Eat well, Move well (Goed Gevoed in Beweging)

Recruiting

Conditions: mental and physical impairment

Registration Number: NL-OMON23522

Lead Sponsor: Opella, Stichting Alliantie Voeding in de Zorg

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 300

Inclusion Criteria

The inclusion criteria for the Eat well, move well intervention study are similar to the inclusion criteria set by Opella for the DOW pilot-study, these criteria are:
- Multiple health domain problems as diagnosed by the general practitioner (GP) with one of the following tools used in common general practice;
- ‘Transmuraal zorgassessment Geriatrie (TRAZAG)’ / Care assessment Geriatrics: answered ‘Yes’ to 3 or more domains of the start list
- Easycare: outcome frail (red) based on Trap 1 or Trap 2
- Groningen Frailty Index-score (GFI): 4 or higher
- Cognitive impairment based on the outcome of the Mini Mental State Examination (MMSE) (9) or the outcome of the Clock Drawing Test ‘Kloktekentest’ assessed less than a year ago by the GP or a medical specialist. Criteria for the MMSE-score are <24 and >17 points and for the Clock Drawing Test <3 points
- Willing to participate and signed informed consent

Exclusion Criteria

A potential subject who meets any of the following criteria will be excluded from participation in this study:
-Life expectancy <12 months (as judged by GP)
-On a waiting list for nursing home placement
-Client has not the capacity to participate because:
oThe client has a legally incapacitated statement
OR
oThe client has not the decisional capacity to consent or refuse to participating in the study based on the criteria: 1. Ability to communicate a choice about participating in the study; 2. Ability to understand the study information; 3. Ability to appreciate the study information and consequences of participation in relation to his/her own situation; 4. Ability to reason rationally about participating in the study.
-Unable to participate in study elements (intervention elements and/or measurements) as judged by the GP and/or Opella care professional and/or client and/or informal caregiver.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Physical Performance as measured with the Short Physical Performance Battery (SPPB)

Secondary Outcome Measures

Name	Time	Method
-Other physical performance parameters:<br>oPhysical Activity in minutes per day: measured with a pedometer during 5 consecutive days.<br>oHand grip strength in kg: measured with hand dynamometer:<br>oTimed up and Go test (TUG)<br>oNumber of falls in the past 12 months according to the registration of falls from Opella which is part of usual care in the Opella care registration system.<br><br>-Nutritional status and intake:<br>oWeight and height: taken from client’s file.<br>oDietary intake of energy, protein and fluid: assessed with 3 day food diary<br>oRisk of malnutrition: measured with SNAQ65+ (29), taken from client’s file.<br>oDiet Quality: assessed with the ‘Eetscore’ questionnaire (30).<br><br>-Wait list for nursing home: yes/no as recorded in client’s file.<br>-Quality of Life: measured with the SF-12 questionnaire (31)<br>