Health and wellbeing Not Applicable
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Any residents (either sex) of the six care homes were eligible to participate if they gave informed consent. Residents could choose to consent to any or all of the following parts of the study: 1. Allowing researchers access to their routinely collected data (from a variety of sources, collectively referred to as 'care notes') 2. Participating in an interview 3. Providing a fasting blood sample Home managers were approached to check whether any residents would be unable to provide informed consent due to impaired cognition - for such residents relatives were asked for informed consent (blood tests were not requested of such residents or their relatives). Where a relative provided informed consent an interview was only undertaken where the resident appeared quite happy and relaxed during the process - where this was not the case the interview was immediately terminated.
Exclusion criteria
Exclusion criteria: 1. Residents did not want to participate 2. Visiting the home for a short stay only 3. Where appropriate written informed consent was not obtained (as above)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes were falls - both numbers of residents falling, and number of falls per resident. All outcomes were assessed at baseline (just before the change of food and drink provision in intervention homes) and at one year following that change over. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Satisfaction with meals (questionnaire, with five options) 2. Body weight (body mass index [BMI] was calculated and both weight and BMI were followed) 3. Dehydration (single observation of the tongue by a trained nurse) 4. Cognitive functioning (Mini-Mental State Exam [MMSE], score out of 30, lower score indicating more cognitive impairment) 5. Depression (Hospital Anxiety and Depression Score [HADS], score 0 - 21 for depression, score of 8 or more signified risk of depression) 6. Haemoglobin (g/dl, with less than 12.0 g/dl signifying anaemia) 7. Cholesterol levels (serum total cholesterol in mmol/L, with those with high or low values seen to be 'at risk') All of the outcomes except body weight were assessed at baseline (just before the change of food and drink provision in intervention homes) and at one year following that change over. Body weight was taken from routinely collected data within the homes, and was collected over the year before and the year after the change. | — |
Countries
United Kingdom