽  
Vol 15 (11) ◽  
pp. 1981-1988 ◽  
Author(s):  
Roger Hughes ◽  
Barrie Margetts

AbstractObjectiveThe present paper describes a model for public health nutrition practice designed to facilitate practice improvement and provide a step-wise approach to assist with workforce development.DesignThe bi-cycle model for public health nutrition practice has been developed based on existing cyclical models for intervention management but modified to integrate discrete capacity-building practices.SettingEducation and practice settings.SubjectsThis model will have applications for educators and practitioners.ResultsModifications to existing models have been informed by the authors’ observations and experiences as practitioners and educators, and reflect a conceptual framework with applications in workforce development and practice improvement. From a workforce development and educational perspective, the model is designed to reflect adult learning principles, exposing students to experiential, problem-solving and practical learning experiences that reflect the realities of work as a public health nutritionist. In doing so, it assists the development of competency beyond knowing to knowing how, showing how and doing. This progression of learning from knowledge to performance is critical to effective competency development for effective practice.ConclusionsPublic health nutrition practice is dynamic and varied, and models need to be adaptable and applicable to practice context to have utility. The paper serves to stimulate debate in the public health nutrition community, to encourage critical feedback about the validity, applicability and utility of this model in different practice contexts.


2011 ◽  
Author(s):  
Ruta Valaitis ◽  
Marjorie MacDonald ◽  
Sabrina Wong ◽  
Linda O'Mara ◽  
Donna Meagher-Stewart ◽  
...  

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