Clinical trial NCT04862312: Video Chat During Meals to Improve Nutritional Intake in Older Adults
Official title: VideoDining: Using Video Chat to Improve Nutritional Intake in Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Malnutrition
Loneliness
Keywords: Older Adults
Geriatric
Elderly
Malnutrition
Nutrition
Video chat
Loneliness
Social Isolation
Social Facilitation of Eating
Aging in Place
Home Delivered Meals
Technology
Lead sponsor: Cornell University
Sponsor class: OTHER
Collaborators: name: United States Department of Agriculture (USDA)
name: Foodnet Meals on Wheels
First posted: 2021-04-27
Enrollment: 33
Sex: ALL
Minimum age (years): 60
Maximum age (years): 95
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: All participants will receive the VideoDining intervention.
Primary purpose: OTHER

Brief summary: The VideoDining study is a Stage IB behavioral intervention development project. The objectives are to determine the feasibility and acceptability of using video chat during mealtimes (VideoDining) in community-dwelling older adults eating alone at home and to evaluate changes in nutritional intake and loneliness in response to VideoDining.

Detailed description: The U.S. population is growing older and more adults are aging at home alone, by choice, or due to a lack of affordable senior housing. Older adults who live alone have a less healthy eating pattern, eat a smaller variety of foods and consume fewer fruits and vegetables than those living with others. Additionally, eating alone, social isolation and loneliness often accompany living alone and are independent risk factors for lower caloric intake, less variety in the diet and malnutrition. Community-based interventions are needed to improve the nutritional status of older adults living alone.

VideoDining uses video chat during mealtimes to virtually eat with another person and could provide social interactions and modeling to improve dietary intake in older adults eating alone. Extensive observational and experimental research shows that people eat more when dining with others than dining alone, called the social facilitation of eating. Additionally, a dining partner's modeling of eating can provide a guide for what and how much to eat. The investigators have conducted a Stage IA proof-of-concept study of VideoDining in older adults and will expand the development of this behavioral intervention with this study.

The goals are to determine the feasibility and acceptability of VideoDining and to evaluate changes in nutritional intake and loneliness in response to multiple VideoDining sessions in community-dwelling older adults eating alone at home. In this single-arm intervention study, thirty older adult Meals on Wheels participants will be scheduled to VideoDine with a dining partner six times. Using a mixed-methods approach, the investigators will collect data on older adults' ability to VideoDine, acceptance of VideoDining, dietary intake, and loneliness. Data will be collected before starting VideoDining, after each VideoDining session, and at the end of the study period. Development, adaptation and refinement of the VideoDining intervention are additional key outcomes of this study.

Eligibility criteria: Inclusion Criteria:

1. Receive Meals-on-Wheels meals from Foodnet in Tompkins County, NY.
2. Aged 60-95 years old.
3. Consume Meals-on-Wheels meal alone.

Exclusion Criteria:

1. Non-English speaking.
2. Unable to read and write in English.
3. Inadequate vision and hearing to utilize video chat technology.
4. Unable cognitively to independently consent and participate in the study.
5. Already own and use an Amazon Echo Show.

Primary outcomes:
measure: Change in caloric intake with VideoDining
timeFrame: 8 weeks
measure: Change in dietary intake pattern with VideoDining
timeFrame: 8 weeks
measure: Change in loneliness with VideoDining
timeFrame: 8 weeks
Secondary outcomes:
measure: Feasibility: Enrollment rate
timeFrame: 12 months
measure: Feasibility: Attrition
timeFrame: 12 months
measure: Feasibility: Completion rate
timeFrame: 8 weeks
measure: Feasibility: Technical assistance rate
timeFrame: 8 weeks
measure: Acceptability: Acceptability of individual VideoDining sessions
timeFrame: 8 weeks
measure: Acceptability: Acceptability of VideoDining
timeFrame: 8 weeks
measure: VideoDine Self-Efficacy
timeFrame: 8 weeks
measure: Social Support
timeFrame: 8 weeks
Other outcomes:
measure: Participant Hand Grip Strength
timeFrame: Baseline
measure: Risk for Sarcopenia
timeFrame: Baseline
measure: Risk of Malnutrition
timeFrame: Baseline
measure: Participant Muscle Wasting
timeFrame: Baseline
measure: Participant Subcutaneous Fat Wasting
timeFrame: Baseline
measure: Participant Weight
timeFrame: Baseline
measure: Participant Height
timeFrame: Baseline
measure: Body Mass Index
timeFrame: Baseline
measure: Adequacy of Energy Intake
timeFrame: Baseline
measure: Weight Loss
timeFrame: Baseline
Locations:
city: Ithaca
country: United States
facility: Cornell University
state: New York
Study officials:
affiliation: Cornell Univ
name: Laura K Barre, MD, RDN
role: PRINCIPAL_INVESTIGATOR
References: