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