Frail Older AdultsNCT03289598
Effect of Involving Community-dwelling Older Adults in Activities in Relation to Meals
A study testing A rehabilitation process involving collaborative goal setting with a case manager about managing own food and meals in people with Frail Older Adults, run by The Danish Dietetic Association at 1 site in Denmark.
Trial summary
Community-dwelling older adults receiving support at home such as meals-on-wheels may lose the ability to preserve social, cognitive, and functional abilities, when becoming accustomed to and dependent of community aged care. Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Frail Older Adults
- What is being tested?
- A rehabilitation process involving collaborative goal setting with a case manager about managing own food and meals
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 130 participants
- Where
- 1 siteDenmark
- Study dates
- 15 Feb 2017to 1 Sep 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Community dwelling older people (64+ years)
- Able to eat and drink
- Receive meals-on-wheels from the municipality at the time of recruitment
- Live in the city of Odense
Who cannot join
- Moderate-severe dementia as judged by the home -care staff
- Being deaf and/or not understand the language of Danish.
- Not being able to sign the informed consent
- Receiving (or likely to receive in the next 6 months) enteral tube feeding or parenteral nutrition;
- Participating in other project in the municipality about nutritional support in the form of dietetic advice;
- Or on an end-of-life care pathway
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Cluster Randomised Feasibility Trial Evaluating Involving Community-dwelling Older Adults in Activities in Relation to Meals in a Rehabilitation Program; Recruitment, Data Collection and Protocol
Community-dwelling older adults receiving support at home such as meals-on-wheels may lose the ability to preserve social, cognitive, and functional abilities, when becoming accustomed to and dependent of community aged care. When still able to cook older adults often hold some control over the foods that are prepared and which they eat, and which helps to foster identity. The purpose of this study is to evaluate community-dwelling older adults being involved in activities in relation to meals in a rehabilitation program.
- Conditions
- Frail Older Adults
- Being tested
- A rehabilitation process involving collaborative goal setting with a case manager about managing own food and meals
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
A rehabilitation process involving collaborative goal setting with a case manager about managing own food and mealsBehavioural
The intervention consists of two parts:
- Education of the health care staff with three day's education focusing of aspects of food, meals and nutrition to old people.
- The individual participants in the intervention group will be participating in a rehabilitation process involving collaborative goal setting with a case manager. All the case managers have a background as registered dietician and will before start of the intervention be trained in managing a rehabilitation process with focus on meals and food. The training will consist of three days of education in, respectively, areas in relation to rehabilitation and the role as a care manager. Specific topics include; assessment of functional abilities in relation to meals and food; goal setting by means of GAS (Goal Attainment Scaling), ethical considerations and communication.
| Study group | Role | What they receive |
|---|---|---|
| Interventionsgroup | Experimental | Not described Receives: Behavioral: A rehabilitation process involving collaborative goal setting with a case manager about managing own food and meals |
| Controlgroup | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Quality of life
EuroQol (EQ-5D) is a questionnaire with five questions to be answered in three categories of movement, self-care, usual activities, pain/discomfort and anxiety/depression.
Measured: Up to 6 months
Secondary outcomes (7)
30 seconds chair-stand
30 seconds chair-stand will be used to measure muscle strength. Participants are asked to fold their arms across their chest and to stand up and sit down on a chair without pushing off with arms, as many times as possible for 30 seconds.
Measured: Up to 6 months
Weight
Weight in kilograms
Measured: Up to 6 months
Height
Height in meter and centimetre
Measured: Up to 6 months
Loneliness
Loneliness will be measured by the UCLA Loneliness Scale. The scale consists of 20 items (11 positive and 9 negative), describing subjective feelings of loneliness.
Measured: Up to 6 months
Mental well-being
Mental well-being will be measured by the short Warwich-Edinburgh Mental Well-being Scale (SWEMWBS) - Danish version 2014. SWEMWBS is a 7-item scale; each answered on a 1 to 5 Likert scale, with most items representing aspects of psychological and eudemonic well-being, and few covering hedonic well-being or affect.
Measured: Up to 6 months
Self-efficacy
Self-efficacy will be measured by The General Self-Efficacy Scale (GSE).The GSE is a 10-item psychometric scale will be used to assess optimistic self-beliefs to cope with a variety of difficult demands in life.
Measured: Up to 6 months
Satisfaction with food-related life
The satisfaction with food-related life will be measured by the Satisfaction with Food-related Life (SWFL) scale.The SWFL, consists of 5 items grouped into a single dimension (e.g. Food 1: Food and meals are positive elements; Food 2: I am generally pleased with my food; Food 3: My life in relation to food and meals is close to ideal; Food 4: With regards to food, the conditions of my life are excellent; Food 5: Food and meals give me satisfaction in daily life.). In each scale, the respondents must indicate their degree of agreement with these statements using a 6-level Likert scale (1 = disagree completely, 6 = agree completely).
