Codesigned framework for maximising the therapeutic value of rehabilitation mealtimes

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Authors: Alice Pashley, Adrienne Young, Emmah Doig, Meredith Fay, Rachel Levine, Janette Moore, Dale Trevor, Olivia Rl Wright
Cited by: 0
References: 59

Abstract

PURPOSE: To co-design a framework to maximise the therapeutic value of mealtimes with rehabilitation consumers and staff. METHOD: = 5) utilising Values-Focused Thinking processes. The framework was developed by generating objectives important for delivering a therapeutic mealtime experience, categorised as fundamental (i.e., those that are important in and of themselves) or means (i.e., those that are important for achieving the fundamental objectives). Participants generated objectives based on personal experiences and through synthesising previous research. RESULTS: Four fundamental objectives were identified: 'provide holistic, practical, caring, and safe experiences', 'share ownership of mealtime imperatives', 'maximise all possible outcomes', and 'enhance rehabilitation'. A total of twenty-three means objectives were identified to support achievement of the fundamental objectives. Five means objectives were linked to all fundamental objectives: 'enable access', 'obtain feedback and monitor', 'identify needs', 'plan the mealtime', and 'provide information'. CONCLUSION: This study provides a novel and co-designed framework to support maximising the therapeutic value of mealtimes, based on the values and priorities determined by consumers and staff. Future research should involve utilising the framework in practice and develop guidance for its use.

Fields of Study & Subjects

Nutrition and Health in Aging Cerebral Palsy and Movement Disorders Dysphagia Assessment and Management

Publication details

Journal / source
Disability and Rehabilitation
Publisher
Informa UK Limited
Volume
48
Issue
11
Pages
3544–3561
Publication date
1 January 2026
Language
EN