Clinical trial NCT05922098: Improved Modified Care Meals to Improving the Quality Of Life of the Pre-Frailty Chewing Disorders of the Older Adult
Official title: To Explore the Effect of Improved Modified Care Meals to Improving the Quality Of Life of the Pre-Frailty Chewing Disorders of the Older Adult
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Food Selection
Quality of Life
Chewing Disease
Satisfaction
Lead sponsor: National Taipei University of Nursing and Health Sciences
Sponsor class: OTHER
First posted: 2023-06-28
Enrollment: 60
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: In 2020, we have entered an aging society. During the aging process, the body will decline with age, and the muscles will decrease, which will affect the swallowing muscles, causing chewing and swallowing difficulties are very common. Difficulty masticating is associated with problems with real teeth, dentures, and oral health disease, and is associated with infection, pain, inadequate nutritional intake, affected appearance, decreased quality of life, and mortality.

At present, Taiwan mostly provides the elderly with shredded food, cooked soft and rotten food, or whipped food. However, when the food is mashed or shredded, the original color, fragrance, and taste of the food will be lost. It cannot change the appetite of the elderly, and it will reduce the satisfaction of the elderly's meal, and there will still be risks of insufficient food intake and uneven nutrition. Appearance or taste can improve the satisfaction and quality of life of the elderly, improve the health needs of nutrition, and allow a variety of choices when eating to change the current situation of traditional whipped food and shredded meals.It is expected that the quality of life, nutritional status, and meal satisfaction of the pre-frail elders with masticatory difficulties will be significantly higher than those of the control group if the subjects receive care meals, which can be used as a reference for the daily care of the elderly with masticatory disorders in the future.


Eligibility criteria: Inclusion Criteria:

* Elderly over 65 years old.
* Elders who are pre-frail cases after the five assessments of frailty and who are abnormal after the chewing test.
* Clear awareness, willing to accept visitors, able to communicate in Chinese and Taiwanese.
* Ability to express food appearance and taste.
* Those who eat by mouth.

Exclusion Criteria:

* Elderly with dementia (certified by medical records and disability handbook).
* Elderly people who have swallowing disorders in the throat stage after being screened by the modified water swallowing test.
* Visually impaired and no primary caregiver to assist the program implementer.

Primary outcomes:
measure: Geriatric oral health assessment index，GOHAI
timeFrame: 10-20mins
measure: Oral Health Assessment Tool ，OHAT
timeFrame: 10-20mins
measure: Oral health impact profile，OHIP
timeFrame: 10-20mins
measure: Meal satisfaction seven-item questionnaire
timeFrame: 5-10mins
Secondary outcomes:
measure: Mini Nutritional Assessment - MNA Elderly,
timeFrame: 5-10mins
Other outcomes:
Locations:
city: Hualien City
country: Taiwan
facility: WangJiaJie
Study officials:
name: Wang JiaJie
role: PRINCIPAL_INVESTIGATOR
References: