LifE Style, Nutrition and Oral Health in Care Givers (LENTO)
- Conditions
- Nutrition Disorders in Old AgeTooth DiseasesPlaque, DentalDenturesGingival DiseasesOral MucositisCaries,Dental
- Interventions
- Other: Nutrition and oral health intervention
- Registration Number
- NCT04003493
- Lead Sponsor
- University of Eastern Finland
- Brief Summary
The LENTO study sample includes the caregivers and their clients living in eastern Finland. The aims of this study are
1. to study the nutritional status, oral health, coping, functional capacity and quality of life
2. to find out how individual nutrition and oral health counseling received for caregivers affect on the nutritional status and oral health of caregivers and their clients
3. develop an operating model to maintain good nutrition and oral health.
- Detailed Description
In Finland, the aim is to reduce the institutional care of older people and caring them in their own homes. The goal of shifting the focus of services to open services is difficult to implement if the health of the caregivers is inadequate. In order to achieve this goal, it is important to influence the health and performance of caregivers. Information is needed to support this, among others, about how the nutrition and oral health of caregivers can be promoted and to what extent this affects the performance and quality of life of their clients. A randomly of 220 caregivers over 65 years old and their clients is selected for this study. The caregivers are randomized to either treatment or control groups. At the beginning of the study is estimated the nutritional status and oral health of the caregivers. Based on the results, the nutritionist and dental hygienist give individual advice to optimize the nutrition and oral health of the caregivers in the intervention group. After six months, the same measurements are made as at the beginning of the study. Monitoring measurements will be made one year after the start of the intervention. The results of this project provide information on the health, well-being, and ability to the function of the caregivers. Based on the results, is developed an operating model that is intended to be wide as use as possible. Improving the nutrition and oral health of caregivers has a significant impact on their own and their clients health and well-being as well as the long-term care costs presumably.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 250
- caregivers who have a caregiver´s contract valid on 1 January 2019
- care recipients living at home
- in terminal care
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group of nutrition Nutrition and oral health intervention On the basis of a blood test, Mini Nutritional Assessment, food diary and nutritional anamnesis, the nutritionist developed a plan for individualised nutritional care and discussed with the caregivers. If the caregivers seemed unable to increase the energy and/or protein of their diet, daily complementary dietary drinks were recommended to them. The participants were re-examined six months after the baseline interviews to evaluate the effectiveness of the interventions. Intervention group of oral health Nutrition and oral health intervention After the dental hygienist interview and oral health examination, the caregivers in need were targeted for oral health intervention. The intervention included individualised instructions on either dental hygiene, denture hygiene, cleaning of the oral mucosa or for dry mouth. The participants were re-examined six months after the baseline interviews to evaluate the effectiveness of the interventions.
- Primary Outcome Measures
Name Time Method Body mass index (kg/m2) Baseline and 6 months and (12 months follow-up visit) Change in BMI
Condition of teeth Baseline and 6 months and (12 months follow-up visit) Change in condition of teeth
Presence of plaque Baseline and 6 months and (12 months follow-up visit) Change in presence of plaque
Gingival bleeding and measurement of periodontal pockets Baseline and 6 months and (12 months follow-up visit) Change in gingival bleeding and measurement of periodontal pockets
Dental and denture hygiene Baseline and 6 months and (12 months follow-up visit) Change dental and denture hygiene
Subjective feeling of dry mouth and pain in mouth Baseline and 6 months and (12 months follow-up visit) Change in subjective feeling of dry mouth and pain in mouth
Hand grip strength Baseline and 6 months and (12 months follow-up visit) Change in had grip strength of boot hands
Oral mucosa Baseline and 6 months and (12 months follow-up visit) Change in oral mucosa
Nutritional status Baseline and 6 months and (12 months follow-up visit) Change in MNA scores
Albumin Baseline and 6 months and (12 months follow-up visit) Change in plasma albumin concentration
Prealbumin Baseline and 6 months and (12 months follow-up visit) Change in plasma prealbumin concentration
Number and location of teeth Baseline and 6 months and (12 months follow-up visit) Change in number and location of teeth
Type and location of removable dental prosthesis Baseline and 6 months and (12 months follow-up visit) Change in type and location of removable dental prosthesis
- Secondary Outcome Measures
Name Time Method Activities of Daily Living Baseline and 6 months and (12 months follow-up visit) Change in Activities of Daily Living (ADL) scores
Instrumental Activities of Daily Living Baseline and 6 months and (12 months follow-up visit) Change in Instrumental Activities of Daily Living (IADL) scores
Quality of Life (WHOQOL) -bref scores Baseline and 6 months and (12 months follow-up visit) Change in quality of Life (WHOQOL) -bref scores
Depression Baseline and 6 months and (12 months follow-up visit) Change in Geriatric Depression Scale (GDS)-15 scores
Cognition Baseline and 6 months and (12 months follow-up visit) Change in Mini Mental State Examination (MMSE) scores
Sense of coherence Baseline and 6 months and (12 months follow-up visit) Change in sense of coherence (SOC) scores
Morbidity Baseline Functional Comorbidity Index (FCI) scores
Trial Locations
- Locations (1)
University of Eastern Finland
🇫🇮Kuopio, Finland