Is Multifactorial Nutritional Treatment for Undernutrition in Older Adults in Primary Care Cost-effective?

Study Overview
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Brief Summary
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The hypothesis is that there is a profit potential by implementing a multifactorial nutritional intervention among frail elderly since this will result in an improved nutritional status, functional capacity and improved quality of life.

Official Title
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Is Multifactorial Nutritional Treatment for Undernutrition in Older Adults in Primary Care Cost-effective?

Conditions
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Frail Older Adults

Intervention / Treatment
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* Other: multifactorial nutritional intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Screening for nutritional risk Exclusion Criteria: terminal condition or do not wish to participate

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Multifactorial nutritional intervention<br>dietician, resistance type exercise, dysphagia assessment and treatment | Other: multifactorial nutritional intervention<br> <br> * Other names: dietician, resitance type exercise, dysphagia assessment and treatment;|
| No Intervention: usual care<br>usual care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of life | EuroQol (EQ-5D) is a questionnaire with five questions to be answered in three categories. The five questions deal of movement, self-care, usual activities, pain / discomfort and anxiety / depression and any problems with this | up to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nutritional status | Assessment of weight | up to 6 months | 
| Hand grip strength | Residents and clients hand grip strength is determined using the dynamometer The dynamometer consists of a narrow handle with two strings as the older must squeezing so hard, they manage three times. The highest value will be used. | up to 6 months | 
| Costs | Here is used information on additional costs of nutrition efforts, which on the one hand involves all costs associated with the effort, while on the other hand also be seen on the savings that can be attached to the outcome of the effort. Since the purpose is to illustrate the cost-effectiveness, the net profit on the cost side is also compared with the effect of nutritional intervention in terms of improved quality of life, and hence would be able to shed light on efforts from both resource use and a health effect | up to 6 months | 
| Activities of Daily Living and cognitive performance | Data is collected by Means of the resident assessment instrument | up to 6 months | 
| physical strength | 30 seconds chair stand is used | up to 6 months |