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
2018
Journal Article
Accuracy and confidence of allied health assistants administering the subjective global assessment on inpatients in a rural setting: a preliminary feasibility study
Newman, Cristal S., Cornwell, Petrea L., Young, Adrienne M., Ward, Elizabeth C. and Mcerlain, Annmarie L. (2018). Accuracy and confidence of allied health assistants administering the subjective global assessment on inpatients in a rural setting: a preliminary feasibility study. Nutrition and Dietetics, 75 (1), 129-136. doi: 10.1111/1747-0080.12370
2018
Conference Publication
Toward the Older Person Friendly Hospital: barriers and enablers within the Australian context
Young, A., Mudge, A. M., McRae, P., Gray, L., Beattie, E., Graham, F., Whiting, E., Banks, M. and Hubbard, R. (2018). Toward the Older Person Friendly Hospital: barriers and enablers within the Australian context. Annual Scientific Meeting of the American Geriatrics Society (AGS), Orlando, Florida, 3-5 May 2018. Malden, MA, United States: Wiley-Blackwell.
2018
Book Chapter
Institutional interventions to prevent and treat undernutrition
Young, Adrienne (2018). Institutional interventions to prevent and treat undernutrition. Advanced nutrition and dietetics in nutrition support. (pp. 176-183) edited by Mary Hickson and Sara Smith. Hoboken, NJ United States: Wiley Blackwell. doi: 10.1002/9781118993880.ch4.2
2018
Journal Article
The malnutrition screening tool in geriatric rehabilitation: a comparison of validity when completed by health professionals with and without malnutrition screening training has implications for practice
Marshall, Skye, Young, Adrienne and Isenring, Elizabeth (2018). The malnutrition screening tool in geriatric rehabilitation: a comparison of validity when completed by health professionals with and without malnutrition screening training has implications for practice. Journal of the Academy of Nutrition and Dietetics, 118 (1), 118-124. doi: 10.1016/j.jand.2017.03.019
2017
Conference Publication
Exploring food avoidance behaviors in outpatients with inflammatory bowel disease: Who, what, and why?
Marsh, A., Kinneally, J., Lord, A., Young, A., Robertson, T. and Radford-Smith, G. (2017). Exploring food avoidance behaviors in outpatients with inflammatory bowel disease: Who, what, and why?. Unknown, Unknown, Unknown. Richmond, VIC, Australia: Wiley-Blackwell Publishing Asia.
2017
Journal Article
The effectiveness of protected mealtimes in hospital remains unclear
Young, Adrienne (2017). The effectiveness of protected mealtimes in hospital remains unclear. Evidence-Based Nursing, 20 (3), 86-86. doi: 10.1136/eb-2017-102691
2017
Journal Article
Measuring the quality of Hospital Food Services: Development and reliability of a Meal Quality Audit Tool
Banks, Merrilyn, Hannan-Jones, Mary, Ross, Lynda, Buckley, Ann, Ellick, Jennifer and Young, Adrienne (2017). Measuring the quality of Hospital Food Services: Development and reliability of a Meal Quality Audit Tool. Nutrition and Dietetics, 74 (2), 147-157. doi: 10.1111/1747-0080.12341
2017
Journal Article
Role of domiciliary and family carers in individualised nutrition support for older adults living in the community
Marshall, Skye, Agarwal, Ekta, Young, Adrienne and Isenring, Elizabeth (2017). Role of domiciliary and family carers in individualised nutrition support for older adults living in the community. Maturitas, 98, 20-29. doi: 10.1016/j.maturitas.2017.01.004
2017
Journal Article
The nutrition and food-related roles, experiences and support needs of female family carers of malnourished older rehabilitation patients
Marshall, S., Reidlinger, D. P., Young, A. and Isenring, E. (2017). The nutrition and food-related roles, experiences and support needs of female family carers of malnourished older rehabilitation patients. Journal of Human Nutrition and Dietetics, 30 (1), 16-26. doi: 10.1111/jhn.12397
2017
Journal Article
CHERISH (collaboration for hospitalised elders reducing the impact of stays in hospital): protocol for a multi-site improvement program to reduce geriatric syndromes in older inpatients
Mudge, Alison M., Banks, Merrilyn D., Barnett, Adrian G., Blackberry, Irene, Graves, Nicholas, Green, Theresa, Harvey, Gillian, Hubbard, Ruth E., Inouye, Sharon K., Kurrle, Sue, Lim, Kwang, McRae, Prue, Peel, Nancye M., Suna, Jessica and Young, Adrienne M. (2017). CHERISH (collaboration for hospitalised elders reducing the impact of stays in hospital): protocol for a multi-site improvement program to reduce geriatric syndromes in older inpatients. BMC Geriatrics, 17 (1) 11, 11. doi: 10.1186/s12877-016-0399-7
2016
Journal Article
Assisted or protected mealtimes? Exploring the impact of hospital mealtime practices on meal intake
