Rehabilitation, Undernutrition
Conditions
Keywords
meals-on-wheels, home-dwelling older people
Brief summary
The aim of the project is to assess the beneficial effect of offering frail old people a targeted meals-on-wheels service in 8 weeks in a randomized controlled trial
Detailed description
The aim of the project is to assess the beneficial effect of offering frail old people a targeted meals-on-wheels service in 8 weeks in a randomized controlled trial. The target group is, respectively old people discharged from an hospital stay, old people referred for exercise rehabilitation in the municipality and old people already receiving meals-on-wheels
Interventions
OTHERrehabilitating meals-on-wheels service
the meals-on-wheels service will be specifically targeted for old people discharged from hospital, receiving exercise rehabilitation in the municipality or already receiving meals-on-wheels
Sponsors
University of Copenhagen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized study
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 65+ year, * able to speak and understand Danish. * has accepted to participate * Is discharged from hospital, or * is referred to exercise rehabilitation in the municipality or * is receiving meals-on-wheels
Exclusion criteria
* terminal disease, * living in a nursing home, * receives a specific diet (e.g. diabetes, dysphagia, vegetarian or vegan)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EuroQoL (EQ-5D-5l) | change after 8 weeks | (EQ-5D-3L) is a standardized instrument for use as a measure of health outcome. The EQ-5D-5L descriptive system comprises the following 5 dimensions (5D): mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels (5L): from no problems (1 point), to extreme problems (5 points). |
| readmissions | after 30 days | measuring prevalence of hospital admissions within 30 days |
| protein intake | change after 8 weeks | assessment of dietary intake of protein by means of a 24 hour recall |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Meal quality questionnaire | change after 8 weeks | meal quality is assessed on the basis of the Nutrition and Health Education's culinary assessment schedule, which includes seven assessment criteria, as well as supplementary questions about the correspondence between the citizen's expectations and the appearance of the food. The assessment criteria include sensory factors regarding the appearance of the food, fragrance, taste, consistency, temperature, portion size and overall assessment. The criteria are assessed on a Likert scale (1-5), where 1 is defined as very poor and 5 is defined very well. |
| physical function | change after 8 weeks | 30-seconds chair stand |
| adverse events | during the 8 weeks | assessment of adverse events related to the intervention, e..g number of partiicpants with nausea, |
| Compliance | after 8 weeks | assessment of percentage of use of provided meals-on-wheel service |
| Satisfaction with food-related quality of life questionnaire (SWFL) | change after 8 weeks | SWFL consist of five items that can be measured independently, or grouped into a single dimension. The participants evaluate their degree of agreement, with five statements of answer possibilities (from disagree completely to agree completely), and a higher level means a better SWFL score. |
| Food related functional ability questionnaire (scale) | change after 8 weeks | Food-related functional ability is assessed based on questions of ability (or inability) to handle shopping, table coverage, cooking, heating and eating, as well as being able to chew and swallow food without problems and to see, hear, smell and taste food. There are four response categories from 'yes, effortlessly' to 'no, not at all'. In addition, six questions regarding the extent to which the participant can master daily chores regarding today's main meals. There are five response categories from can not at all to to very much . |
Countries
Denmark
Outcome results
None listed