ASSESSING FOODSERVICE PERSONNEL’S KNOWLEDGE, ATTITUDE AND PRACTICES IN IDDSI PUREED DIET PREPARATION IN MALAYSIA
DOI:
https://doi.org/10.55197/qjssh.v6si1.901Keywords:
dysphagia, Knowledge-Attitude-Practice (KAP), foodservice personnel, pureed diet, IDDSIAbstract
Dysphagia, or difficulty swallowing, is becoming more common, particularly among Malaysia's older population. However, handling and preparing dysphagia meals require competent and motivated personnel to meet the feeding and nutritional needs. This study aimed to evaluate the knowledge, attitudes, and practices (KAP) of foodservice personnel in Malaysian government hospitals regarding pureed diets for dysphagia patients. A cross-sectional survey was done utilizing the validated KAP DYS Puree questionnaire, which was given online to foodservice personnel in public hospitals. Data were analyzed using SPSS version 29, containing descriptive statistics such as frequencies, percentages, means, modes, and standard deviations. A total of 162 respondents participated, the majority being women (n=115, 71.0%) employed in hospital foodservice departments. The results indicated moderate knowledge levels, with 65.4% (n=106) scoring between 9 and 16 among the respondents. Attitudes toward pureed diet preparation were largely positive, with 53.7% of respondents scoring in the excellent range (53–70), and 43.8% in the good range (35–52). Practice scores were similarly encouraging, with 70.4% reporting good practices (35–52). In conclusion, this study showed that foodservice staff in Malaysian government hospitals have good attitudes and practices when it comes to making pureed meals for patients with dysphagia, but their level of proficiency is still moderate. This suggests that in order to enhance understanding and to assure that individuals with dysphagia receive high-quality treatment, there is an urgent need for focused training and continuing education.
References
[1] Amaiach, R., Lalami, A.E.O., Fadil, M., Bouslamti, R., Lairini, S. (2024): Food safety knowledge, attitudes, and practices among food handlers in collective catering in central Morocco. – Heliyon 10(23): 15p.
[2] Azizan, A.A., Shahar, S., Manaf, Z.A., Haron, H., Malek Rivan, N.F., Razalli, N.H. (2023): An assessment of knowledge, attitudes and practices on pureed diet preparation (KAP DYS-PUREE) among food handlers in Malaysian hospitals for dysphagia management. – Healthcare 11(14): 10p.
[3] Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., Bywaters, D., Walker, K. (2020): Purposive sampling: Complex or simple? Research case examples. – Journal of Research in Nursing 25(8): 652-661.
[4] Chen, J., Ye, W., Zheng, X., Wu, W., Chen, Y., Chen, Y. (2024): Predictors of medical staff’s knowledge, attitudes and behavior of dysphagia assessment: A cross-sectional study. – PLOS ONE 19(4): 14p.
[5] Chilukuri, P., Odufalu, F., Hachem, C. (2018): Dysphagia. – Missouri Medicine 115(3): 206-210.
[6] Cichero, J.A., Lam, P., Steele, C.M., Hanson, B., Chen, J., Dantas, R.O., Duivestein, J., Kayashita, J., Lecko, C., Murray, J., Pillay, M., Riquelme, L., Stanschus, S. (2017): Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: The IDDSI framework. – Dysphagia 32(2): 293-314.
[7] Da Vitoria, A.G., de Souza Couto Oliveira, J., de Almeida Pereira, L.C., de Faria, C.P., de Sao Jose, J.F.B. (2021): Food safety knowledge, attitudes and practices of food handlers: A cross-sectional study in school kitchens in Espírito Santo, Brazil. – BMC Public Health 21(1): 10p.
[8] Górska-Warsewicz, H., Rejman, K., Kaczorowska, J., Laskowski, W. (2021): Vegetables, potatoes and their products as sources of energy and nutrients to the average diet in Poland. – International Journal of Environmental Research and Public Health 18(6): 23p.
[9] Guennouni, M., Admou, B., Bourrhouat, A., El Khoudri, N., Zkhiri, W., Talha, I., Hazime, R., Hilali, A. (2022): Knowledge and practices of food safety among health care professionals and handlers working in the kitchen of a Moroccan university hospital. – Journal of Food Protection 85(4): 676-685.
[10] Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E. (2010): Multivariate data analysis: A global perspective. – Pearson Prentice Hall 834p.
[11] Husmeela, H., Kartini, A., Zakinah, Y., Sharifa Ezat, W.P., Hasherah, M.I. (2021): The prevalence of dysphagia among head and neck cancer patients in tertiary public hospitals in Malaysia. – The Medical Journal of Malaysia 76(6): 837-844.
[12] International Dysphagia Diet Standardisation Initiative (IDDSI) (2019): What is the IDDSI framework? – IDDSI 1p.
[13] Igarashi, K., Kikutani, T., Tamura, F., Yajima, Y., Tohara, T. (2020): Factors predicting the effects of dysphagia rehabilitation on multidimensional functional status in elder outpatients: A prospective cohort study. – Gerodontology 37(3): 271-278.
[14] Ismail, Z., Wan Ahmad, W.I., Hamjah, S.H., Astina, I.K. (2021): The impact of population ageing: A review. – Iranian Journal of Public Health 50(12): 2451-2460.
[15] Kang, K., Bagaoisan, M.A.P. (2024): Research status of the knowledge-attitude-practice theory model in gastric cancer prevention. – Cureus 16(7): 5p.
[16] Keller, H., Chambers, L., Niezgoda, H., Duizer, L. (2012): Issues associated with the use of modified texture foods. – The Journal of Nutrition, Health & Aging 16(3): 195-200.
[17] Kementerian Kesihatan Malaysia (KKM) (2020): Food safety and quality programme. – KKM Web Portal 3p.