Measured: Up to 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Sep 2017
- Study start15 Feb 2017
- Primary completion1 Sep 2018
- Study completion1 Sep 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Frail Older AdultsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 130 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Danish Dietetic Association
- Sponsor type
- University, hospital or other
- Collaborators
- The Danish Meal Partnership, Ministry of Environment and Food of Denmark, Metropolitan University College, National Board of Health, Denmark, The City of Odense, Danish Diet & Nutrition Association
- Responsible party
- Sponsor
- Investigators
- Mette Pedersen, Study director, The Danish Dietetic Association
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03289598
- Sponsor's protocol ID
- PROJECT_APM
- Status last verified
- Aug 2018
- First submitted
- 16 Sep 2017
- Last updated
- 7 Feb 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Husted MM, Beck AM, Ulrikkeholm LK. A cluster randomised feasibility pilot trial evaluating involving community-dwelling older adults in activities in relation to meals in a rehabilitation program; recruitment, data collection and protocol. Pilot Feasibility Stud. 2018 Aug 6;4:134. doi: 10.1186/s40814-018-0323-3. eCollection 2018.
PubMed 30123525
Study at a glance
From the registry record, last updated by the sponsor on 7 Feb 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Cluster Randomised Feasibility Trial Evaluating Involving Community-dwelling Older Adults in Activities in Relation to Meals in a Rehabilitation Program; Recruitment, Data Collection and Protocol
- ClinicalTrials.gov ID
- NCT03289598
- Acronym / sponsor ID
- PROJECT_APM
- Conditions
- Frail Older Adults
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 130 participants (actual)
- Lead sponsor
- The Danish Dietetic AssociationUniversity, hospital or other
- Collaborators
- The Danish Meal Partnership, Ministry of Environment and Food of Denmark, Metropolitan University College, National Board of Health, Denmark, The City of Odense, Danish Diet & Nutrition Association
- Study start
- 15 Feb 2017 (actual)
- Primary completion
- 1 Sep 2018 (actual)
- Study completion
- 1 Sep 2018 (actual)
- First posted
- 21 Sep 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Community-dwelling older adults receiving support at home such as meals-on-wheels may lose the ability to preserve social, cognitive, and functional abilities, when becoming accustomed to and dependent of community aged care. When still able to cook older adults often hold some control over the foods that are prepared and which they eat, and which helps to foster identity. The purpose of this study is to evaluate community-dwelling older adults being involved in activities in relation to meals in a rehabilitation program.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Interventionsgroup | Experimental | Behavioral: A rehabilitation process involving collaborative goal setting with a case manager about managing own food and meals |
| Controlgroup | No intervention | – |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (4 listed)
- Community dwelling older people (64+ years)
- Able to eat and drink
- Receive meals-on-wheels from the municipality at the time of recruitment
- Live in the city of Odense
Key exclusion criteria (6 listed)
- Moderate-severe dementia as judged by the home -care staff
- Being deaf and/or not understand the language of Danish.
- Not being able to sign the informed consent
- Receiving (or likely to receive in the next 6 months) enteral tube feeding or parenteral nutrition;
- Participating in other project in the municipality about nutritional support in the form of dietetic advice;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| A rehabilitation process involving collaborative goal setting with a case manager about managing own food and mealsThe intervention consists of two parts: 1. Education of the health care staff with three day's education focusing of aspects of food, meals and nutrition to old people. 2. The individual participants in the intervention group will be participating in a rehabilitation process involving collaborative goal setting with a case manager. All the case managers have a background as registered dietician and will before start of the intervention be trained in managing a rehabilitation process with focus on meals and food. The training will consist of three days of education in, respectively, areas in relation to rehabilitation and the role as a care manager. Specific topics include; assessment of functional abilities in relation to meals and food; goal setting by means of GAS (Goal Attainment Scaling), ethical considerations and communication. | Behavioural | Interventionsgroup |
Primary outcome
Quality of life
Time frame: Up to 6 months
EuroQol (EQ-5D) is a questionnaire with five questions to be answered in three categories of movement, self-care, usual activities, pain/discomfort and anxiety/depression.
7 secondary outcomes
30 seconds chair-stand
Time frame: Up to 6 months
Weight
Time frame: Up to 6 months
Height
Time frame: Up to 6 months
Loneliness
Time frame: Up to 6 months
Mental well-being
Time frame: Up to 6 months
Self-efficacy
Time frame: Up to 6 months
Satisfaction with food-related life
Time frame: Up to 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Feb 2019.
- Derived from this study: PubMed 30123525Husted MM, Beck AM, Ulrikkeholm LK. A cluster randomised feasibility pilot trial evaluating involving community-dwelling older adults in activities in relation to meals in a rehabilitation program; recruitment, data collection and protocol. Pilot Feasibility Stud. 2018 Aug 6;4:134. doi: 10.1186/s40814-018-0323-3. eCollection 2018.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mette Pedersen study director
The Danish Dietetic Association
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing A rehabilitation process involving collaborative goal setting with a case manager about managing own food and meals in people with Frail Older Adults, run by The Danish Dietetic Association at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Quality of life (time frame: Up to 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03289598, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Feb 2019.