Author, as appears in the article.: Fernández-Barrés S, García-Barco M, Basora J, Martínez T, Pedret R, Arija V, Project ATDOM-NUT group

Department: Ciències Mèdiques Bàsiques

URV's Author/s: Arija Val, Maria Victoria / Basora Gallisa, Josep

Keywords: Primary health care Nutrition education Malnutrition Home care Caregivers Aged Activities of daily living nutrition education malnutrition home care caregivers aged activities of daily living

Abstract: © 2017 Elsevier Ltd 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 ± 8.9 years, 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

Research group: Nutrició i Salut Mental

Thematic Areas: Saúde coletiva Odontología Nursing (miscellaneous) Nursing (all) Nursing Medicina iii Medicina ii Medicina i Interdisciplinar General nursing General medicine Enfermagem Ciencias sociales

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 00207489

Author's mail: josep.basora@urv.cat victoria.arija@urv.cat josep.basora@urv.cat

Author identifier: 0000-0002-1758-0975

Record's date: 2023-02-19

Papper version: info:eu-repo/semantics/acceptedVersion

Link to the original source: https://www.sciencedirect.com/science/article/abs/pii/S0020748917300561

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: International Journal Of Nursing Studies. 70 131-141

APA: Fernández-Barrés S, García-Barco M, Basora J, Martínez T, Pedret R, Arija V, Project ATDOM-NUT group (2017). The efficacy of a nutrition education intervention to prevent risk of malnutrition for dependent elderly patients receiving Home Care: A randomized controlled trial. International Journal Of Nursing Studies, 70(), 131-141. DOI: 10.1016/j.ijnurstu.2017.02.020

Article's DOI: 10.1016/j.ijnurstu.2017.02.020

Entity: Universitat Rovira i Virgili

Journal publication year: 2017

Publication Type: Journal Publications