The aim of this Eat well, Move well intervention is to study the effect (in addition to DOW) on physical performance, nutritional status, delaying or preventing institutionalization, number of falls, and quality of life of frail older adults with…
ID
Source
Brief title
Condition
- Muscle disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Change in physical performance as measured with the Short Physical Performance
Battery (SPPB).
Secondary outcome
Nutritional status, delay or prevention of institutionalization, number of
falls, and quality of life of frail older adults with cognitive impairment
receiving home care.
Background summary
A deteriorating nutritional status and physical performance in frail older
adults with cognitive impairment is associated with an increased risk of
institutionalization. This is also observed in practice by Opella: a
significant part of the frail older adults with cognitive impairment/dementia
is malnourished or at high risk of malnutrition when admitted to a nursing
home. Therefore, Opella * as partner of the *Alliantie Voeding in de Zorg* *
wants to offer a subgroup of the pilot-clients in the DOW pilot study an
additional intervention aimed at optimizing their nutritional status and
physical performance.
Study objective
The aim of this Eat well, Move well intervention is to study the effect (in
addition to DOW) on physical performance, nutritional status, delaying or
preventing institutionalization, number of falls, and quality of life of frail
older adults with cognitive impairment receiving home care.
Study design
A controlled, non-randomized intervention study, with two parallel, independent
groups in which each subject will be followed for the duration of one year.
- The intervention group consists of clients receiving care according to DOW
and the additional Eat well, Move well intervention.
- One control group consists of clients receiving care according to DOW without
the additional intervention.
Intervention
The Eat well, Move Well intervention consists of a nutritional and a physical
activity component. Every subject in the intervention group receives a
nutritional and physical activity plan and advice that is tailored to their
personal situation and possibilities.
Study burden and risks
There are no risks of participating in the intervention, and the measurements
will be conducted following a standardized protocol with safety measures in
place. This is a group-related study: participation of clients with cognitive
impairment is important and relevant, as people with cognitive impairment are
at higher risk for malnutrition, physical decline, falling, and
institutionalization. Therefore, the proposed study should be conducted within
the group it concerns and who may eventually benefit from new evidence-based
practice.
Galvanistraat 7
Ede 6716 AE
NL
Galvanistraat 7
Ede 6716 AE
NL
Listed location countries
Age
Inclusion criteria
- multiple health domain problems including cognitive impairment
- willing to participate and signed informed consent
Exclusion criteria
- life expectancy <12 months
- on a waiting list for nursing home placement
- client has a legally incapacitated statement or the GP judges that, based on
the 4 criteria of Appelbaum and Grisso a client does not have the decisional
capacity to consent/refuse participation
- extreme physical or cognitive impairments making participation impossible, as
judged by the GP and/or Opella care professional and/or client and/or informal
caregiver.
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 | NL66497.081.18 |