Articles producció científica> Ciències Mèdiques Bàsiques

The efficacy of a nutrition education intervention to prevent risk of malnutrition for dependent elderly patients receiving Home Care: A randomized controlled trial

  • Identification data

    Identifier: imarina:6389049
    Authors:
    Fernández-Barrés S, García-Barco M, Basora J, Martínez T, Pedret R, Arija V, Project ATDOM-NUT group
    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
  • Others:

    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 josep.basora@urv.cat victoria.arija@urv.cat
    Author identifier: 0000-0002-1758-0975
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://www.sciencedirect.com/science/article/abs/pii/S0020748917300561
    Licence document URL: https://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
  • Keywords:

    Nursing,Nursing (Miscellaneous)
    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
    Saúde coletiva
    Odontología
    Nursing (miscellaneous)
    Nursing (all)
    Nursing
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General nursing
    General medicine
    Enfermagem
    Ciencias sociales
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