The objectives of this pilot study are to test the feasibility, acceptability and implementation fidelity of the telemonitoring intervention; to test the study procedures for effect evaluation; and to determine the likelihood of achieving desired…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
ondervoeding en gezondheid van (kwetsbare) ouderen in het algemeen.
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main study parameters of the whole research project are:
- Change in SF36 score (quality of life)
- Change in MNA score (nutritional status)
Secondary outcome
The secondary objectives of this research project are listed below and are
corresponding with the subsequent levels of outcomes as shown in the logic
model in Figure 1.
On the participant level:
- To perform a process evaluation including the feasibility, acceptability and
implementation fidelity of the PhysioDom HDIM intervention (including
feasibility of telemonitoring of blood pressure) (outputs).
- To study the effects of the PhysioDom HDIM intervention on behavioural
determinants of dietary intake and physical activity (initial objectives).
- To study the effects of the PhysioDom HDIM intervention on dietary intake and
physical activity (intermediate objectives).
- To study the effects of the PhysioDom HDIM intervention on nutritional
parameters (weight, appetite), physical functioning, and self-management (long
term objectives).
- To study the cost effectiveness of the PhysioDom HDIM intervention (overall
aim).
On the health care professional/organizational level:
- To perform a process evaluation among involved health care professionals and
technicians including the usability, feasibility, acceptability and
implementation fidelity of the Physiodom HDIM intervention (outputs, initial
objectives, intermediate objectives).
Background summary
Governments and care organizations are increasingly turning towards the use of
Ehealth to improve health or support health care. Studies have shown that
Ehealth can contribute to improving health in patients with chronic diseases
like CVD and diabetes. It is also known that (frail) elderly in general can
benefit from Ehealth applications. With regard to healthy ageing, a good
nutritional status is essential. However, the percentage of undernutrition
among community dwelling elderly ranges from eleven to 35 percent, with the
highest prevalence observed among elderly home care clients. Ehealth might
contribute to maintaining or improving nutritional status in elderly people.
However, there is no scientific base for this yet. In this research project, we
will employ a telemonitoring system called *PhysioDom Home Dietary Intake
Monitoring (HDIM)* to monitor nutritional and other parameters in community
dwelling elderly receiving home care. The first step in this research project
comprises pilot testing of this telemonitoring system.
Study objective
The objectives of this pilot study are to test the feasibility, acceptability
and implementation fidelity of the telemonitoring intervention; to test the
study procedures for effect evaluation; and to determine the likelihood of
achieving desired impact on the primary and secondary outcomes.
Study design
The pilot intervention study will have a duration of three months, employing a
one group pre-test post-test design.
Intervention
The PhysioDom HDIM intervention consists of a telemonitoring system which will
be employed by participants at home to perform self-measurements of weight,
appetite, nutritional status, dietary intake (primary objective of
telemonitoring), physical activity (secondary objective), and blood pressure
(tertiary objective, optional for a selection of patients). Outcomes of
self-measurements will be displayed on the participant*s TV and will be send to
the district nurse. She will receive alerts when results go beyond a predefined
threshold. The telemonitoring system will be embedded in usual care: when a
district nurse receives an alert, she will provide follow-up according to the
care procedures and protocols which apply to the care organization, which can
include a care referral to another health care professional.
Study burden and risks
Participants will be visited twice to be interviewed about the effects of the
intervention. Visits will take place at the participant*s home and will take
around one hour. Measurements are not invasive; the burden of the measurements
can be considered as minimal. The participant*s intervention activities
includes a daily check of the participant*s personal TV channel (exception:
Saturday and Sunday), weekly measurements of weight, monthly measurements of
appetite, nutritional status and diet quality, wearing a pedometer for one week
per month and monthly measurement of blood pressure (not for every
participant). The risks associated with participation can be considered
negligible, because of the nature of the intervention (monitoring) and the fact
that this intervention is complementary to regular home care. Besides a
financial reward, it is estimated that participants will benefit from the
intervention. Through frequent monitoring of nutritional and other parameters
there is an early detection of deterioration, followed by timely and tailored
follow-up by the care organization.
Bomenweg 4
Wageningen 6703HD
NL
Bomenweg 4
Wageningen 6703HD
NL
Listed location countries
Age
Inclusion criteria
In order to be eligible for participation in this study, individuals should be aged 65 or over, must live in the municipality of Nunspeet and must have 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 < 3 months
-Not having a television at home
-Clients with a visual impairment (in such a way, that they are 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 intramural care
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL50423.081.14 |