Healthy
Conditions
Keywords
Mini-flipped Game-based Learning, Mediterranean Diet, Eating Behavior, Cognitive Performance
Brief summary
The object is to investigate the effects of a modified Mediterranean diet learning intervention program with a Mini-flipped game strategy on dietary behavior and cognitive function of elderly people in the community. The six communities were randomly assigned to the experimental group and the control group. The intervention group will last for 8 weeks. An eight-week Mediterranean diet learning program applying mini-flipped game-based learning strategies could improve dietary behavior and global cognitive function among elderly people living in the general community.
Detailed description
Background：The world is facing an aging population, with an increase in the number of people with mild cognitive impairment and dementia, creating a huge burden of medical costs for individuals, families, and society. Previous studies have shown that the Mediterranean Diet delays cognitive decline, but older adults are less likely to follow the Mediterranean Diet and have less knowledge about the risk of dementia and protective factors of the diet. This study will integrate the Asian version of the Mediterranean Diet Pyramid and local ingredients from Taiwan to design a nutritional health education and game intervention for the Mediterranean Diet. Purposes：To investigate the effectiveness of developing a Mini-flipped Game-based Learning strategy to promote dietary behavior and cognitive function in the community elderly with a modified diet learning intervention. Methods：This study was a cluster-randomized controlled trial. The six communities were randomly assigned to the experimental group and the control group.The intervention group completed an eight-week, mini-flipped, game-based learning program reinforcing compliance with the Mediterranean diet, consisting of one 40-minute session per week. The control group members maintained their usual daily diet and were given a booklet on nutrition and health. All participants will be assessed at baseline(0 weeks) and post-test(8 weeks).
Interventions
BEHAVIORALMini-flipped Game-based Learning
The intervention was 8 weeks, forty minutes adjusted Mediterranean diet learning plan once a week, which includes the 20 minutes for the Mediterranean food table game, and the 20 minutes for the Mediterranean diet nutrition course. The topic of the course includes the relationship between Mediterranean diet and dementia, knowledge of Mediterranean diet, how to integrate local food ingredients into the Mediterranean diet, etc.
BEHAVIORALBalanced diet
Given a balanced diet nutrition health education manual for the aged.
Sponsors
National Yang Ming Chiao Tung University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 65 years and older * No visual, hearing, or mental impairment, and could speak Mandarin. * Are willing to participate in the study and fill out the volunteer consent form.
Exclusion criteria
* Diagnosis of cognitive dysfunction, brain injury with loss of consciousness for more than 30 minutes, or other central nervous system disorders. The presence of impaired sensory problems. * Severe illnesses such as heart, liver, and lung failure, end-stage renal disease, total paralysis, terminal cancer or chemotherapy, and a diagnosis of mental illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mediterranean Diet Score | Change from baseline outcome measure at 8th week (post-test) | To measure the Mediterranean dietary behavior |
| Nutrition Knowledge test for the Elderly | Change from baseline outcome measure at 8th week (post-test) | To measure the nutrition knowledge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Montreal Cognitive Assessment score | Change from baseline outcome measure at 8th week (post-test) | To measure the objective cognitive function |
| Cognitive Failures Questionnaire score | Change from baseline outcome measure at 8th week (post-test) | To measure the subjective cognitive function |
Other
| Measure | Time frame | Description |
|---|---|---|
| Pittsburgh Sleep Quality Index score | Change from baseline outcome measure at 8th week (post-test) | To measure the Sleep Quality |
| Center for Epidemiological Studies Depression Scale score | Change from baseline outcome measure at 8th week (post-test) | To measure the Depression |
Countries
Taiwan
Outcome results
None listed