Nutrition, Oral Health
Conditions
Keywords
Home care clients, nutrition, oral health, medication
Brief summary
The aim of the study is to evaluate the impact of six month long nutritional and oral health intervention on nutritional status, oral health, functional performance and hospital admission/costs on older persons using home care services. Additionally, participants are interviewed at home regarding their drugs use and this information will be compared with medication information in electronic patient records.
Interventions
OTHERNutrition and oral health interventions
On the basis of a blood test, Mini Nutritional Assessment, and nutritional anamnesis, the nutritionist developed a plan for individualised nutritional care and discussed with the participant and her/his nurse or family members. If the participants seemed unable to increase the energy and/or protein of their diet, daily complementary dietary drinks were recommended to them. After the dental hygienist interview and oral health examination, the participants in need were targeted for oral health intervention. The intervention included individualised instructions on either dental hygiene, denture hygiene, cleaning of the oral mucosa or for dry mouth. The participants were re-examined six months after the baseline interviews to evaluate the effectiveness of the interventions. Both the intervention and control groups had the same examinations as with the exception of the nutritional and oral health intervention.
Sponsors
University of Eastern Finland
Study design
Allocation
NON_RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* home care clients
Exclusion criteria
* under 75 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in nutritional status on the Mini Nutritional Assessment (MNA) test and s-albumin level at months 6 | Baseline, Month 6 | Using MNA test and s-albumin level test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in oral health status on clinical oral health examination and in-home interview at months 6 | Baseline, Month 6 | Clinical oral health examination included type and location of removable dental prosthesis, examination of the oral mucosa, number and location of teeth, condition of teeth, presence of plaque, gingival bleeding and measurement of periodontal pockets. In-home interview included questions about dental and denture hygiene, a subjective feeling of dry mouth and pain in mouth |
Other
| Measure | Time frame | Description |
|---|---|---|
| The agreement between medication in-home interview and EMR in baseline | baseline | A pharmacist recorded each prescription and non-prescription medication and complementary and alternative medicine supplements used regularly, as-needed within a week or in the past on the basis of the interview, medication lists, packages and prescriptions at the baseline. All medications were encoded using the ATC (Anatomic Therapeutic Chemical) classification (WHO). The medication list from the locally used electronic medical record (EMR) was gathered from the same day than in-home interview |
Outcome results
None listed