Overview
Background
I am an Advanced Accredited Practicing Dietitian (AdvAPD), and currently hold positions at the Royal Brisbane and Women’s Hospital (Research Coordinator, Nutrition and Dietetics), and University of Queensland (Senior Research Fellow, Centre for Health Services Research).
My research program aims to improve nutrition care in Australian hospitals to prevent avoidable hospital-acquired complications and optimise patient outcomes, particularly for older inpatients. My research program consists of extensive observational research to establish the size and impact of the problem, qualitative research to understand patient, caregiver and staff perspectives and opportunities, and pragmatic implementation research to test, compare and evaluate different models of nutrition care in practice. Through my research, I am to improve care of people accessing health services across the continuum of care, with a particular interest in frailty, preventing delirium and functional decline, and person-centred care.
My research has been of interest nationally and internationally, receiving Research in Practice awards at national Dietitians Australia conferences, Young Achiever Award by the Dietitians Association of Australia in 2014 and New Researcher Award at the International Congress of Dietetics in 2012. My leadership and contribution to the dietetics profession was recently recognised through receiving the prestigious Barbara Chester Memorial Award.
I have an interest and developing expertise in consumer engagement in research and health service improvement, and I am regularly asked to speak on this topic at conferences, forums and panel discussions. I am proud of work I co-led with a health consumer to develop a co-design framework in Metro North Health. This framework is freely available online for anyone to use: https://metronorth.health.qld.gov.au/get-involved/co-design.
I am an implementation scientist and have facilitated workshops on this topic at UQ, QUT, University of Adelaide and Metro North HHS within a team of local and international experts. I was part of the team that developed the Allied Health Translating Research into Practice (AH-TRIP) initiative, which aims to increase knowledge translation capacity for health professionals. https://www.health.qld.gov.au/clinical-practice/database-tools/translating-research-into-practice-trip/translating-research-into-practice.
As a passionate advocate for the training and career pathways for clinician-scientists, I have supervised 3 PhDs to completion, and is currently supervising 6 research higher degree candidates (5 of whom are embedded health professionals within the health system), 4 early career research fellows and nearly 40 dietetics research honours students.
Availability
- Dr Adrienne Young is:
- Available for supervision
- Media expert
Fields of research
Qualifications
- Bachelor (Honours) of Nutrition and Dietetics, Queensland University of Technology
- Doctor of Philosophy of Nutrition and Dietetics, Queensland University of Technology
Research interests
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Improving nutrition in hospitals
Hospitalisation is a time that many people eat poorly, which impacts on their recovery. My research has demonstrated that multidisciplinary interventions implemented at the patient, ward and system level can result in modest improvements in nutritional intake. However, hospital acquired malnutrition remains prevalent (~25% of inpatients), highlighting the need for further work to improve hospital nutrition. Opportunities lie with co-design with patients, families and clinicians, use of routinely collected data to monitor and drive improvements, and defining the value of hospital foodservices to advocate for investment and policy change.
Research impacts
My nutrition and mealtimes research has been cited in 6 international practice guidelines (including National Institute for Health & Care Excellence; European Society for Clinical Nutrition & Metabolism guidelines; Chinese Medical Association) and 12 national and international policy documents (including Ireland's Food, Nutrition and Hydration Policy for Acute Hospitals). These guidelines cite my research as evidence supporting recommendations for multi-disciplinary mealtime care and systems approaches to nutrition and food services.
My research has been translated into practice to significantly change patient care in Queensland hospitals through implementation of the Eat Walk Engage program. I led the development, implementation and evaluation of the Eat component as part of my PhD (and informed by my experience as a clinical dietitian), which was then incorporated with a series of other pilot studies to inform design of Eat Walk Engage. I directly contributed to developing the Eat Walk Engage program logic, implementation strategy and process evaluation using data from my prior studies and my expertise in implementation science. I co-led the implementation and process evaluation of the multi-centre CHERISH trial, the first international trial of a ward-based delirium prevention program (Eat Walk Engage). This trial demonstrated a 40% reduction in the incidence of delirium, and directly informed QH’s investment in the implementation of Eat Walk Engage in 50 wards in 19 metropolitan and regional hospitals from Cairns to the Gold Coast directly impacting care of 40,000 patients every year (recurrent funding: $5M per annum).
