Sílvia Fernández-Barrés1, Montse García-Barco2, Josep Basora3, Teresa Martínez2, Roser Pedret2, Victoria Arija4. 1. Departament de Ciències Mèdiques Bàsiques, Nutrition and Mental Health Research Group (NUTRISAM), Facultat de Medicina i Ciències de la Salut (FMCS), Universitat Rovira i Virgili (URV), c/Sant Llorenç, 21, 43201 Reus, Tarragona, Spain. 2. Primary Care Department, Camp de Tarragona, Catalan Health Institute, Recinte Joan XXIII, 43001 Tarragona, Spain. 3. Primary Care Department, Camp de Tarragona, Catalan Health Institute, Recinte Joan XXIII, 43001 Tarragona, Spain; Research Unit Tarragona Reus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran via Corts Catalanes, 57, 08007 Barcelona, Spain. 4. Departament de Ciències Mèdiques Bàsiques, Nutrition and Mental Health Research Group (NUTRISAM), Facultat de Medicina i Ciències de la Salut (FMCS), Universitat Rovira i Virgili (URV), c/Sant Llorenç, 21, 43201 Reus, Tarragona, Spain; Research Unit Tarragona Reus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran via Corts Catalanes, 57, 08007 Barcelona, Spain; Pere Virgili Institute (IISPV), Avda. De la Universitat, 1-2a planta, 43204 Reus, Tarragona, Spain. Electronic address: victoria.arija@urv.cat.
Abstract
OBJECTIVE: To assess the effect of a nutrition education intervention included in the Home Care Program for caregivers to prevent the increasing risk of malnutrition of dependent patients at risk of malnutrition. DESIGN: Randomized controlled multicenter trial of 6 months of duration and 12 months follow-up. SETTINGS: 10 Primary Care Centers, Spain. PARTICIPANTS: Patients enrolled in the Home Care Program between January 2010 and March 2012, who were dependent and at risk of malnutrition, older than 65, and had caregivers (n=190). INTERVENTION: The nurses conducted initial educational intervention sessions for caregivers and then monitored at home every month for 6 months. MEASUREMENTS: The nutritional status was assessed using the Mini Nutritional Assessment test (primary outcome), diet, anthropometry, and biochemical parameters (albumin, prealbumin, hemoglobin and cholesterol). Other descriptive and outcome measures were recorded: current medical history, Activities of daily living (Barthel test), cognitive state (Pfeiffer test), and mood status (Yesavage test). All the measures were recorded in a schedule of 0-6-12 months. RESULTS:173 individuals participated after exclusions (intervention n=101; control n=72). Mean age was 87.8±8.9years, 68.2% were women. Difference were found between the groups for Mini Nutritional Assessment test score change (repeated measures ANOVA, F=10.1; P<0.001), the intervention improved the Mini Nutritional Assessment test score of the participants in the intervention group. The egg consumption (F=4.1; P=0.018), protein intake (F=3.0; P=0.050), polyunsaturated fatty acid intake (F=5.3; P=0.006), folate (F=3.3; P=0.041) and vitamin E (F=6.4; P=0.002) showed significant group×time interactions. CONCLUSION: A nutrition education intervention for caregivers halted the tendency of nutritional decline, and reduced the risk of malnutrition of older dependent patients. TRIAL REGISTRATION: Clinical Trial Registration-URL: www.clinicaltrials.gov. Identifier: NCT01360775.
RCT Entities:
OBJECTIVE: To assess the effect of a nutrition education intervention included in the Home Care Program for caregivers to prevent the increasing risk of malnutrition of dependent patients at risk of malnutrition. DESIGN: Randomized controlled multicenter trial of 6 months of duration and 12 months follow-up. SETTINGS: 10 Primary Care Centers, Spain. PARTICIPANTS: Patients enrolled in the Home Care Program between January 2010 and March 2012, who were dependent and at risk of malnutrition, older than 65, and had caregivers (n=190). INTERVENTION: The nurses conducted initial educational intervention sessions for caregivers and then monitored at home every month for 6 months. MEASUREMENTS: The nutritional status was assessed using the Mini Nutritional Assessment test (primary outcome), diet, anthropometry, and biochemical parameters (albumin, prealbumin, hemoglobin and cholesterol). Other descriptive and outcome measures were recorded: current medical history, Activities of daily living (Barthel test), cognitive state (Pfeiffer test), and mood status (Yesavage test). All the measures were recorded in a schedule of 0-6-12 months. RESULTS: 173 individuals participated after exclusions (intervention n=101; control n=72). Mean age was 87.8±8.9years, 68.2% were women. Difference were found between the groups for Mini Nutritional Assessment test score change (repeated measures ANOVA, F=10.1; P<0.001), the intervention improved the Mini Nutritional Assessment test score of the participants in the intervention group. The egg consumption (F=4.1; P=0.018), protein intake (F=3.0; P=0.050), polyunsaturated fatty acid intake (F=5.3; P=0.006), folate (F=3.3; P=0.041) and vitamin E (F=6.4; P=0.002) showed significant group×time interactions. CONCLUSION: A nutrition education intervention for caregivers halted the tendency of nutritional decline, and reduced the risk of malnutrition of older dependent patients. TRIAL REGISTRATION: Clinical Trial Registration-URL: www.clinicaltrials.gov. Identifier: NCT01360775.
Authors: Christine Baldwin; Marian Ae de van der Schueren; Hinke M Kruizenga; Christine Elizabeth Weekes Journal: Cochrane Database Syst Rev Date: 2021-12-21
Authors: Liz Payne; Daniela Ghio; Elisabeth Grey; Joanna Slodkowska-Barabasz; Philine Harris; Michelle Sutcliffe; Sue Green; Helen C Roberts; Caroline Childs; Sian Robinson; Bernard Gudgin; Pam Holloway; Jo Kelly; Kathy Wallis; Oliver Dean; Paul Aveyard; Paramjit Gill; Mike Stroud; Paul Little; Lucy Yardley; Leanne Morrison Journal: BMC Fam Pract Date: 2021-11-11 Impact factor: 2.497