Improved Modified Care Meals to Improving the Quality Of Life of the Pre-Frailty Chewing Disorders of the Older Adult

To Explore the Effect of Improved Modified Care Meals to Improving the Quality Of Life of the Pre-Frailty Chewing Disorders of the Older Adult

In 2020, we have entered an aging society. During the aging process, the body will decline with age, and the muscles will decrease, which will affect the swallowing muscles, causing chewing and swallowing difficulties are very common. Difficulty masticating is associated with problems with real teeth, dentures, and oral health disease, and is associated with infection, pain, inadequate nutritional intake, affected appearance, decreased quality of life, and mortality.

At present, Taiwan mostly provides the elderly with shredded food, cooked soft and rotten food, or whipped food. However, when the food is mashed or shredded, the original color, fragrance, and taste of the food will be lost. It cannot change the appetite of the elderly, and it will reduce the satisfaction of the elderly's meal, and there will still be risks of insufficient food intake and uneven nutrition. Appearance or taste can improve the satisfaction and quality of life of the elderly, improve the health needs of nutrition, and allow a variety of choices when eating to change the current situation of traditional whipped food and shredded meals.It is expected that the quality of life, nutritional status, and meal satisfaction of the pre-frail elders with masticatory difficulties will be significantly higher than those of the control group if the subjects receive care meals, which can be used as a reference for the daily care of the elderly with masticatory disorders in the future.

Study Overview

• Status: Recruiting
• Conditions: Quality of Life; Satisfaction; Food Selection; Chewing Disease
• Intervention / Treatment: Other: Texture Modified Foods Manual for chewing dysfunctions in older adult

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Wang JiaJie; Phone Number: +886 965073193; Email: mswing97@gmail.com

Study Locations

• Taiwan
  • Hualien City, Taiwan, 970
    • Recruiting
    • WangJiaJie
    • Contact: JiaJie; Phone Number: 0965073193; Email: mswing97@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Elderly over 65 years old.
• Elders who are pre-frail cases after the five assessments of frailty and who are abnormal after the chewing test.
• Clear awareness, willing to accept visitors, able to communicate in Chinese and Taiwanese.
• Ability to express food appearance and taste.
• Those who eat by mouth.

Exclusion Criteria:

• Elderly with dementia (certified by medical records and disability handbook).
• Elderly people who have swallowing disorders in the throat stage after being screened by the modified water swallowing test.
• Visually impaired and no primary caregiver to assist the program implementer.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: experimental group; Texture Modified Foods Manual for chewing dysfunctions (including IDDSI)	Other: Texture Modified Foods Manual for chewing dysfunctions in older adult; Texture Modified Foods Manual for chewing dysfunctions (including IDDSI)
No Intervention: control group; Traditional Soft Food Care Manual

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Geriatric oral health assessment index，GOHAI	Total score is 64 points, with higher scores indicating poorer oral health	10-20mins
Oral Health Assessment Tool ，OHAT	Total score is 16 points, with higher scores indicating poorer oral health	10-20mins
Oral health impact profile，OHIP	Total score is 56 points, with higher scores indicating poorer oral health	10-20mins
Meal satisfaction seven-item questionnaire	full score 35, minimum score 5 points.	5-10mins

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mini Nutritional Assessment - MNA Elderly,	Less than or equal to 7 points for malnutrition; 8-11 points for high-risk groups of malnutrition; 12 points for normal.	5-10mins

Collaborators and Investigators

• Sponsor: National Taipei University of Nursing and Health Sciences
• Investigators: Principal Investigator: Wang JiaJie

Study record dates

Study Major Dates

• Study Start (Actual): June 7, 2023
• Primary Completion (Estimated): May 8, 2024
• Study Completion (Estimated): July 31, 2024

Study Registration Dates

• First Submitted: May 2, 2023
• First Submitted That Met QC Criteria: June 18, 2023
• First Posted (Actual): June 28, 2023

Study Record Updates

• Last Update Posted (Actual): June 28, 2023
• Last Update Submitted That Met QC Criteria: June 18, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Frailty
• Other Study ID Numbers: WangJiaJie

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No