Nutritional Intervention in a Cross-sector Model for the Rehabilitation of Geriatric Patients
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Purpose
Based on an established Follow-home-programme offered at discharge from hospital the aim of this study is to test a model of how nutritional intervention in elderly patients can be systematized and quality assured in the transition between sectors. Furthermore the aim is to demonstrate that this model has a positive effect on the functioning and well-being of the elderly patient.
The purpose of the Follow-home-programme is to facilitate the transition of the elderly patient between hospital and private home in order to follow-up on any medical, nursing- or retraining-related intervention necessary to the rehabilitation of the patient. However this offer does not focus on nutrition in particular. This is a problem as many elderly patients are known to develop a poor nutritional status due to low appetite, disease etc. Our hypothesis is that adding a systematic nutritional focus to the Follow-home intervention programme will promote the rehabilitation of the elderly patient further.
The nutritional intervention in our study will focus on improving energy- and protein intake and we will measure the effect on the patient's functional abilities, quality of life and rate of hospital readmissions. The intervention model will be based on individualized nutritional counselling by a registered dietician in the home of the patient.
| Condition | Intervention |
|---|---|
|
Malnutrition |
Dietary Supplement: Individual nutritional therapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment |
| Official Title: | Effect of Nutritional Intervention in a Cross-sector Model for the Rehabilitation of Undernourished Geriatric Medical Patients: a Randomized Controlled Trial. |
- Hand grip strength [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Functional status [ Time Frame: 12 week ] [ Designated as safety issue: No ]Chair stand, mobility, disability and rehabilitation capacity
- Nutritional status [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]Weight, BMI, energy and protein intake, distribution of protein intake
- Need of social services [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]Home care, home nursing, meals-on-wheels
- Readmissions [ Time Frame: 6 months before and 1½ year after intervention ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | March 2013 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Individual nutritional therapy
Individual nutritional therapy provided by registered dietician by means of three Home-visits
|
Dietary Supplement: Individual nutritional therapy
Individual nutritional therapy provided by registered dietician by means of three Home-visits
|
|
No Intervention: Standard Follow-home programme
Standard Follow-home programme without individual nutritional therapy
|
Detailed Description:
The study is designed as a 12 week randomized, controlled intervention study. The study sample will consist of 80 geriatric patients admitted to a medical ward at Herlev University Hospital in Copenhagen, Denmark. The patients will be equally distributed into the control and the intervention group. The control group will follow the usual follow-home programme. The intervention group will also follow this programme, but will additionally be offered 3 home visits by a registered dietician. Interdisciplinary information exchange will take place through established communication channels eg. patient records, visitations.
Before and after the intervention data on the patient eg. hand-grip strength, nutritional status, dietary intake, functional abilities, well-being and activities of daily living will be gathered.
Eligibility| Ages Eligible for Study: | 70 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Geriatric medical patients
- Age +70 years
- Nutritional risk according to the level 1 screen in Nutritional Risk Screening 2002 (NRS2002)
- Nutritional therapy for at least 3 days and at least in two daily meals during the hospitalization period
- Participation in the standard Follow-home programme
Exclusion Criteria:
- Dementia
- Expected readmissions
- Terminal disease
- Non-danish speaking
- Not able to perform Hand grip test
- Planning weight reducing diet
Contacts and Locations| Contact: Anne Marie Beck, Researcher | +45 38682301 | anne.marie.beck@regionh.dk |
| Denmark | |
| EFFECT, Copenhagen University Hospital at Herlev | Recruiting |
| Herlev, Copenhagen, Denmark, 2730 | |
| Contact: Anne Marie Beck, Researcher +45 38689393 anne.marie.beck@regionh.dk | |
| Principal Investigator: | Christian Bitz, Cand Scient | Copenhagen University Hospital at Herlev |
More Information
No publications provided
| Responsible Party: | Christian Bitz, Head of research, Copenhagen University Hospital at Herlev |
| ClinicalTrials.gov Identifier: | NCT01776762 History of Changes |
| Other Study ID Numbers: | EFFECT.B01.2012 |
| Study First Received: | January 24, 2013 |
| Last Updated: | May 6, 2013 |
| Health Authority: | Denmark: Danish Dataprotection Agency |
Keywords provided by Copenhagen University Hospital at Herlev:
|
Nutrition Rehabilitation Weightloss |
Additional relevant MeSH terms:
|
Food Habits Malnutrition Habits Nutrition Disorders |
ClinicalTrials.gov processed this record on May 19, 2013