Works
Search Professor Adrienne Young’s works on UQ eSpace
Featured
2024
Journal Article
Exploring hospital mealtime experiences of older inpatients, caregivers and staff using photovoice methods
Young, Adrienne M., Byrnes, Angela, Mahoney, Danielle, Power, Gary, Cahill, Margaret, Heaton, Sarah, McRae, Prue, Mudge, Alison and Miller, Evonne (2024). Exploring hospital mealtime experiences of older inpatients, caregivers and staff using photovoice methods. Journal of Clinical Nursing, 33 (5), 1906-1920. doi: 10.1111/jocn.17009
Featured
2024
Journal Article
Incidence and outcomes of in-hospital nutritional decline: a prospective observational cohort study in adult patients
Botero, Liliana, Banks, Merrilyn D., Gordon, Emily H., Bauer, Judy and Young, Adrienne M. (2024). Incidence and outcomes of in-hospital nutritional decline: a prospective observational cohort study in adult patients. Clinical Nutrition, 43 (5), 1057-1064. doi: 10.1016/j.clnu.2024.03.014
Featured
2023
Journal Article
Developing and validating a novel staff questionnaire to identify barriers and enablers to nutrition and mealtime care on hospital wards
Young, Adrienne, Kozica‐Olenski, Samantha, Mallen, Kimberley, McRae, Prue, Treleaven, Elise, Walsh, Zoe and Mudge, Alison (2023). Developing and validating a novel staff questionnaire to identify barriers and enablers to nutrition and mealtime care on hospital wards. Nutrition and Dietetics, 80 (4), 389-398. doi: 10.1111/1747-0080.12815
Featured
2023
Journal Article
Developing a knowledge translation program for health practitioners: Allied Health Translating Research into Practice
Young, Adrienne M., Cameron, Ashley, Meloncelli, Nina, Barrimore, Sally E., Campbell, Katrina, Wilkinson, Shelley, McBride, Liza-Jane, Barnes, Rhiannon, Bennett, Sally, Harvey, Gillian and Hickman, Ingrid (2023). Developing a knowledge translation program for health practitioners: Allied Health Translating Research into Practice. Frontiers in Health Services, 3 1103997, 1103997. doi: 10.3389/frhs.2023.1103997
2024
Journal Article
Harnessing delegation and technology to identify and manage malnutrition in a digital hospital: An implementation study
Ellick, Jennifer, McCoy, Simone, Olufson, Hannah, Adams, Amanda, Banks, Merrilyn and Young, Adrienne (2024). Harnessing delegation and technology to identify and manage malnutrition in a digital hospital: An implementation study. Nutrition & Dietetics. doi: 10.1111/1747-0080.12913
2024
Journal Article
The perception and understanding of the terminology used to describe malnutrition from the perspective of patients and health workers: A meta-synthesis of qualitative studies
Mackay, Sarah, Rushton, Alita, Bell, Jack and Young, Adrienne (2024). The perception and understanding of the terminology used to describe malnutrition from the perspective of patients and health workers: A meta-synthesis of qualitative studies. Journal of the Academy of Nutrition and Dietetics. doi: 10.1016/j.jand.2024.10.024
2024
Journal Article
The Australian Frailty Network: Development of a consumer‐focussed national response to frailty
Reid, Natasha, Young, Adrienne, Baldassar, Loretta, Christoffersen, Anja, Comans, Tracy, Conroy, Simon, Etherton‐Beer, Christopher, Ferris, Jason, Singh, Maria Fiatarone, Fox, Sarah, Gordon, Emily H., Ghosh, Manonita, Guha, Chandana, Hilmer, Sarah, Kouladjian O’Donnell, Lisa, Logan, Benignus, Ludlow, Kristiana, Miller, Michelle, Morgan, Mark, Mudge, Alison, Muscedere, John, Reidlinger, Donna, Rockwood, Kenneth, Saunders, Rosemary, Ward, David, Yates, Paul and Hubbard, Ruth E. (2024). The Australian Frailty Network: Development of a consumer‐focussed national response to frailty. Australasian Journal on Ageing. doi: 10.1111/ajag.13365
2024
Journal Article
Letter to the editor: In-hospital nutritional decline: A call for action and future research