[18] Kim, D., Lee, E. (2019): Nutrition care management practices for in-patients with dysphagia in Korean clinical settings. – Clinical Nutrition Research 8(4): 272-283.
[19] Kurosu, A., Affoo, R.H., Hachey, S., Rogus-Pulia, N. (2022): Swallowing, dysphagia, and aspiration pneumonia. – In C. M. Hogue & J. G. Ruiz (Eds.), Oral Health and Aging, Springer 16p.
[20] Kyodo, R., Kudo, T., Horiuchi, A., Sakamoto, T., Shimizu, T. (2020): Pureed diets containing a gelling agent to reduce the risk of aspiration in elderly patients with moderate to severe dysphagia: A randomized, crossover trial. – Medicine 99(31): 5p.
[21] Lai, Y., Lu, W., Mao, H., Zhang, Y., Ming, W.K., Wu, Y. (2021): Knowledge, attitude and practices regarding health self-management among patients with osteogenesis imperfecta in China: an online cross-sectional survey. – BMJ Open 11(9): 9p.
[22] Lam, C.J., Phua, Q.Q., Guo, E.Y., Sia, I.K. (2023): Impact of a moulded pureed diet on taste, appearance, recognisability, and overall liking among patients in an acute hospital. – Frontiers in Nutrition 10: 6p.
[23] Liao, X., Nguyen, T.P.L., Sasaki, N. (2022): Use of the knowledge, attitude, and practice (KAP) model to examine sustainable agriculture in Thailand. – Regional Sustainability 3(1): 41-52.
[24] Luo, C.R., Wei, J.Y., Zhang, X.M. (2022): A multicenter cross-sectional survey of the knowledge, attitudes, and practices of geriatric nurses regarding dysphagia care. – Annals of Palliative Medicine 11(1): 16-25.
[25] Makhunga, S.E., Macherera, M., Hlongwana, K. (2023): Food handlers' knowledge, attitudes and self-reported practices regarding safe food handling in charitable food assistance programmes in the eThekwini District, South Africa: cross-sectional study. – BMJ Open 13(4): 8p.
[26] Mohammed, E.A., Alotaibi, H.A., Alnemari, J.F., Althobiti, M.S., Alotaibi, S.S., Ewis, A.A., K., A.A., Abdelwahab, S.F. (2022): Assessment of Knowledge, Attitude, and Practice towards Tuberculosis among Taif University Students. – Healthcare 11(20): 2p.
[27] Oberiri, D.A. (2017): Quantitative Research Methods: A Synopsis Approach. – Arabian Journal of Business and Management Review (kuwait Chapter) 6(11): 40-47.
[28] Olonite, O.A. (2021): Olonite sampling technique and Taro Yamane sampling method: The paradigm shift. – SSRN Electronic Journal 5p.
[29] Pokhrel, B., Pokhrel, K.P., Chhetri, M.R., Awate, R.V., Sah, N.K. (2015): Knowledge, Attitude and Practice regarding food hygiene among food handlers: A cross sectional study. – Janaki Medical College Journal of Medical Science 3(1): 14-19.
[30] Persatuan Pengusaha & Tenaga Pengajar Sekolah Latihan Pengendali Makanan Malaysia (MySLPM) (2019): Food Handler Training Programme, FSQ MoH explains. – MySLPM Web Portal 10p.
[31] Putri, M.S., Susanna, D. (2021): Food safety knowledge, attitudes, and practices of food handlers at kitchen premises in the Port ‘X’ area, North Jakarta, Indonesia 2018. – Italian Journal of Food Safety 10(4): 8p.
[32] Raheem, D., Carrascosa, C., Ramos, F., Saraiva, A., Raposo, A. (2021): Texture-Modified Food for Dysphagic Patients: A Comprehensive Review. – International Journal of Environmental Research and Public Health 18(10): 24p.
[33] Roberts, H., Lambert, K., Walton, K. (2024): The Prevalence of Dysphagia in Individuals Living in Residential Aged Care Facilities: A Systematic Review and Meta-Analysis. – Healthcare 12(6): 18p.
[34] Saidi, S.S., Siew, N.M. (2019): Investigating the validity and reliability of survey attitude towards statistics instrument among rural secondary school students. – International Journal of Educational Methodology 5(4): 651-661.
[35] Selvanderan, S., Wong, S., Holloway, R., Kuo, P. (2021): Dysphagia: clinical evaluation and management. – Internal Medicine Journal 51(7): 1021-1027.
[36] Setia, M.S. (2016): Methodology series module 3: Cross-sectional studies. – Indian Journal of Dermatology 61(3): 261-264.
[37] Wang, L., Qiao, J., Sun, F., Wei, X., Dou, Z. (2023): Demographic and clinical factors associated with recovery of poststroke dysphagia: A meta‐analysis. – Brain and Behavior 13(6): 12p.
[38] Wu, X.S., Miles, A., Braakhuis, A. (2022a): Attitudes towards Freshly Made and Readily Prepared Texture-Modified Foods among Speech-Language Therapists, Dietitians, and Community-Dwelling Older Adults. – Foods 11(14): 15p.
[39] Wu, X.S., Miles, A., Braakhuis, A. (2022b): The Effectiveness of International Dysphagia Diet Standardization Initiative-Tailored Interventions on Staff Knowledge and Texture-Modified Diet Compliance in Aged Care Facilities: A Pre-Post Study. – Current Developments in Nutrition 6(4): 10p.
[40] Zanin, L.M., Thimoteo da Cunha, D., Vera de Rosso, V., Capriles, V.D., Stedefeldt, E.
[41] (2017): Knowledge, attitudes and practices of food handlers in food safety: An integrative review. – Food Research International 100: 53-62.
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