Effects of FEED@Home Intervention
- Conditions
- Registration Number
- NCT06727461
- Lead Sponsor
- The University of Hong Kong
- Brief Summary
The main goal of this single-blinded multicenter randomized trial is to learn if the 8-week home-based Feeding EnhancEment in Dementia program (FEED@home) works to improve unplanned hospital utilization of advanced dementia patients with feeding problems who reside at home after discharge from hospital. It will also investigate the effect of Feed@home progra...
- Detailed Description
To improve in-home post-discharge management of feeding difficulties in advanced dementia patients, our research team members developed the FEED@home intervention with the goals of reducing potentially avoidable hospital readmissions and improving quality of life of advanced dementia patients with feeding difficulties.
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Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 180
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Number of unplanned all-cause hospital readmissions 6-month The total number of unplanned all-cause hospital readmissions within the specified time frame will be obtained from electronical medical system. Family caregivers will report any unplanned admissions to private hospitals during the study period.
- Secondary Outcome Measures
Name Time Method Number of unplanned all-cause hospital readmissions 1-month, 2-month, and 3-month The total number of unplanned all-cause hospital readmissions within the specified time frame will be obtained from electronical medical system. Family caregivers will report any unplanned admissions to private hospitals during the study period.
Time to first unplanned all-cause hospital readmission 1-month, 2-month, 3-month and 6-month The date of first hospital readmission will be obtained based on a review of medical records. The time from discharge date to the date of first all-cause hospital readmission will be calculated.
Number of unplanned feeding-mode related hospital readmissions 1-month, 2-month, 3-month and 6-month The total number of unplanned feeding mode related hospital readmissions within the specified time frame will be obtained from electronic medical system. Family caregivers will report any unplanned admissions to private hospitals related to feeding mode during the study period.
Time to first unplanned feeding mode related hospital readmission 1-month, 2-month, 3-month and 6-month The time from discharge to the first hospital readmission related to feeding mode will be documented, including the specific date of readmission.
Time to conversion to tube feeding 6-month The time to conversion to tube feeding will be counted from the discharge date to the date of feeding tube insertion within 6 months, which reflects the sustainability of oral feeding. The timing of feeding tube insertion will be recorded based on a review of medical records.
Edinburgh Feeding Evaluation in Dementia Questionnaire-Chinese version (C-EdFED-Q) Baseline, 2-month, and 6-month C-EdFED-Q will assess the patient's feeding difficulty by caregiver's rating of observable feeding behaviors at mealtimes (11 items rated on a 3-point scale from 1 'never' to 2 'often,' score range 0-20; 20=highest difficulty). The C-EdFED-Q has been shown to have good interrater reliability, internal consistency, and construct validity.
Mini Nutritional Assessment-Short Form (MNA-SF) Baseline, 2-month, 6-month MNA-SF assess the malnutrition risk of patients by interviewing the family caregiver. The MNA-SF is a validated 6-item tool for assessing malnutrition in older adults including Chinese patients.24-25 The items assess food intake, unintended weight loss, mobility, acute disease, neuropsychological problems, and BMI or calf circumstance if BMI is unavailable (...
Quality of Life in Late-Stage Dementia Scale-Chinese version (QUALID-C) Baseline, 2-month, and 6-month QUALID-C will assess the quality of life of patients with advanced dementia. The QUALID-C is a validated 11-item scale rated on a 5-point Likert scale based on caregivers report of observable behaviors of people with severe dementia (range 11-55; lower score indicates higher QoL). The QUALID-C has demonstrated excellent reliability, internal consistency, and...
Satisfaction with Care Questionnaire Baseline, 2-month, and 6-month Satisfaction with Care Questionnaire is modified from the questionnaire developed by the Hospital Authority Quality and Safety Subcommittee to assess family caregivers' satisfaction with care services provided to support careful hand feeding (Reference Manual). The 7-item questionnaire is rated on a 5-point Likert scale (1=strongly disagree; 5=strongly agree...
Zarit Burden Interview Scale-Cantonese version (CZBI) Baseline, 2-month, and 6-month This scale will assess caregiver burden by interviewing the family caregiver. The 12-item CZBI-Short is rated on a 5-point Likert scale and has been demonstrated to be a reliable and valid instrument to assess burden in Chinese dementia caregivers
Trial Locations
- Locations (1)
Queen Mary Hospital
ðŸ‡ðŸ‡°Hong Kong, Hong Kong