Botero, Liliana, Banks, Merrilyn D., Gordon, Emily H., Bauer, Judy and Young, Adrienne M. (2024). Letter to the editor: In-hospital nutritional decline: A call for action and future research. Clinical Nutrition, 43 (9), 2119-2121. doi: 10.1016/j.clnu.2024.07.045
2024
Journal Article
Self-Determination, Optimism, Social Support, Knowledge and Skills Have a Positive Influence on the Oral Intake of Long-Stay Acute Patients: A qualitative Study
Botero, Liliana, Banks, Merrilyn D., Bauer, Judy and Young, Adrienne M. (2024). Self-Determination, Optimism, Social Support, Knowledge and Skills Have a Positive Influence on the Oral Intake of Long-Stay Acute Patients: A qualitative Study. Journal of the Academy of Nutrition and Dietetics. doi: 10.1016/j.jand.2024.09.011
2024
Journal Article
Who is the frail consumer and how do we reach them? Engaging consumers in frailty research
Young, Adrienne, Christoffersen, Anja and Rockwood, Kenneth (2024). Who is the frail consumer and how do we reach them? Engaging consumers in frailty research. Australasian journal on ageing, 43 (2), 231-233. doi: 10.1111/ajag.13342
2024
Journal Article
Exploring adult inpatients' perceptions, understanding and preferences regarding the term ‘malnutrition’: A qualitative study
Mackay, Sarah, Botero, Liliana, Bell, Jack and Young, Adrienne (2024). Exploring adult inpatients' perceptions, understanding and preferences regarding the term ‘malnutrition’: A qualitative study. Journal of Clinical Nursing, 33 (8), 3236-3246. doi: 10.1111/jocn.17175
2024
Journal Article
Sustainability of enhanced recovery after surgery programmes in gastrointestinal surgery: a scoping review
Byrnes, Angela, Flynn, Rachel, Watt, Amanda, Barrimore, Sally and Young, Adrienne (2024). Sustainability of enhanced recovery after surgery programmes in gastrointestinal surgery: a scoping review. Journal of Evaluation in Clinical Practice, 30 (2), 217-233. doi: 10.1111/jep.13935
2024
Journal Article
Mealtimes matter: Measuring the hospital mealtime environment and care practices to identify opportunities for multidisciplinary improvement
Treleaven, Elise, Matthews‐Rensch, Kylie, Garcia, Dwayne, Mudge, Alison, Banks, Merrilyn and Young, Adrienne M. (2024). Mealtimes matter: Measuring the hospital mealtime environment and care practices to identify opportunities for multidisciplinary improvement. Nutrition and Dietetics, 81 (4), 436-443. doi: 10.1111/1747-0080.12863
2023
Conference Publication
How many acute inpatients become malnourished in hospital? A prospective observational study
Botero, L., Banks, M., Bauer, J. and Young, A. (2023). How many acute inpatients become malnourished in hospital? A prospective observational study. 45th ESPEN Congress 2023, Lyon, France, 11-14 September 2023. Amsterdam, Netherlands: Elsevier. doi: 10.1016/j.clnesp.2023.09.697
2023
Journal Article
Partnering with consumers to co-design a person-centred coding framework for qualitative patient experience data
Pateman, Kelsey Ann, Christoffersen, Anja, Hanly-Platz, Aideen, Williams, Cory, Heffernan, Danielle, Alexander, Alison, Ryan, Elizabeth, Petrie, Christine, Banks, Merrilyn and Young, Adrienne (2023). Partnering with consumers to co-design a person-centred coding framework for qualitative patient experience data. Patient Education and Counseling, 116 107938, 1-6. doi: 10.1016/j.pec.2023.107938
2023
Journal Article
Enhancing or impeding? The influence of digital systems on interprofessional practice and person‐centred care in nutrition care systems across rehabilitation units
Olufson, Hannah T., Ottrey, Ella, Green, Theresa L. and Young, Adrienne M. (2023). Enhancing or impeding? The influence of digital systems on interprofessional practice and person‐centred care in nutrition care systems across rehabilitation units. Nutrition and Dietetics, 81 (5), 552-562. doi: 10.1111/1747-0080.12846
2023
Journal Article
Putting guidelines into practice: Is frailty measurement at the time of kidney transplant eligibility assessment valid, feasible, and acceptable to patients?
