Primary objective of the study is to evaluate whether an innovative ICT technology, the Voeding Slim Thuis (VST) system, can improve adequate food intake, meal enjoyment, and quality of life in vulnerable, older adults. The VST system includes…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
ondervoeding
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Adequacy of food intake (Eetscore), meal enjoyment (questionnaire 10 points
line scale) and quality of life (EQ-5D-5L) will be evaluated at baseline and at
the end of the study.
Secondary outcome
Nutritional status (SNAQ 65+) is assessed at baseline and at the end of the
study. The applicability and user-friendliness of the VST system are evaluated
halfway and at the end of the study period using a short questionnaire for the
dietician and the participant.
Background summary
Prevention and treatment of undernutrition is complex due to interactions
between medication, care treatments, diet and wellbeing. Targeted, simple and
practical nutritional advice, as provided by a dietician, can be helpful to
stimulate an adequate food intake among community-dwelling older adults.
Study objective
Primary objective of the study is to evaluate whether an innovative ICT
technology, the Voeding Slim Thuis (VST) system, can improve adequate food
intake, meal enjoyment, and quality of life in vulnerable, older adults. The
VST system includes providing tailored dietary advice and dietary monitoring
supported by information technology.
The secondary objectives of the study are to evaluate whether the VST system
facilitates the dietician in composing an effective tailored dietary advice and
to evaluate whether the VST system is effective in providing hot meal choice
menus that meet individual dietary requirements and .individual preferences.
Study design
Uncontrolled before and after design with a duration of 18 weeks (6 weeks
habituation period + 12 weeks intervention period).
Intervention
Participants in the study will receive tailored dietary advice through the VST
system which will be installed on a tablet. Information on individual health
status (gender, age, medical profile and nutritional status) will be used to
estimate dietary needs. Dietary needs are combined with information on the
individual profile (i.e. dietary intake, preferences, appetite, chewing and
swallowing difficulties, olfactory function) and translated by the VST system
into a tailored dietary advice. In addition, participants can use the system to
order hot meals from a personalized choice menu. Hot meals can be picked up by
the participants at the pharmacy or are delivered at home 1 to 3 times a week,
depending on the number of order meals. Each week, on two random, unannounced
days, participants will be asked to report on compliance with the dietary
advice and liking of the consumed meals.
Study burden and risks
The risks involved in participating in this study can be considered negligible.
The burden can be considered low: two consultations with the dieticians will
take some time and effort from the participants, but study measures are
non-invasive and time required for completion of questionnaires is limited (at
baseline and end max 1 hour; monitoring max 15 minutes per week).The
participants stay in control over their own food intake and participants can
continue to engage in their normal daily activities.
Bornse Weilanden 9
Wageningen 6708 QG
NL
Bornse Weilanden 9
Wageningen 6708 QG
NL
Listed location countries
Age
Inclusion criteria
* Aged 70 years or over
* Independently living
* Making use of a medicine distribution system (Baxter distribution)
* Taking 5 medicines or more (polypharmacy)
* Willing to use a tablet for completing questionnaires, monitoring dietary compliance and meal enjoyment
* Having signed informed consent
Exclusion criteria
* Self-preparing all hot meals
* Under supervision of a dietician
* On a weight loss diet
* Suffering from very severe undernutrition, BMI <20 kg/m2 in combination with significant weight loss (based on SNAQ65+ evaluation criteria)
* Allergies/intolerances other than egg, gluten, cow*s milk or lactose
* Having diagnosed with cancer
* Suffering from with renal insufficiency (eGFR < 45 ml/min )
* Progressive disease with strongly reduced life expectancy (<6-12 months)
* Parkinson*s disease
* Cognitive impairments that unable them to understand and complete questionnaires
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 | NL59418.081.16 |