An Innovative Rehabilitating Meals-on-wheels Service for Frail Old People

Not Applicable

Completed

• Conditions: Rehabilitation; Undernutrition
• Interventions: Other: rehabilitating meals-on-wheels service

• Registration Number: NCT03889184
• Lead Sponsor: University of Copenhagen

Brief Summary

The aim of the project is to assess the beneficial effect of offering frail old people a targeted meals-on-wheels service in 8 weeks in a randomized controlled trial

Detailed Description

The aim of the project is to assess the beneficial effect of offering frail old people a targeted meals-on-wheels service in 8 weeks in a randomized controlled trial. The target group is, respectively old people discharged from an hospital stay, old people referred for exercise rehabilitation in the municipality and old people already receiving meals-on-wheels

Study Timeline

• Study Start: 2019-03-18
• Study First Submitted: 2019-03-19
• Study First Submitted QC: 2019-03-21
• Study First Posted: 2019-03-26
• Primary Completion: 2019-12-31
• Study Completion: 2020-03-01
• Status Verified: 2020-06
• Last Update Submitted: 2020-06-07
• Last Update Posted: 2020-06-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 76

Inclusion Criteria

• 65+ year,
• able to speak and understand Danish.
• has accepted to participate
• Is discharged from hospital, or
• is referred to exercise rehabilitation in the municipality or
• is receiving meals-on-wheels

Exclusion Criteria

• terminal disease,
• living in a nursing home,
• receives a specific diet (e.g. diabetes, dysphagia, vegetarian or vegan)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
rehabilitating meals-on-wheels service	rehabilitating meals-on-wheels service	the intervention group will for 8 weeks receive a rehabilitating meals-on-wheels service

Primary Outcome Measures

Name	Time	Method
readmissions	after 30 days	measuring prevalence of hospital admissions within 30 days
EuroQoL (EQ-5D-5l)	change after 8 weeks	(EQ-5D-3L) is a standardized instrument for use as a measure of health outcome. The EQ-5D-5L descriptive system comprises the following 5 dimensions (5D): mobility, self-care, usual activities, pain/discomfort and anxiety/depression.; Each dimension has 5 levels (5L): from no problems (1 point), to extreme problems (5 points).
protein intake	change after 8 weeks	assessment of dietary intake of protein by means of a 24 hour recall

Secondary Outcome Measures

Name	Time	Method
physical function	change after 8 weeks	30-seconds chair stand
Satisfaction with food-related quality of life questionnaire (SWFL)	change after 8 weeks	SWFL consist of five items that can be measured independently, or grouped into a single dimension. The participants evaluate their degree of agreement, with five statements of answer possibilities (from disagree completely to agree completely), and a higher level means a better SWFL score.
Food related functional ability questionnaire (scale)	change after 8 weeks	Food-related functional ability is assessed based on questions of ability (or inability) to handle shopping, table coverage, cooking, heating and eating, as well as being able to chew and swallow food without problems and to see, hear, smell and taste food. There are four response categories from 'yes, effortlessly' to 'no, not at all'. In addition, six questions regarding the extent to which the participant can master daily chores regarding today's main meals. There are five response categories from "" can not at all "to" to very much ".
Meal quality questionnaire	change after 8 weeks	meal quality is assessed on the basis of the Nutrition and Health Education's culinary assessment schedule, which includes seven assessment criteria, as well as supplementary questions about the correspondence between the citizen's expectations and the appearance of the food. The assessment criteria include sensory factors regarding the appearance of the food, fragrance, taste, consistency, temperature, portion size and overall assessment. The criteria are assessed on a Likert scale (1-5), where 1 is defined as very poor and 5 is defined very well.
Compliance	after 8 weeks	assessment of percentage of use of provided meals-on-wheel service
adverse events	during the 8 weeks	assessment of adverse events related to the intervention, e..g number of partiicpants with nausea,

Trial Locations

Locations (1)

Municipality of Albertslund; 🇩🇰 Albertslund, Denmark