Implementation of Nutritional Guidelines and Effects in Nursing Home Residents

Not Applicable

Completed

• Conditions: Implementation Strategies; Nutritional Outcome of Nursing Home Residents
• Interventions: Other: A one year multifaceted implementation strategy; Other: A three hour lecture about the guidelines

• Registration Number: NCT01861366
• Lead Sponsor: Uppsala University

Brief Summary

The aim of this study is to examine two implementation strategies (external facilitation and educational outreach visit) when introducing nutritional guidelines in the elderly care setting and to evaluate the results of the implementation by clinical outcome measures of the nursing home residents.

The hypothesis is that the residents affected by the external facilitation strategy will stay stable in the measured clinical outcomes, while the residents influenced by the educational outreach visit will deteriorate during the implementation process.

Detailed Description

Not available

Study Timeline

• Study Start: 2009-05
• Primary Completion: 2011-06
• Study Completion: 2011-06
• Status Verified: 2013-05
• Study First Submitted: 2013-05-21
• Study First Submitted QC: 2013-05-22
• Last Update Submitted: 2013-05-22
• Study First Posted: 2013-05-23
• Last Update Posted: 2013-05-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 101

Inclusion Criteria

• age of 65 or older
• nursing home resident
• persons who manage the examination methods (interviews and blood samples)

Exclusion Criteria

• persons in terminal stage of life

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
External facilitator	A one year multifaceted implementation strategy	The external facilitation is a one year multifaceted intervention, including support, guidance, practice audit and feedback, training targeted to a team of practitioners involving the unit manager, the nurses and diet aides at the nursing home. The facilitator is a researcher and dietician.
Educational outreach visit	A three hour lecture about the guidelines	The outreach visit is a three hour lecture about the nutritional guidelines targeted to a team of practitioners including the unit manager, the nurses and diet aides at the nursing home. The trained person giving the lecture is a researcher and dietician.

Primary Outcome Measures

Name	Time	Method
Nutritional status	2 years	Nutritional status is assessed with the Mini Nutritional Assessment-Short Form tool

Secondary Outcome Measures

Name	Time	Method
Functional status	2 years	Functional status is assessed with ADL (Activities in Daily Living) Barthel index.
Cognitive status	2 years	Cognitive status is assessed with Short Portable Mental Status Questionnaire (SPMSQ).
Health-related Quality of Life	2 years	Health-related Quality of Life is assessed with EQ-5D.

Trial Locations

Locations (1)

Uppsala University; 🇸🇪 Uppsala, Sweden