Weerasekera, Shavini, Reid, Natasha, Young, Adrienne, Homes, Ryan, Sia, Aaron, Giddens, Fiona, Francis, Ross S., Hubbard, Ruth E. and Gordon, Emily H. (2023). Putting guidelines into practice: Is frailty measurement at the time of kidney transplant eligibility assessment valid, feasible, and acceptable to patients?. Transplantation Direct, 9 (11) e1548, 1-8. doi: 10.1097/txd.0000000000001548
2023
Conference Publication
Measurement of environmental factors affecting sleep within rehabilitation wards, sub-acute care wards, and aged care facilities: a scoping review
Dunstan, O., Shafiee Hanjani, L., Young, A., Ellender, C., Hoang, T. and Hubbard, R. (2023). Measurement of environmental factors affecting sleep within rehabilitation wards, sub-acute care wards, and aged care facilities: a scoping review. Sleep DownUnder 2023, Adelaide, SA Australia, 8-11 November 2023. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/sleepadvances/zpad035.171
2023
Journal Article
An ethnographic study exploring person-centred nutrition care in rehabilitation units
Olufson, Hannah T., Ottrey, Ella, Young, Adrienne M. and Green, Theresa L. (2023). An ethnographic study exploring person-centred nutrition care in rehabilitation units. Disability and Rehabilitation, 46 (16), 1-9. doi: 10.1080/09638288.2023.2254230
2023
Conference Publication
Implementing a ward-based programme to improve care for older inpatients: process evaluation of the cluster randomised CHERISH trial
Mudge, Alison, Mcrae, Prue, Young, Adrienne, Blackberry, Irene, Lee-Steere, Karen, Barrimore, Sally, Quirke, Tara and Harvey, Gillian (2023). Implementing a ward-based programme to improve care for older inpatients: process evaluation of the cluster randomised CHERISH trial. 2nd Implementation Science Health Conference Australia, Sydney, Australia, 23-24 March 2023. London, United Kingdom: BioMed Central.
Funding
Current funding
Past funding
Supervision
Availability
- Dr Adrienne Young is:
- Available for supervision
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Available projects
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Engaging consumers in frailty and ageing research
This PhD project is part of a Dementia, Ageing and Aged Care Mission Program that aims to partner with consumers to deliver a national response to frailty. Frailty is the most significant challenge to ‘ageing well’ in Australia. There are evidence-based interventions to slow the progression of frailty and reduce frailty. However, intervention programs are not routinely available as there are barriers to access and implementation in health systems.
This PhD project may explore:
- best practice methods for engaging consumers (older people and carers) in frailty and ageing research
- evaluation of consumer engagement within existing frailty and ageing research trials
- development of a consumer engagement model for a national clinical/research network.
The PhD candidate will have the opportunity to develop skills in qualitative research methods, consumer engagement and co-design. The candidate would be supported by experts in health consumer engagement and co-design.
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Implementation of A Digital Frailty Index for Acute Care Settings in Queensland
This PhD project is part of a NHMRC-funded Partnership Project with Queensland Health that aims to develop and integrate a digital frailty index into hospital systems to enable frailty-informed decision-making about treatments and care options.
