Implementation Strategies, Nutritional Outcome of Nursing Home Residents
Conditions
Keywords
Implementation, Guidelines, Nutrition, Nursing home
Brief summary
The aim of this study is to examine two implementation strategies (external facilitation and educational outreach visit) when introducing nutritional guidelines in the elderly care setting and to evaluate the results of the implementation by clinical outcome measures of the nursing home residents. The hypothesis is that the residents affected by the external facilitation strategy will stay stable in the measured clinical outcomes, while the residents influenced by the educational outreach visit will deteriorate during the implementation process.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* age of 65 or older * nursing home resident * persons who manage the examination methods (interviews and blood samples)
Exclusion criteria
\- persons in terminal stage of life
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nutritional status | 2 years | Nutritional status is assessed with the Mini Nutritional Assessment-Short Form tool |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional status | 2 years | Functional status is assessed with ADL (Activities in Daily Living) Barthel index. |
| Cognitive status | 2 years | Cognitive status is assessed with Short Portable Mental Status Questionnaire (SPMSQ). |
| Health-related Quality of Life | 2 years | Health-related Quality of Life is assessed with EQ-5D. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Biochemical markers | 2 years | Blood samples are collected for analysis of vitamin D, albumin, CRP (C-reactive protein), insulin-like growth factor 1 (IGF-1), creatinine and cystatin C, which gives biochemical information on the nutritional status, inflammation activity and renal function. |
| Morbidity | 2 years | Morbidity is assessed with Charlson Comorbidity Index (CCI). |
Countries
Sweden