Feasibility of Nutritional Telemonitoring in Elderly Home Care Patients

Wageningen University20 enrolled

Overview

An optimal nutritional status is essential for healthy ageing. Telemonitoring might contribute to maintaining or improving nutritional status in elderly people.The objectives of this pilot study are to test the feasibility, acceptability and implementation fidelity of telemonitoring of nutritional parameters in community-dwelling older adults; to test the study procedures for effect evaluation; and to determine the likelihood of achieving desired impact on the primary and secondary outcomes.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Undernutrition Aging

Interventions

Nutritional telemonitoringOTHER

Participants receive a weighing scale, pedometer and television channel in order to perform self-measurements and receive guidance on nutrition and physical activity. Nurses use a website in order to receive telemonitoring measurements and decide about proper follow-up. In case of risk of undernutrition, nurses provide personal advice to optimize nutritional status of the participant.

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: Having a care referral for at least one of the following types of care: * Domestic care * Personal care * Nursing care * Individual or group support Exclusion Criteria: * Severe cognitive impairment (Mini Mental State Examination (MMSE) \< 20) * Receiving terminal care * Expected length of receiving home care \< three months * Not having a television at home * Clients with a visual impairment (not able to watch the television screen) * Clients with a physical impairment in such a way, that they are not able to use the telemonitoring system * Clients with nursing home care

Locations (1)

Wageningen University and Research

Wageningen, Gelderland, Netherlands

Outcomes

Primary Outcomes

Feasibility (qualitative outcome)

Qualitative outcome, measured using the process indicators acceptability, implementation, dose received, applicability. Data on these process indicators are collected using logbooks, semi-structured interviews, and questionnaires with items to be answered on a 5-point likert scale.

Time frame: 12 weeks

Secondary Outcomes

Behavioural determinants

Measured by a self-developed questionnaire with statements concerning nutrition and physical activity to be answered on a 5-point likert scale.

Time frame: 12 weeks

Diet quality (DHD-index)

Measured by Dutch Healthy Diet index (DHD-index)

Time frame: 12 weeks

Nutritional status (MNA)

Measured by Mini Nutritional Assessment

Time frame: 12 weeks

Appetite (SNAQ)

Measured by Simplified Nutritional Appetite Questionnaire

Time frame: 12 weeks

Body weight (kg)

Measured by weighing scale of the brand A\&D, type UC-411PBT-C

Time frame: 12 weeks

Physical functioning (SPPB)

Measured by Short Physical Performance Battery (SPPB)

Time frame: 12 weeks

Functional status (KATZ-15)

Measured by KATZ-15

Time frame: 12 weeks

Data from ClinicalTrials.gov

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