Implementation of Nutritional Guidelines and Effects in Nursing Home Residents

Study Overview
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Brief Summary
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The aim of this study is to examine two implementation strategies (external facilitation and educational outreach visit) when introducing nutritional guidelines in the elderly care setting and to evaluate the results of the implementation by clinical outcome measures of the nursing home residents. The hypothesis is that the residents affected by the external facilitation strategy will stay stable in the measured clinical outcomes, while the residents influenced by the educational outreach visit will deteriorate during the implementation process.

Official Title
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Clinical Outcome in Nursing Home Residents After Implementation of Nutritional Guidelines

Conditions
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Implementation Strategies, Nutritional Outcome of Nursing Home Residents

Intervention / Treatment
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* Other: A one year multifaceted implementation strategy
* Other: A three hour lecture about the guidelines


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age of 65 or older nursing home resident persons who manage the examination methods (interviews and blood samples) Exclusion Criteria: - persons in terminal stage of life

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: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: External facilitator<br>The external facilitation is a one year multifaceted intervention, including support, guidance, practice audit and feedback, training targeted to a team of practitioners involving the unit manager, the nurses and diet aides at the nursing home. The facilitator is a researcher and dietician. | Other: A one year multifaceted implementation strategy<br> <br> |
| Active Comparator: Educational outreach visit<br>The outreach visit is a three hour lecture about the nutritional guidelines targeted to a team of practitioners including the unit manager, the nurses and diet aides at the nursing home. The trained person giving the lecture is a researcher and dietician. | Other: A three hour lecture about the guidelines<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nutritional status | Nutritional status is assessed with the Mini Nutritional Assessment-Short Form tool | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional status | Functional status is assessed with ADL (Activities in Daily Living) Barthel index. | 2 years | 
| Cognitive status | Cognitive status is assessed with Short Portable Mental Status Questionnaire (SPMSQ). | 2 years | 
| Health-related Quality of Life | Health-related Quality of Life is assessed with EQ-5D. | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Implementation, Guidelines, Nutrition, Nursing home