Oral nutritional supplement compliance among hospitalized cancer patients: a cross-sectional study based on the KAP model.

The average KAP scores for ONS compliance among hospitalized cancer patients were moderate across all three dimensions.

• The average score for knowledge was 38.61 ± 7.21
• The average score for attitudes was 25.36 ± 3.48
• The average score for practices was 38.39 ± 6.22
• The study included 127 hospitalized cancer patients at a tertiary hospital in Taizhou, China

Adverse effects, knowledge, and social support were all significantly associated with ONS compliance practices.

• Adverse effects were significantly associated with practices (β = 2.85, P = 0.03)
• Knowledge was significantly associated with practices (β = 0.24, P = 0.01)
• Social support was significantly associated with practices (β = 0.11, P = 0.01)
• These associations were identified through multiple linear regression analysis

Educational level, social support, patient satisfaction, attitudes towards ONS, and family financial burden were associated with ONS knowledge.

• Multiple linear regression analysis identified these five factors as significant predictors of the knowledge dimension
• Educational level was among the sociodemographic factors associated with knowledge
• Family financial burden was identified as a determinant of knowledge scores
• Patient satisfaction with care was also significantly linked to knowledge

Self-efficacy, knowledge, and family accompaniment during hospitalization were associated with positive attitudes toward ONS.

• Self-efficacy was measured using the General Self-Efficacy Scale (GSES)
• Family accompaniment during hospitalization was a significant factor in the attitudes dimension
• Knowledge scores were positively associated with attitudes, suggesting a knowledge-attitude pathway
• These associations were identified through multiple linear regression analysis

The study used the KAP (Knowledge, Attitudes, and Practices) model framework to assess ONS compliance determinants in 127 hospitalized cancer patients.

• An online questionnaire was administered during face-to-face interviews at a tertiary hospital in Taizhou, China
• The questionnaire included sociodemographic information, an ONS compliance assessment scale, and cancer-related variables
• Self-efficacy was assessed using the General Self-Efficacy Scale (GSES), quality of life with EuroQol Five-Dimensional Scale (EQ-5D), and social support with the Perceived Social Support Scale (PSSS)
• Statistical analyses included independent sample t-tests, one-way ANOVA, Pearson's correlation analyses, and multiple linear regression analyses
• Of the 132 patients initially recruited, 127 were ultimately included in the study