Frailty Syndrome, Malnutrition Elderly, Sarcopenia in Elderly
Conditions
Keywords
Older adults, Frailty, Frailty prevention, Design thinking, Community-based nutrition care model, Integrated Care for Older People (ICOPE)
Brief summary
This international multicenter study project. A physical function screening activity for the elderly will be held in the community centers. After screening out high-risk subjects for frailty, they will be guided to participate in motivational interviews. Design thinking is used to design product/service processes based on nutritional problems, and combined with the nutritional care process.
Detailed description
This project will first conduct a preliminary health screening using the "Integrated Elderly Care Screening Scale" to understand the physical function status of the subjects. If the screening results show that the group is at high risk of frailty, a one-on-one interview will be arranged to further understand their nutrition-related issues and needs. Through the compilation of interview data, a product or service process for nutrition education will be designed and incorporated into subsequent nutrition care. Participants will fill out questionnaires before and after nutrition education intervention to evaluate physiological functions and health behaviors. The physiological function assessment includes four aspects: chewing function, swallowing function, nutritional status and frailty. This procedure aims to understand the potential improvement effect of this care model on the physiological functions and daily health behaviors of the elderly, and compare it with the results of Settsu City, Osaka, Japan.
Interventions
OTHERnutrition education
Nutrition education course design will be based on interview results with subjects with high risk of frailty.
Sponsors
Suh-Ching, Yang
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
For subjects who meet the high risk of frailty after screening with the ICOPE scale, a one-on-one interview will be arranged to gain a deeper understanding of their nutrition-related issues and individual needs. The interview results will serve as the basis for designing nutrition education courses. Subjects are required to complete questionnaires before and after participation and undergo physiological function and health behavior assessments to understand the potential improvement effects of this care model on health behaviors and physical functions. The collected results will be compared with the results of Settsu City, Osaka, Japan.
Eligibility
Sex/Gender
ALL
Age
65 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Elderly people aged 65 and above with nutrition-related risks were screened by the ICOPE (Integrated Care for Older People) scale, that is, those with abnormalities in cognition, mobility, malnutrition, depression, etc., and were defined as high-risk elderly people.
Exclusion criteria
* Those who cannot eat independently, such as those who rely on nasogastric tubes for feeding. * Those who cannot express their opinions independently.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chewing function | Baseline and 2 months after intervention | Chewing function will be assessed using a chewing status question adapted from the Japanese National Health and Nutrition Survey. Higher scores indicate better chewing ability. |
| Eating Assessment Tool-10 (EAT-10) | Baseline and 2 months after intervention | The Eating Assessment Tool-10 (EAT-10) is a self-administered questionnaire ranging from 0 to 40, with higher scores indicating more severe swallowing difficulties. |
| Mini Nutritional Assessment-Short Form (MNA-SF) | Baseline and 2 months after intervention | The Mini Nutritional Assessment-Short Form (MNA-SF) ranges from 0 to 14, with higher scores indicating better nutritional status. |
| Study of Osteoporotic Fractures Index (SOF) | Baseline and 2 months after intervention | The Study of Osteoporotic Fractures (SOF) index assesses frailty status, with higher scores indicating greater frailty. |
| Sarcopenia Screening Scale with Calf Circumference (SARC-CalF) | Baseline and 2 months after intervention | The SARC-CalF is a screening tool ranging from 0 to 20, with higher scores indicating greater risk of sarcopenia. |
| Health behavior change (knowledge, attitude, and practice) | Baseline and 2 months | Health behavior change will be assessed using a structured questionnaire evaluating knowledge, attitude, and practice (KAP) related to nutrition. The total score is calculated based on participants' responses, with higher scores indicating better health-related knowledge, attitudes, and behaviors. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participation rate in risk screening | up to 1 month | Participation rate in risk screening is defined as the proportion of older adults who participated in risk detection among the eligible population. This measure reflects program implementation progress and community mobilization. |
| Coverage rate of nutritional intervention | Up to 2 months | Coverage rate of nutritional intervention is defined as the proportion of older adults who received nutritional intervention among those identified as at risk. This measure reflects program effectiveness and coverage across communities. |
Countries
Taiwan
Outcome results
None listed