Assessment of Food Practices by Residents in Nursing Homes (ARC2)

August 18, 2017 updated by: Hospices Civils de Lyon

Assessment of Food Practices by Residents in Nursing Homes, Study of Relationship Between Food Intake and Nutritional Status.

Nutrition is an essential component of health and a key determinant of aging and quality of life of individuals. Malnutrition in the elderly is now recognized as a public health problem affecting nearly half of residents in nursing homes. The fight against malnutrition requires to rethink the meal in all its dimensions, beyond the nutritional needs. In order to improve practices of care at the elderly, the impact of environmental and social aspects of food in nursing homes has been assessed. The social environment and interactions during the meals are now identified as effective ways to stimulate food intake and increase feelings of well-being in the elderly.

The objectives of the study are to characterize the appreciation of food and social interactions during the meals and to study the relationships between the quality of food practices and nutritional status of the residents in nursing homes to improve their quality of life.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

46

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Décines Charpieu, France, 69153
        • Les Volubilis
      • Lyon, France, 69003
        • Les Cristallines
      • Lyon, France, 69005
        • Les Amandines
      • Lyon, France, 69008
        • La Vérandine
      • Rillieux la Pape, France, 69140
        • Castellane
      • Saint Priest, France, 69802
        • Les Alizés
      • Vaulx en Velin, France, 69515
        • Les Acanthes
      • Vaulx-en-Velin, France, 69120
        • Les Althéas

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

The protocol will include 110 subjects recruited in nursing home in which they reside

Description

Inclusion Criteria:

  • Men or women living in nursing homes
  • Person able to consent and understand the study
  • Person able to converse in French, answer to a questionnaire
  • Person feeding orally with or without assistance
  • Person having lunch in community
  • Availability of assessment criteria in the medical file

Exclusion Criteria:

  • Person with cachexia syndrome
  • Person with severe dementia (MMS <20)
  • Dependent person (GIR score 1 and 2)
  • Person with severe disorders of neurological origin swallowing
  • Person under artificial nutrition (enteral, parenteral)
  • Person with acute infectious disease
  • Person with unstable medical or psychological conditions that could lead to be non receptive or uncooperative during the study or could compromise the security or the participation of the subject in the study
  • Person under trusteeship or deprived of their liberty by judicial or administrative decision
  • at the end of life

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
observation and interview of residents
residents will be observed over lunch and an interview will be held with each resident after lunch
Other: observation and interview of residents
Residents will be observed during lunch to evaluate their behavior, verbal interactions between residents. The food intake during 24 hours will be evaluated also. In an interview after lunch, the appreciation of the meal by residents will be assessed by a questionnaire and the score of the nutritional state will be defined.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assessment score of food practices
Time Frame: during lunch, an average of 30 minutes
A questionnaire will be administered to the residents to target several criteria based on the assessment of the self-perception of the restaurant area, the hunger, the quality of food and services, the conviviality… A choice of four answers will be offered on each question to assess the level of appreciation of each criterion.
during lunch, an average of 30 minutes

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Food intake (semi- quantitative estimation of the calorie and protein intakes).
Time Frame: 24 hours
Visual estimation of the consumption of served portions, combined with the composition of each component of the 3 meals and snacks. The potential use of oral nutritional supplements will be included. Visual estimation of the consumption of portions shall be notified in a specific evaluation sheet (0, 25%, 50%, 75 % or 100% consumption of portions served) for each component of meal and snack.
24 hours
Nutritional status
Time Frame: during the 30 minutes of the interview
The mini nutritional assessment (MNA) will be completed for grading the nutritional state of the residents.
during the 30 minutes of the interview
study the interactions developed during the meal between the subject and his entourage
Time Frame: during lunch, an average of 30 minutes
A specific grid designed to easily capture different parameters characterizing the action of eating in community will be completed
during lunch, an average of 30 minutes
health assessment of the resident at inclusion
Time Frame: at the inclusion visit
a clinical examination will be made by the doctor
at the inclusion visit

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Hospices Civils de Lyon

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 16, 2015

Primary Completion (Actual)

March 1, 2016

Study Completion (Actual)

March 1, 2016

Study Registration Dates

First Submitted

November 26, 2015

First Submitted That Met QC Criteria

December 7, 2015

First Posted (Estimate)

December 10, 2015

Study Record Updates

Last Update Posted (Actual)

August 22, 2017

Last Update Submitted That Met QC Criteria

August 18, 2017

Last Verified

August 1, 2017

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 69HCL14_0433

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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