Young, Adrienne, Allia, Amy, Jolliffe, Lisa, de Jersey, Susie, Mudge, Alison, McRae, Prue and Banks, Merrilyn (2016). Assisted or protected mealtimes? Exploring the impact of hospital mealtime practices on meal intake. Journal of Advanced Nursing, 72 (7), 1616-1625. doi: 10.1111/jan.12940
2016
Journal Article
Nutrition screening in geriatric rehabilitation: criterion (concurrent and predictive) validity of the Malnutrition Screening Tool and the MiniNutritional Assessment-Short Form
Marshall, Skye, Young, Adrienne, Bauer, Judith and Isenring, Elizabeth (2016). Nutrition screening in geriatric rehabilitation: criterion (concurrent and predictive) validity of the Malnutrition Screening Tool and the MiniNutritional Assessment-Short Form. Journal of the Academy of Nutrition and Dietetics, 116 (5), 795-801. doi: 10.1016/j.jand.2015.06.012
2015
Journal Article
Solving the wicked problem of hospital malnutrition
Young, Adrienne M. (2015). Solving the wicked problem of hospital malnutrition. Nutrition and Dietetics, 72 (3), 200-204. doi: 10.1111/1747-0080.12217
2015
Journal Article
Malnourished older adults admitted to rehabilitation in rural New South Wales remain malnourished throughout rehabilitation and once discharged back to the community: a prospective cohort study
Marshall, S., Young, A., Bauer, J. and Isenring, E. (2015). Malnourished older adults admitted to rehabilitation in rural New South Wales remain malnourished throughout rehabilitation and once discharged back to the community: a prospective cohort study. Journal of Aging Research and Lifestyle, 1-7. doi: 10.14283/jarcp.2015.72
2015
Journal Article
Malnutrition in geriatric rehabilitation: prevalence, patient outcomes, and criterion validity of the dcored patient-generated subjective global assessment and the mini nutritional assessment
Marshall, Skye, Young, Adrienne, Bauer, Judith and Isenring, Elizabeth (2015). Malnutrition in geriatric rehabilitation: prevalence, patient outcomes, and criterion validity of the dcored patient-generated subjective global assessment and the mini nutritional assessment. Journal of the Academy of Nutrition and Dietetics, 116 (5), 785-794. doi: 10.1016/j.jand.2015.06.013
2015
Journal Article
FROM HOSPITAL TO HOME: LIMITED NUTRITIONAL AND FUNCTIONAL RECOVERY FOR OLDER ADULTS
Young, A. M., Mudge, A. M., Banks, M. D., Rogers, L., Allen, J., Vogler, B. and Isenring, E. (2015). FROM HOSPITAL TO HOME: LIMITED NUTRITIONAL AND FUNCTIONAL RECOVERY FOR OLDER ADULTS. Journal of Frailty & Aging, 4 (2), 69-73. doi: 10.14283/jfa.2015.51
2013
Journal Article
Malnutrition screening tools: Comparison against two validated nutrition assessment methods in older medical inpatients
Young, A.M., Kidston, S., Banks, M.D., Mudge, A.M. and Isenring, E.A. (2013). Malnutrition screening tools: Comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition, 29 (1), 101-106. doi: 10.1016/j.nut.2012.04.007
2012
Journal Article
Encouraging, assisting and time to EAT: improved nutritional intake for older medical patients receiving Protected Mealtimes and/or additional nursing feeding assistance
Young, Adrienne M., Mudge, Alison M., Banks, Merrilyn D., Ross, Lynda J. and Daniels, Lynne (2012). Encouraging, assisting and time to EAT: improved nutritional intake for older medical patients receiving Protected Mealtimes and/or additional nursing feeding assistance. Clinical Nutrition, 32 (4), 543-549. doi: 10.1016/j.clnu.2012.11.009
2011
Journal Article
Helping understand nutritional gaps in the elderly (HUNGER): a prospectivestudy of patient factors associated with inadequate nutritional intake in older medical patients
Mudge, Alison M., Ross, Lynda J., Young, Adrienne M., Isenring, Elizabeth A. and Banks, Merrilyn D. (2011). Helping understand nutritional gaps in the elderly (HUNGER): a prospectivestudy of patient factors associated with inadequate nutritional intake in older medical patients. Clinical Nutrition, 30 (3), 320-325. doi: 10.1016/j.clnu.2010.12.007
2011
Journal Article
Everyone's problem but nobody's job: staff perceptions and explanations for poor nutritional intake in older medical patients
Ross, Lynda J., Mudge, Alison M., Young, Adrienne M. and Banks, Merrilyn (2011). Everyone's problem but nobody's job: staff perceptions and explanations for poor nutritional intake in older medical patients. Nutrition and Dietetics, 68 (1), 41-46. doi: 10.1111/j.1747-0080.2010.01495.x
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
-
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
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Doctor Philosophy
Exploring perspectives on malnutrition communication
Principal Advisor
Other advisors: Dr Jack Bell
-
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
-
Doctor Philosophy
Sustainable career pathways for clinician-scientists in Australian public health
Associate Advisor
Other advisors: Professor Di Eley, Associate Professor Shaun O'Leary
-
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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