Priority 13 from the Nutritional Screening and Malnutrition PSP

UNCERTAINTY: How beneficial is the food first approach (meeting dietary needs through ordinary foods & fluids), is it used often enough, does it need promoting more & what advice should the food first message convey? (JLA PSP Priority 13)
Overall ranking 13
JLA question ID 0085/13
Explanatory note Not available for this PSP
Evidence

Kimber K, Gibbs M, Weekes CE, Baldwin C. Supportive interventions for enhancing dietary intake in malnourished or nutritionally at-risk adults: a systematic review of nonrandomised studies. Journal of Human Nutrition & Dietetics. 2015;28(6):517-45.
Health Research Classification System category Generic health relevance
Extra information provided by this PSP
Original uncertainty examples Is food first (not 'standard care') better than ONS regarding experience, satiety, comfort etc. ~ What are the drivers that enable ONS to be prescribed so easily, when it should be Food First? ~ Is food first still the best approach to overcome malnutrition as opposed to starting with oral nutritional supplements. 
Submitted by  3 x healthcare professional
PSP information
PSP unique ID 0085
PSP name Nutritional Screening and Malnutrition
Total number of uncertainties identified by this PSP. 81  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 7 June 2019