Clinical trial NCT03195283: Novel Meal Service Improves Nutritional Intake
Official title: A Novel In-hospital Meal Service Improves Protein and Energy Intake
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Malnutrition
Keywords: meal service
protein intake
satisfaction
hospitalized patients
Lead sponsor: Radboud University Medical Center
Sponsor class: OTHER
First posted: 2017-06-22
Enrollment: 637
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients admitted to the Departments of Gastroenterology, Urology/Gynaecology and Orthopedics.

Brief summary: This study aims to investigate whether a novel meal service FoodforCare (FfC), comprising 6-protein-rich meals a day following proactive advice from a nutritional assistant, improves dietary intake and patient satisfaction, compared to the traditional 3-meals a day service (TMS).

Detailed description: The investigators performed a quasi experimental study at medical (Gastroenterology) and surgical (Gynecology, Urology, Orthopedics) wards. Patients were offered TMS (July 2015 - May 2016; n=326) or FfC meal service (after stepwise introduction per ward from January 2016 - December 2016; n=311). Primary outcome was the mean percentage of protein and energy intake relative to requirements, between patients receiving TMS and those receiving FfC, on the first and fourth day of full oral intake. Patient satisfaction comprised rating of the experienced quality of the food and the meal service and by means of a validated questionnaire.

Eligibility criteria: Inclusion Criteria:

* Dutch speaking
* Aged 18 years or older
* Exclusively oral intake
* Expected hospital stay of at least 1 day

Exclusion Criteria:

* Patients with tube- or parenteral feeding
* A language barrier
* Considered to be too weak to adequately answer our questions

Primary outcomes:
measure: Protein intake day 1 (gram)
timeFrame: 1 day
measure: Protein intake day 4 (gram)
timeFrame: 4 days
measure: Energy intake day 1 (kcal)
timeFrame: 1 day
measure: Energy intake day 4 (kcal)
timeFrame: 4 days
Secondary outcomes:
measure: Patients' satisfaction (food appreciation and access to food)
timeFrame: 3 day
measure: Patients' satisfaction (food quality and meal service)
timeFrame: 3 day
measure: Change in nutritional status (body weight)
timeFrame: 4 days
measure: Change in nutritional status (handgrip strength)
timeFrame: 4 days
measure: Nutritional status (height)
timeFrame: 1 day
measure: Nutritional status (malnutrition universal screening tool)
timeFrame: 1 day
Other outcomes:
Locations:
Study officials:
affiliation: Radboud University Medical Center
name: Geert Wanten, MD, PhD, MSc
role: PRINCIPAL_INVESTIGATOR
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