BRIEF RESEARCH REPORT article
Front. Health Serv.
Sec. Implementation Science
Volume 5 - 2025 | doi: 10.3389/frhs.2025.1555209
Adoption and Acceptability of a Perioperative Nutrition Program Among Total Joint Arthroplasty Patients
Provisionally accepted
Derek S Yocum1Leila Hammond2Emma Housholder1Néma McGlynn2
Sara Yuriko Oikawa2Adam Cien1Jeffrey D Yergler1*- 1South Bend Orthopaedics, South Bend, United States
- 2Enhanced Medical Nutrition Inc., Toronto, Canada
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Introduction: Perioperative nutrition interventions improve postoperative outcomes after total joint arthroplasty (TJA). Despite this improvement, patient adoption and acceptability of nutrition interventions among orthopaedic patients have never been assessed, even though it is a key factor in patient adherence and practitioner buy-in. To address this knowledge gap, the adoption and acceptability of a 4-week perioperative Nutrition Program was explored. Methods: Patients undergoing TJA at a single orthopaedic clinic in South Bend Indiana, USA, were invited to participate. Eligible patients were informed of the Nutrition Program > two weeks prior to their scheduled surgery. Two weeks postoperatively patients were administered a digital questionnaire that captured their demographic information, whether they purchased the Nutrition Program or not, reasons for non-participation, and acceptability of the Nutrition Program among those that participated based on the theoretical framework of acceptability (TFA). Results: A total of 341 patients were approached of which 208 consented. There were no demographic differences between Nutrition Program participants (105) and non-participants (103). The majority of Nutrition Program
Keywords: Perioperative nutrition, Arthroplasty, Acceptability, Patient optimization, Surgery, Adoption (ideas)
Received: 01 Apr 2025; Accepted: 22 Jul 2025.
Copyright: © 2025 Yocum, Hammond, Housholder, McGlynn, Oikawa, Cien and Yergler. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jeffrey D Yergler, South Bend Orthopaedics, South Bend, United States
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