Frailty identifies patients at greatest risk of multiple adverse outcomes, including longer inpatient stay, hospital-acquired complications, and death. Health care systems are currently designed to meet the needs of patients with acute, single-system problems, and many frail patients of all ages receive invasive treatments from which they cannot recover. Specialists are basing their decision-making on their technical expertise rather than on an understanding of the frailty status of patients and how that impacts the risks and benefits of interventions
This PhD project may involve:
- Evaluating how the Digital Frailty Index is used in practice and how it changes treatment decisions and conversations;
- Exploring patient and caregiver perspectives about the Digital Frailty Index;
- Testing different strategies to improve the uptake and use of the Digital Frailty Index in practice; and/or
- Understanding barriers and enablers to implementing the Digital Frailty Index in practice to guide future statewide/national implementation.
This PhD will directly impact on care of older people in hospital and will inform the future implementation of the Digital Frailty Index at a state and national level.
The PhD candidate will have the opportunity to develop skills in quantitative and qualitative research methods, statistics, health informatics, implementation science and health system improvement. The candidate will be supported by experts in implementation science, ageing and geriatric medicine, statistics, digital health, and health system development.
Supervision history
Current supervision
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Doctor Philosophy
An embedded process evaluation of the FITTEST trial
Principal Advisor
Other advisors: Professor Genevieve Healy, Dr Natasha Reid
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Doctor Philosophy
Changes in Nutritional Status and Associated Risk Factors and Outcomes of In-Hospital Nutritional Decline in Adult Long-Stay Acute Patients
Principal Advisor
-
Doctor Philosophy
Incidence, risk factors and health outcomes of Hospital Acquired Malnutrition
Principal Advisor
-
Doctor Philosophy
Exploring perspectives on malnutrition communication
Principal Advisor
Other advisors: Dr Jack Bell
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Doctor Philosophy
Exploring the Therapeutic Value of Mealtimes in Rehabilitation
Associate Advisor
Other advisors: Dr Emmah Doig, Dr Olivia Wright
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Doctor Philosophy
Investigating the Nutritional Needs of a Rehabilitation Population
Associate Advisor
Other advisors: Dr Emmah Doig, Dr Olivia Wright
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Doctor Philosophy
Understanding current and optimal models of nutrition care for women diagnosed with early stage and metastatic breast cancer
Associate Advisor
Other advisors: Professor Marina Reeves
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Doctor Philosophy
Understanding current and optimal models of nutrition care for women diagnosed with early stage and metastatic breast cancer
Associate Advisor
Other advisors: Professor Marina Reeves
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Doctor Philosophy
Process evaluation of the electronic Frailty Index for Acute Hospital (eFI-AH) implementation and co-design of consumer frailty resources.
Associate Advisor
Other advisors: Dr Natasha Reid, Professor Monika Janda, Dr Kristiana Ludlow
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Doctor Philosophy
Sustainable career pathways for clinician-scientists in Australian public health
Associate Advisor
Other advisors: Professor Di Eley, Associate Professor Shaun O'Leary
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Doctor Philosophy
Sustainable career pathways for clinician-scientists in Australian public health
Associate Advisor
Other advisors: Professor Di Eley, Associate Professor Shaun O'Leary
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Doctor Philosophy
Exploring the delivery of person-centred nutrition care in subacute rehabilitation units
Associate Advisor
Other advisors: Honorary Professor Theresa Green
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Master Philosophy
Sleepless in the geriatric rehabilitation unit?
Associate Advisor
Other advisors: Professor Ruth Hubbard, Dr Claire Ellender
Completed supervision
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2024
Doctor Philosophy
Exploring the delivery of person-centred nutrition care in subacute rehabilitation units
Associate Advisor
Other advisors: Honorary Professor Theresa Green
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2023
Doctor Philosophy
Patient and carer experience of nutrition care throughout and beyond treatment for head and neck cancer
Associate Advisor
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2019
Doctor Philosophy
Investigating the nutritional status and care of older (65 years or over) general surgical patients: A multiphase, action research study
Associate Advisor
Other advisors: Professor Alison Mudge
Media
Enquiries
Contact Dr Adrienne Young directly for media enquiries about:
- malnutrition
- nutrition
- older adults
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