Validation of a Comprehensive Older Adult Screening Tool (COAST)

Study Overview
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Brief Summary
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The COAST nutrition screening tool will be validated in 300 community-dwelling older adults in Florida.

Detailed Description
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The population to be studied (n=300) will be individuals who are 60 years or older and participate in congregate meal sites or other community groups in Florida. Demographic information will be collected and participants will be assessed by the MNA® (Mini Nutrition Assessment) and screened by the COAST nutrition screening tool. Participants' hand grip strength and performance on the five times Sit to Stand test will be used to evaluate their functional status. Weight, height, mid-arm circumference and calf circumference will be measured as part of the MNA screening tool.

Official Title
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Development and Validation of a Comprehensive Older Adult Screening Tool (COAST)

Conditions
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Community-dwelling Older Adults

Intervention / Treatment
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* Other: Mini Nutrition Assessment (MNA® )
* Other: Comprehensive Older Adult Screening Tool (COAST)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Community-dwelling adults 60 years and older. Exclusion Criteria: Non-English speaking/reading

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Adults 60 yrs and older<br>Participants will be asked to take the full MNA and COAST tools, separately .They will take a hand grip strength test to evaluate their functional status and five times Sit to Stand test as part of the COAST screening tool. Moreover, their weight, height, mid-arm circumference and calf circumference, will be measured as part of the MNA screening tool. | Other: Mini Nutrition Assessment (MNA® )<br>* MNA® is a validated nutrition screening and assessment tool that can identify geriatric patients age 65 and above who are malnourished or at risk of malnutrition.<br>Other: Comprehensive Older Adult Screening Tool (COAST)<br>* Develop a comprehensive older adults screening tool for community dwelling older adults who attend congregate meal sites to assist in the evaluation of undernourishment or those at risk that is simple, faster, and less expensive<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| At Risk of Malnutrition | Number of subjects with an MNA® score of < 23.5 | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Handgrip strength | Number of subjects with clinical weakness (<16 kg women; <26 kg men) | 1 year | 
| COAST | Association of COAST score to MNA® at risk of malnutrition | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nutritional screenings