Feasibility of Nutritional Telemonitoring in Elderly Home Care Patients

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 pilot study are to test the feasibility, acceptability and implementation fidelity of telemonitoring of nutritional parameters in community-dwelling older adults; to test the study procedures for effect evaluation; and to determine the likelihood of achieving desired impact on the primary and secondary outcomes.

Official Title
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Pilot Study to Assess the Feasibility and Potential Impact of Nutritional Telemonitoring in Community Dwelling Elderly People Receiving Home Care

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 Exclusion Criteria: Severe cognitive impairment (Mini Mental State Examination (MMSE) < 20) Receiving terminal care Expected length of receiving home care < three months 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Nutritional telemonitoring<br>Nutritional telemonitoring 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>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility (qualitative outcome) | Qualitative outcome, measured using the process indicators acceptability, implementation, dose received, applicability. Data on these process indicators are collected using logbooks, semi-structured interviews, and questionnaires with items to be answered on a 5-point likert scale. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Behavioural determinants | Measured by a self-developed questionnaire with statements concerning nutrition and physical activity to be answered on a 5-point likert scale. | 12 weeks | 
| Diet quality (DHD-index) | Measured by Dutch Healthy Diet index (DHD-index) | 12 weeks | 
| Nutritional status (MNA) | Measured by Mini Nutritional Assessment | 12 weeks | 
| Appetite (SNAQ) | Measured by Simplified Nutritional Appetite Questionnaire | 12 weeks | 
| Body weight (kg) | Measured by weighing scale of the brand A&D, type UC-411PBT-C | 12 weeks | 
| Physical functioning (SPPB) | Measured by Short Physical Performance Battery (SPPB) | 12 weeks | 
| Functional status (KATZ-15) | Measured by KATZ-15 | 12 weeks | 
| Quality of life (SF-36) | Measured by Short-Form 36 | 12 weeks | 

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