Food Intake
Conditions
Brief summary
This research study will determine the impact of the Eating Matters Program on the nutritional status of elderly patients at Joseph Brant Hospital. The Eating Matters Program at Joseph Brant Hospital is a volunteer-based feeding assistance program that aims to improve patients' nutritional intake by providing assistance during mealtimes. As research on the impact of such programs on food intake is limited in Canada, this study will explore how the Eating Matters Program influences protein and energy intake of patients at Joseph Brant Hospital. Further, this study will explore if the hypothesized increase in protein and energy intake with the initiation of the Eating Matters Program is correlated with a decreased risk of malnutrition.
Detailed description
We will be conducting a prospective open-label non-randomized controlled trial to evaluate patients' nutritional outcomes in units that have the Eating Matters Program available (Study Group A) vs. similar units that do not have this program (Control Group B), as this can provide useful data on the effectiveness of such programs in developing innovative prevention strategies to address hospital malnutrition. A total sample size of eighty participants (40 in each group) will be included in this study from Medical and Rehabilitation units at Joseph Brant Hospital. Study group A will include patients from the medical unit on 6S100 in addition to the Rehab units on 6N400/500. Control Group B will include participants from the Rehab Unit on 4N400 and the Medical unit on 6S200. Baseline food intake data (including breakfast, lunch and dinner) will be gathered during a 2-day period for both Study Group A and Control Group B. Following the collection of baseline data, feeding assistance will then be provided to participants in the units that have the EMP program available (6S100 and 6N400/500). In addition, food intake will be recorded for a total of 6 days for both Study Group A, and Control Group B. Outcome measures including C-reactive protein and weight will be measured weekly. Following, a Subjective Global Assessment (SGA) will be completed and Hand Grip Strength will be recorded on days 1 and 18 as the literature shows that this is an appropriate timeframe to reassess these measures (Flood et al., 2014; Canadian Malnutrition Task Force, 2019). Energy and protein intake will then be calculated using visual estimation by completion of the My Meal Intake Tool, and the hospital's CBORD software. Further, to evaluate the success of the feeding assistance program, volunteers will distribute the feedback survey to patients, staff, family members or friends of participants. To prevent contamination from staff working on both sides, members of the research team will have a discussion with staff to explain that the study and potential benefits should not be discussed, as this may impact the research findings.
Interventions
BEHAVIORALFeeding Assistance
Patients will be receiving assistance during mealtimes. This includes assistance by opening packages, listing/explaining the food products on the tray, providing encouragement and companionship during mealtimes and directly feed patients.
Sponsors
Western University
Joseph Brant Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
The investigators will be evaluating patients' nutritional outcomes in units that have the Eating Matters Program available vs. similar units that do not have this program. Therefore, there will be two groups, Study Group A and Control Group B.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients 65 years and over admitted to Medicine and Rehabilitation units at Joseph Brant Hospital with an anticipated stay 10-14 days * Patients with a Subjective Global Assessment score of B or C, and identified to require eating assistance * Patients able to provide consent or have a Power of Attorney to do so on their behalf
Exclusion criteria
* Patients that are NPO status (nothing by mouth) * Patients that require enteral or total parenteral feeding * Palliative care patients * Severe cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dietary Intake | To assess a change from baseline to energy and protein intake post program initiation at the one and two week mark (+/-2days). | Protein and Energy Intake |
Other
| Measure | Time frame | Description |
|---|---|---|
| Handgrip strength | A change from baselines in handgrip measure at 1 and 2 weeks marks (+/-2 days) post the initiation of EMP. | Handgrip strength measured using hand dynamometers. |
| C-Reactive Protein | A change from baselines CRP at 1 week and 2 weeks marks (+/-2 days) post the initiation of EMP. | C-Reactive Protein will be measured via routine lab work. |
| Eating Matters Program Feedback | This will be measured on day 19 (+/-2 days) (total study period for each participant). | Perceptions of program implementation and Barriers to food intake will be evaluated via feedback forms. |
| Percent weight change | A change from baseline body weight at 1 week and 2 weeks marks (+/-2) days post the initiation of the Eating Matters Program (EMP). | Participants' weight will be measured. |
| Mortality rate | This data will be gathered on day 120 (+/- 2days), upon completion of the study. | Unit Specific Measure |
| Re-admission rate | This data will be gathered on day 120 (+/- 2 days), upon completion of the study. | Unit Specific Measure |
| Length of stay | This data will be gathered on day 120 (+/-2days), upon completion of the study. | Unit Specific Measure |
Countries
Canada
Contacts
Primary ContactDiala Chayab, MPH, RD
Backup ContactAhmadi, PhD
Outcome results
None listed