Aging, Undernutrition
Conditions
Keywords
Ehealth, Older adults, Undernutrition
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 effect study are to test the feasibility and effectiveness of telemonitoring of nutritional parameters in community-dwelling older adults.
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 * Living in a sheltered home or service flat
Exclusion criteria
* Severe cognitive impairment (Mini Mental State Examination (MMSE) \< 20) * Receiving terminal care * 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 |
|---|---|---|
| Nutritional status (MNA) | 6 months | Measured by Mini Nutritional Assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Behavioural determinant: Knowledge | 6 months | Measured with 11 knowledge statements to be answered by true/false/don't know |
| Behavioural determinant: Intention to eat healthy | 6 months | Measured by three items to be answered on a 5 point likert scale on a 5-point likert scale. |
| Behavioural determinant: Intention to improve physical activity | 6 months | Measured by three items to be answered on a 5 point likert scale on a 5-point likert scale. |
| Behavioural determinant: Self efficacy | 6 months | Measured by two items to be answered on a 5 point likert scale on a 5-point likert scale. |
| Behavioural determinant: Perceived behavioural control | 6 months | Measured by five items to be answered on a 5 point likert scale on a 5-point likert scale. |
| Behavioural determinants: Attitude | 6 months | Measured by 14 items to be answered on a 5 point likert scale |
| Behavioural determinant: Goalsetting | 6 months | Measured by three items to be answered on a 5 point likert scale on a 5-point likert scale. |
| Appetite (SNAQ) | 6 months | Measured by Simplified Nutritional Appetite Questionnaire |
| Body weight (kg) | 6 months | Measured by weighing scale of the brand A&D, type UC-411PBT-C |
| Physical functioning (SPPB) | 6 months | Measured by Short Physical Performance Battery (SPPB) |
| Functional status (KATZ-15) | 6 months | Measured by KATZ-15 |
| Quality of life (SF-36) | 6 months | Measured by Short-Form 36 |
| Diet quality (DHD-index) | 6 months | Measured by Dutch Healthy Diet index (DHD-index) |
Countries
Netherlands