Clinical trial NCT02214758: Optimising Nutrition, Oral Health and Medication for Older Home Care Clients (NutOrMed)
Official title: Optimising Nutrition, Oral Health and Medication for Older Home Care Clients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Nutrition, Oral Health
Keywords: Home care clients, nutrition, oral health, medication
Lead sponsor: University of Eastern Finland
Sponsor class: OTHER
First posted: 2014-08-12
Enrollment: 300
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The aim of the study is to evaluate the impact of six month long nutritional and oral health intervention on nutritional status, oral health, functional performance and hospital admission/costs on older persons using home care services. Additionally, participants are interviewed at home regarding their drugs use and this information will be compared with medication information in electronic patient records.


Eligibility criteria: Inclusion Criteria:

* home care clients

Exclusion Criteria:

* under 75 years

Primary outcomes:
measure: Change from baseline in nutritional status on the Mini Nutritional Assessment (MNA) test and s-albumin level at months 6
timeFrame: Baseline, Month 6
Secondary outcomes:
measure: Change from baseline in oral health status on clinical oral health examination and in-home interview at months 6
timeFrame: Baseline, Month 6
Other outcomes:
measure: The agreement between medication in-home interview and EMR in baseline
timeFrame: baseline
Locations:
Study officials:
affiliation: University of Eastern Finland
name: Irma Nykänen, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Salmi A, Komulainen K, Nihtila A, Tiihonen M, Nykanen I, Hartikainen S, Suominen AL. Eating problems among old home care clients. Clin Exp Dent Res. 2022 Aug;8(4):959-968. doi: 10.1002/cre2.585. Epub 2022 May 8.
citation: Kaipainen T, Hartikainen S, Tiihonen M, Nykanen I. Effect of individually tailored nutritional counselling on protein and energy intake among older people receiving home care at risk of or having malnutrition: a non-randomised intervention study. BMC Geriatr. 2022 May 4;22(1):391. doi: 10.1186/s12877-022-03088-2.
citation: Luukkonen A, Tiihonen M, Rissanen T, Hartikainen S, Nykanen I. Orthostatic Hypotension and Associated Factors among Home Care Clients Aged 75 Years or Older - A Population-Based Study. J Nutr Health Aging. 2018;22(1):154-158. doi: 10.1007/s12603-017-0953-9.
citation: Miettinen M, Tiihonen M, Hartikainen S, Nykanen I. Prevalence and risk factors of frailty among home care clients. BMC Geriatr. 2017 Nov 17;17(1):266. doi: 10.1186/s12877-017-0660-8.
citation: Tiihonen M, Hartikainen S, Nykanen I. Chair rise capacity and associated factors in older home-care clients. Scand J Public Health. 2018 Nov;46(7):699-703. doi: 10.1177/1403494817718072. Epub 2017 Jul 12.
citation: Polonen S, Tiihonen M, Hartikainen S, Nykanen I. Individually Tailored Dietary Counseling among Old Home Care Clients - Effects on Nutritional Status. J Nutr Health Aging. 2017;21(5):567-572. doi: 10.1007/s12603-016-0815-x.