Feasibility and Effectiveness of Nutritional Telemonitoring in Community-dwelling Elderly.

Study Overview
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Brief Summary
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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 effect study are to test the feasibility and effectiveness of telemonitoring of nutritional parameters in community-dwelling older adults.

Official Title
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PhysioDom Home Dietary Intake Monitoring: Telemonitoring of Nutritional Parameters and Other Outcomes in Community Dwelling Elderly People: a Process and Effect Study.

Conditions
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Undernutrition, Aging

Intervention / Treatment
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* Other: Nutritional telemonitoring


Participation Criteria
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Eligibility Criteria
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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 Living in a sheltered home or service flat Exclusion Criteria: Severe cognitive impairment (Mini Mental State Examination (MMSE) < 20) Receiving terminal care 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

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Nutritional telemonitoring<br>Participants in the intervention group receive a telemonitoring intervention, including self-measurements of body weight, nutritional status, appetite, diet quality, and physical activity. Additionally, participants receive guidance on nutrition and physical activity by means of customized and general television messages and/or if necessary personal guidance by a nurse. | Other: Nutritional telemonitoring<br>* 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.<br>|
| No Intervention: Usual care<br>Participants in the control group receive usual care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nutritional status (MNA) | Measured by Mini Nutritional Assessment | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Behavioural determinant: Knowledge | Measured with 11 knowledge statements to be answered by true/false/don't know | 6 months | 
| Behavioural determinant: Goalsetting | Measured by three items to be answered on a 5 point likert scale on a 5-point likert scale. | 6 months | 
| Behavioural determinant: Intention to eat healthy | Measured by three items to be answered on a 5 point likert scale on a 5-point likert scale. | 6 months | 
| Behavioural determinant: Intention to improve physical activity | Measured by three items to be answered on a 5 point likert scale on a 5-point likert scale. | 6 months | 
| Behavioural determinant: Self efficacy | Measured by two items to be answered on a 5 point likert scale on a 5-point likert scale. | 6 months | 
| Behavioural determinant: Perceived behavioural control | Measured by five items to be answered on a 5 point likert scale on a 5-point likert scale. | 6 months | 
| Behavioural determinants: Attitude | Measured by 14 items to be answered on a 5 point likert scale | 6 months | 
| Diet quality (DHD-index) | Measured by Dutch Healthy Diet index (DHD-index) | 6 months | 
| Appetite (SNAQ) | Measured by Simplified Nutritional Appetite Questionnaire | 6 months | 
| Body weight (kg) | Measured by weighing scale of the brand A&D, type UC-411PBT-C | 6 months | 
| Physical functioning (SPPB) | Measured by Short Physical Performance Battery (SPPB) | 6 months | 
| Functional status (KATZ-15) | Measured by KATZ-15 | 6 months | 
| Quality of life (SF-36) | Measured by Short-Form 36 | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ehealth, Older adults, Undernutrition