Author, as appears in the article.: Fernandez-Barres, Silvia; Garcia-Barco, Montse; Basora, Josep; Martinez, Teresa; Pedret, Roser; Arija, Victoria
Department: Ciències Mèdiques Bàsiques
URV's Author/s: Arija Val, Maria Victoria / Basora Gallisa, Josep / FERNANDEZ BARRES, SILVIA
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
Record's date: 2025-02-24
Paper 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/
Paper original source: International Journal Of Nursing Studies. 70 131-141
APA: Fernandez-Barres, Silvia; Garcia-Barco, Montse; Basora, Josep; Martinez, Teresa; Pedret, Roser; Arija, Victoria (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
Repositori URV