mental and physical impairment
Conditions
Interventions
None listed
Sponsors
Opella, Stichting Alliantie Voeding in de Zorg
Eligibility
Inclusion criteria
Inclusion criteria: The inclusion criteria for the Eat well, move well intervention study are similar to the inclusion criteria set by Opella for the DOW pilot-study, these criteria are: - Multiple health domain problems as diagnosed by the general practitioner (GP) with one of the following tools used in common general practice; - ‘Transmuraal zorgassessment Geriatrie (TRAZAG)’ / Care assessment Geriatrics: answered ‘Yes’ to 3 or more domains of the start list - Easycare: outcome frail (red) based on Trap 1 or Trap 2 - Groningen Frailty Index-score (GFI): 4 or higher - Cognitive impairment based on the outcome of the Mini Mental State Examination (MMSE) (9) or the outcome of the Clock Drawing Test ‘Kloktekentest’ assessed less than a year ago by the GP or a medical specialist. Criteria for the MMSE-score are 17 points and for the Clock Drawing Test <3 points - Willing to participate and signed informed consent
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: - Life expectancy <12 months (as judged by GP) - On a waiting list for nursing home placement - Client has not the capacity to participate because: o The client has a legally incapacitated statement OR o The client has not the decisional capacity to consent or refuse to participating in the study based on the criteria: 1. Ability to communicate a choice about participating in the study; 2. Ability to understand the study information; 3. Ability to appreciate the study information and consequences of participation in relation to his/her own situation; 4. Ability to reason rationally about participating in the study. - Unable to participate in study elements (intervention elements and/or measurements) as judged by the GP and/or Opella care professional and/or client and/or informal caregiver.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical Performance as measured with the Short Physical Performance Battery (SPPB) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Other physical performance parameters: o Physical Activity in minutes per day: measured with a pedometer during 5 consecutive days. o Hand grip strength in kg: measured with hand dynamometer: o Timed up and Go test (TUG) o Number of falls in the past 12 months according to the registration of falls from Opella which is part of usual care in the Opella care registration system. - Nutritional status and intake: o Weight and height: taken from client’s file. o Dietary intake of energy, protein and fluid: assessed with 3 day food diary o Risk of malnutrition: measured with SNAQ65+ (29), taken from client’s file. o Diet Quality: assessed with the ‘Eetscore’ questionnaire (30). - Wait list for nursing home: yes/no as recorded in client’s file. - Quality of Life: measured with the SF-12 questionnaire (31) | — |
Contacts
Public ContactOndine van de Rest
Wageningen University & Research
Outcome results
None listed