Protein care energy malnutrition (PEM) within elderly care home residents Nutritional, Metabolic, Endocrine
Conditions
Interventions
Dietetic-led intervention arms: Dietitians currently use both food-based intervention and ONS intervention as treatment options for malnutrition within the care home setting.
1. Diete
Sponsors
Heart of England NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Local care home that has received dietitian training. All care home residents that require dietary intervention for malnutrition will receive the randomly allocated dietary plan, provided they meet the following criteria: 1. With/at risk of Disease related malnutrition using the Malnutrition Universal Screening Tool (MUST) 2. Able to eat and drink 3. Registered with a Solihull GP and subsequently eligible for the provision of healthcare services provided by the Heart of England NHS foundation Trust (HEFT)
Exclusion criteria
Exclusion criteria: Residents will not receive the randomly allocated dietary plan if they: 1. Currently receive (or are likely to receive in the next 6 months) tube or parenteral nutrition 2. Currently receive nutrition support in the form of individualised dietetic advice or prescribed ONS 3. Have a known eating disorder or illness, which requires a therapeutic diet incompatible with fortification and/or supplementation. This may include but is not limited to, Galactosemia or known lactose intolerance, chronic renal disease requiring dialysis, poorly controlled diabetes, in receipt of active cancer treatment, or liver failure 4. Are on an end-of-life care pathway
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The outcome measures collected within usual monitoring, such as change in energy intake and anthropometric parameters (weight, BMI, handgrip strength and MAMC) will continue to be collected for all residents with, or at risk of malnutrition that are placed onto a dietary plan. 2. A healthcare resource-usage questionnaire will be trialled by care home staff within this study to inform the development of a malnutrition specific instrument for the future trial. 3. For residents who have the capacity to consent to join the study, additional outcome measures will be collected, including: participant-reported quality of life (CO-OP Charts), health state (EQ-5D questionnaire), and participant rated appetite and dietary satisfaction (VAS tool). | — |
Secondary
| Measure | Time frame |
|---|---|
| Interviews with a sample of residents and focus groups with care home staff will complement the quantitative data collection by further exploring the feasibility and acceptability of the study design. | — |
Countries
United Kingdom
Outcome results
None listed