Aging, Undernutrition
Conditions
Keywords
Ehealth, Older adults, Undernutrition, Feasibility study
Brief summary
An optimal nutritional status is essential for healthy ageing. Telemonitoring might contribute to maintaining or improving nutritional status in elderly people.The objectives of this pilot study are to test the feasibility, acceptability and implementation fidelity of telemonitoring of nutritional parameters in community-dwelling older adults; to test the study procedures for effect evaluation; and to determine the likelihood of achieving desired impact on the primary and secondary outcomes.
Interventions
Participants receive a weighing scale, pedometer and television channel in order to perform self-measurements and receive guidance on nutrition and physical activity. Nurses use a website in order to receive telemonitoring measurements and decide about proper follow-up. In case of risk of undernutrition, nurses provide personal advice to optimize nutritional status of the participant.
Sponsors
Study design
Eligibility
Inclusion criteria
Having a care referral for at least one of the following types of care: * Domestic care * Personal care * Nursing care * Individual or group support
Exclusion criteria
* Severe cognitive impairment (Mini Mental State Examination (MMSE) \< 20) * Receiving terminal care * Expected length of receiving home care \< three months * Not having a television at home * Clients with a visual impairment (not able to watch the television screen) * Clients with a physical impairment in such a way, that they are not able to use the telemonitoring system * Clients with nursing home care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility (qualitative outcome) | 12 weeks | Qualitative outcome, measured using the process indicators acceptability, implementation, dose received, applicability. Data on these process indicators are collected using logbooks, semi-structured interviews, and questionnaires with items to be answered on a 5-point likert scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diet quality (DHD-index) | 12 weeks | Measured by Dutch Healthy Diet index (DHD-index) |
| Nutritional status (MNA) | 12 weeks | Measured by Mini Nutritional Assessment |
| Appetite (SNAQ) | 12 weeks | Measured by Simplified Nutritional Appetite Questionnaire |
| Behavioural determinants | 12 weeks | Measured by a self-developed questionnaire with statements concerning nutrition and physical activity to be answered on a 5-point likert scale. |
| Physical functioning (SPPB) | 12 weeks | Measured by Short Physical Performance Battery (SPPB) |
| Functional status (KATZ-15) | 12 weeks | Measured by KATZ-15 |
| Quality of life (SF-36) | 12 weeks | Measured by Short-Form 36 |
| Body weight (kg) | 12 weeks | Measured by weighing scale of the brand A&D, type UC-411PBT-C |
Countries
Netherlands