{
  "abstract": "Objectives Hospital food influences experiences and outcomes of care, and optimising nutrition for hospitalised children is universally recognised as important for recovery. While several barriers to oral food intake have been identified, interventions to address them are limited. Our aim was to implement and evaluate a proof-of-concept (PoC) trial of a Food on Demand Delivery Service app in a specialist paediatric hospital.Design PoC trial and evaluation.Setting Specialist children’s hospital.Participants 101 families completed baseline measures; 26 families completed measures during the PoC trial, 18 parents and 11 ward-based staff participated in interviews, and four ward-based staff and four catering staff took part in focus groups.Intervention Following adaptations to an existing web-based Food on Demand Delivery Service app, a PoC trial was undertaken on six inpatient wards during a 4-week period. Data were collected before and following implementation, using quantitative (surveys) and qualitative (focus groups and individual interviews) approaches.Results The Food on Demand Delivery Service was positively evaluated by all stakeholder groups. Challenges were identified, particularly by catering staff in relation to communication and logistics, but overall findings supported upscaling to a hospital-wide roll-out.Conclusion The Food on Demand Delivery Service offers potential for addressing barriers to oral intake for hospitalised children. Challenges will need to be addressed prior to scaling up the project for a hospital-wide roll-out, and several recommendations came from the trial. However, the benefits for children, families and staff were evident and supported further work to enable the Food on Demand Delivery Service to be introduced across the hospital.",
  "authors": [
    {
      "affiliations": [
        "Centre for Outcomes and Experience Research in Children’s Health, Illness and Disability, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK",
        "Data Research, Innovation and Virtual Environments (DRIVE), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"
      ],
      "name": "Jo Wray"
    },
    {
      "affiliations": [
        "Data Research, Innovation and Virtual Environments (DRIVE), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"
      ],
      "name": "Charlotte Bexson"
    },
    {
      "affiliations": [
        "Catering Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"
      ],
      "name": "Rudi Keyser"
    },
    {
      "affiliations": [
        "Data Research, Innovation and Virtual Environments (DRIVE), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"
      ],
      "name": "Paul Gough"
    },
    {
      "affiliations": [
        "Dietetics, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"
      ],
      "name": "Brittany Rothman"
    },
    {
      "affiliations": [
        "Data Research, Innovation and Virtual Environments (DRIVE), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"
      ],
      "name": "Geralyn Oldham"
    },
    {
      "affiliations": [
        "Data Research, Innovation and Virtual Environments (DRIVE), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK",
        "Institute of Cardiovascular Science, University College London, London, UK"
      ],
      "name": "Andrew Taylor"
    }
  ],
  "title": "Food on demand delivery service: from hospitality to hospital – trialling a proof of concept in a specialist children’s hospital",
  "uid": "6ba12be8-2385-57bd-88d1-2260ab32bef0"
}