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Change in food and drink provision in homes for the elderly: effects on health and wellbeing

Effects of changes in food and drink provision on the health, wellbeing and nutritional status of elderly care home residents: a cluster-controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN86057119
Enrollment
120
Registered
2008-07-18
Start date
2006-06-25
Completion date
Unknown
Last updated
2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health and wellbeing Not Applicable

Interventions

The aim was to recruit 120 participants to this trial
given that three homes were changing their food and drink provision we aimed to recruit as many residents within those homes, and the three control homes as we could. The changes in food and drink pr

Sponsors

University of East Anglia (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

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

MeasureTime 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

MeasureTime 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

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026