Southampton Mealtime Assistance Study

Not Applicable

Completed

• Conditions: Malnutrition
• Interventions: Other: trained volunteer mealtime assistance

• Registration Number: NCT01647204
• Lead Sponsor: University Hospital Southampton NHS Foundation Trust

Brief Summary

The primary objective of the study is to determine if the use of volunteers employed specifically to focus on mealtime assistance can increase food and nutrient intake of patients admitted to an acute Care of the Elderly ward. The sustainability of providing helpers to increase dietary intake over a year will be assessed and linked to actual dietary intake. The secondary objectives are to assess the association between dietary intake resulting from mealtime assistance and patient satisfaction, malnutrition risk, body composition, grip strength, length of hospital stay and hospital mortality.

Detailed Description

Poor nutritional status in older people acutely admitted to hospital is common with the risk of malnutrition estimated to be greater than 40%. Malnutrition is associated with major adverse clinical outcomes such as increased mortality, morbidity and length of stay at enormous cost to individuals and the health service. There is growing recognition that malnutrition is often unrecognised and untreated, and that many patients are discharged from hospital in a more malnourished state than when they were admitted. It is not surprising that complaints about nutrition and food services are amongst the commonest complaints in NHS hospitals.

The standard of mealtime care in UK hospitals has been an issue of concern for a number of years. A report last year from the Healthcare Commission found that one in five patients who wanted help eating did not get it. A secondary analysis of data provided by the Health Care Commission suggests that in some hospitals two out of five patients who wanted help with eating did not get it. Consistent with this, the recent Hungry to be Heard report found that nine out of ten nurses indicated they did not always have time to help ensure patients ate properly. They also suggested that some patients were not given appropriate assistance to eat. This problem is not unique to the UK and has been reported in other countries such as Australia and the USA.

The aim of the present study is to investigate if the use of volunteers employed specifically to focus on mealtime assistance in a Care of the Elderly Ward can increase food and nutrient intake, impact on body composition and improve clinical outcomes. The findings will inform service development in the nutritional care of older people across the Trust and wider.

Study Timeline

• Study Start: 2009-11
• Study First Submitted: 2012-07-11
• Study First Submitted QC: 2012-07-20
• Study First Posted: 2012-07-23
• Primary Completion: 2013-01
• Study Completion: 2013-01
• Status Verified: 2014-11
• Last Update Submitted: 2014-11-03
• Last Update Posted: 2014-11-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 342

Inclusion Criteria

Patients will be recruited in a consecutive prospective manner.

• emergency admissions to acute medical wards and
• ability to gain consent from patient or relatives

Exclusion Criteria

• Patient acutely unwell or palliative care
• Patient lacking capacity to consent and no assent given by relatives
• Patients who are tube fed or nil-by-mouth

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
mealtime assistance	trained volunteer mealtime assistance	Additional lunchtime help from trained volunteer mealtime assistants to supplement help from the ward staff

Primary Outcome Measures

Name	Time	Method
mean dietary intake of inpatients during a 24 hour period	end of year 1 and year 2	The primary objective of the study is to determine if the use of volunteers employed specifically to focus on mealtime assistance can increase food and nutrient intake of patients admitted to an acute Care of the Elderly ward.; Dietary intake measured as energy and protein

Secondary Outcome Measures

Name	Time	Method
patient satisfaction	end of year 1 and year2	measured by patient interviews held during each year
length of stay in hospital	end of year one and year two	taken from hospital records
body composition	end of year one and year two and year 3	triceps and mid upper arm measurement
mortality	end of year 1 year 2 and year 3	abstracted from hospital records
malnutrition risk	end of year 1 and year2	MUST score will be abstracted from medical records
grip strength	end of year 1 and year 2	measured using a dynamometer

Trial Locations

Locations (1)

University Hospital Southampton; 🇬🇧 Southampton, Hampshire, United Kingdom