Caries,Dental, Dentures, Gingival Diseases, Nutrition Disorders in Old Age, Oral Mucositis, Plaque, Dental, Tooth Diseases
Conditions
Keywords
Nutrition, Oral health, Care givers, Home care clients, Quality of life
Brief summary
The LENTO study sample includes the caregivers and their clients living in eastern Finland. The aims of this study are 1. to study the nutritional status, oral health, coping, functional capacity and quality of life 2. to find out how individual nutrition and oral health counseling received for caregivers affect on the nutritional status and oral health of caregivers and their clients 3. develop an operating model to maintain good nutrition and oral health.
Detailed description
In Finland, the aim is to reduce the institutional care of older people and caring them in their own homes. The goal of shifting the focus of services to open services is difficult to implement if the health of the caregivers is inadequate. In order to achieve this goal, it is important to influence the health and performance of caregivers. Information is needed to support this, among others, about how the nutrition and oral health of caregivers can be promoted and to what extent this affects the performance and quality of life of their clients. A randomly of 220 caregivers over 65 years old and their clients is selected for this study. The caregivers are randomized to either treatment or control groups. At the beginning of the study is estimated the nutritional status and oral health of the caregivers. Based on the results, the nutritionist and dental hygienist give individual advice to optimize the nutrition and oral health of the caregivers in the intervention group. After six months, the same measurements are made as at the beginning of the study. Monitoring measurements will be made one year after the start of the intervention. The results of this project provide information on the health, well-being, and ability to the function of the caregivers. Based on the results, is developed an operating model that is intended to be wide as use as possible. Improving the nutrition and oral health of caregivers has a significant impact on their own and their clients health and well-being as well as the long-term care costs presumably.
Interventions
OTHERNutrition and oral health intervention
The interventions included individualised nutrition and oral health care.
Sponsors
Kuopio University Hospital
University of Eastern Finland
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* caregivers who have a caregiver´s contract valid on 1 January 2019 * care recipients living at home
Exclusion criteria
* in terminal care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subjective feeling of dry mouth and pain in mouth | Baseline and 6 months and (12 months follow-up visit) | Change in subjective feeling of dry mouth and pain in mouth |
| Number and location of teeth | Baseline and 6 months and (12 months follow-up visit) | Change in number and location of teeth |
| Type and location of removable dental prosthesis | Baseline and 6 months and (12 months follow-up visit) | Change in type and location of removable dental prosthesis |
| Oral mucosa | Baseline and 6 months and (12 months follow-up visit) | Change in oral mucosa |
| Condition of teeth | Baseline and 6 months and (12 months follow-up visit) | Change in condition of teeth |
| Presence of plaque | Baseline and 6 months and (12 months follow-up visit) | Change in presence of plaque |
| Gingival bleeding and measurement of periodontal pockets | Baseline and 6 months and (12 months follow-up visit) | Change in gingival bleeding and measurement of periodontal pockets |
| Dental and denture hygiene | Baseline and 6 months and (12 months follow-up visit) | Change dental and denture hygiene |
| Nutritional status | Baseline and 6 months and (12 months follow-up visit) | Change in MNA scores |
| Albumin | Baseline and 6 months and (12 months follow-up visit) | Change in plasma albumin concentration |
| Prealbumin | Baseline and 6 months and (12 months follow-up visit) | Change in plasma prealbumin concentration |
| Body mass index (kg/m2) | Baseline and 6 months and (12 months follow-up visit) | Change in BMI |
| Hand grip strength | Baseline and 6 months and (12 months follow-up visit) | Change in had grip strength of boot hands |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Instrumental Activities of Daily Living | Baseline and 6 months and (12 months follow-up visit) | Change in Instrumental Activities of Daily Living (IADL) scores |
| Quality of Life (WHOQOL) -bref scores | Baseline and 6 months and (12 months follow-up visit) | Change in quality of Life (WHOQOL) -bref scores |
| Depression | Baseline and 6 months and (12 months follow-up visit) | Change in Geriatric Depression Scale (GDS)-15 scores |
| Cognition | Baseline and 6 months and (12 months follow-up visit) | Change in Mini Mental State Examination (MMSE) scores |
| Sense of coherence | Baseline and 6 months and (12 months follow-up visit) | Change in sense of coherence (SOC) scores |
| Morbidity | Baseline | Functional Comorbidity Index (FCI) scores |
| Activities of Daily Living | Baseline and 6 months and (12 months follow-up visit) | Change in Activities of Daily Living (ADL) scores |
Countries
Finland
Outcome results
None listed