Tool and Resource Evaluation Template

Adapted by NARI from an evaluation template created by Melbourne Health. Some questions may not be applicable to every tool and resource.
Name and purpose Name of the resource: Short Nutritional Assessment Questionnaire (SNAQ) Author(s) of the resource: H. Kruizenga, J. Seidell, H. de Vet, N. Wierdsma & M. van Bokhurstde van der Schueren Please state why the resource was developed and what gap it proposes to fill: This tool is designed to identify malnourished individuals and individuals at risk of malnutrition. Any health worker can use this screening tool. It is suitable for all adult inpatients excluding maternity and psychiatry. Target audience (the tool is to be used by) Please check all that apply: Health service users Medical staff Carers Nursing staff Any member of an interdisciplinary team

Medical specialist, please specify: Specific allied health staff, please specify: Other, please specify: Target population/setting (to be used on/in) Is the resource targeted for a specific setting? Please check all that apply: Emergency Department Other, please specify: The SNAQ was developed for use in acute adult hospital patients. It has also been validated for use in patients in the outpatient & pre-operative setting. For which particular health service users would you use this resource (e.g. a person with suspected cognitive impairment)? All patients Structure of tool Website Pamphlet Methodology Education package Assessment tool Resource guide Video Screening tool Awareness raising resource (posters etc.) Inpatient acute Inpatient subacute Ambulatory

Other, please specify: Please state the size of the resource (e.g. number of pages, minutes to read): The SNAQ consists of 3 questions and it takes <5 mins to complete. Availability and cost of tool Is the resource readily available? Is there a cost for the resource? Yes Yes No No Unknown Unknown Not applicable Not applicable

Please state how to get the resource: Available at: http://www.nature.com/ejcn/journal/v59/n10/fig_tab/1602222t1.html Applicability to rural settings and culturally and linguistically diverse populations Is the resource suitable for use in rural health services (e.g. the necessary staff are usually available in rural settings)? Yes No Unknown Not applicable Is the resource available in different languages? Yes No Unknown Not applicable

Is the content appropriate for different cultural groups? Yes No Unknown Not applicable Must be able to speak English

Person-centred principles Training requirements

Does the resource adhere to/promote person-centred health care? Yes No Unknown Not applicable

Is additional training necessary to use the resource? Yes No Unknown Not applicable

If applicable, please state how extensive any training is, and what resources are required:

Administration details

How long does the resource take to use?

0-5 mins

5-15 mins

15-25mins

25mins +

Can the resource be used as a standalone, or must it be used in conjunction with other tools, resources, and procedures? Standalone Must be used with other resources, please specify: Score of >2 indicates moderate risk - commence High Energy High Protein diet & mid-meal snacks. Score of >3 indicates severe malnutrition - as above plus referral to dietitian for expert assessment Can be used with other tools, please specify: Data collection and analysis Are additional resources required to collect and analyse data from the resource? Yes No Unknown Not applicable

If applicable, please state any special resources required (e.g. computer software): Sensitivity and specificity Has the sensitivity and specificity of the resource been reported? Yes No Unknown Not applicable If applicable, please state what has been reported: In-patients: Sensitivity 86% (95% CI 77-92), Specificity 89% (95% CI 84-93) 1,4 Out-patients : Sensitivity 67% (95% CI 52-79) , Specificity 98% (95% CI 97-99)3 Face Validity Does the resource appear to meet the intended purpose? Yes No Unknown Not applicable Has the reliability of the resource been reported? Yes No Unknown Not applicable If applicable, please state what has been reported: Inter-rater reliability: Nurse to nurse reported 0.69 (95% CI 0.45-0.94) and Dietitian to Nurse reported 0.91 (95% CI 0.8-1.03). Strengths References and further reading 1. Quick & simple Sensitive & high level of inter-rater reliability Can be used by any health professional Does not require any anthropometrical or biochemical measurements Difficult to use in patients with communication difficulties such as delirium, dementia, hearing impairments or of non English-speaking backgrounds Not specifically designed for older people in the sub-acute population Kruizenga H , Seidell J, de Vet H , Wierdsma N, van Bokhorstde van der Schueren M. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ). Clinical Nutrition 2005; Volume 24, Issue 1: 75 82. Kruizenga HM, Van Tulder MW, Seidell JC, Thijs A, Ader HJ and Van Bokhorst-de van der Schueren MAE. Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. American Journal of Clinical Nutrition 2005; Vol. 82, No. 5:10821089. van Venrooij LMW, de Vos R, Borgmeijer-Hoelen AMMJ., Kruizenga HM, JonkersSchuitema CF, de Mol BAMJ. Quick-and-easy nutritional screening tools to detect disease-related undernutrition in hospital in- and outpatient settings: A systematic review of sensitivity and specificity. The European e-Journal of Clinical Nutrition and Metabolism 2007;Vol. 2, Issue 2: Pages 21-37. Van Veenrooij et al. Quick-and-easy nutritional screening tools to detect disease-related undernutrition in hospital in- and outpatient settings: A systematic review of sensitivity and specificity. Clinical Nutrition 2007; Vol 2: 21-37.

Reliability

Limitations

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