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

18. august 2017 opdateret af: 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.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

46

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

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

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

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

Beskrivelse

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

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
observation and interview of residents
residents will be observed over lunch and an interview will be held with each resident after lunch
Andet: 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.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assessment score of food practices
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Food intake (semi- quantitative estimation of the calorie and protein intakes).
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: at the inclusion visit
a clinical examination will be made by the doctor
at the inclusion visit

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Hospices Civils de Lyon

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

16. april 2015

Primær færdiggørelse (Faktiske)

1. marts 2016

Studieafslutning (Faktiske)

1. marts 2016

Datoer for studieregistrering

Først indsendt

26. november 2015

Først indsendt, der opfyldte QC-kriterier

7. december 2015

Først opslået (Skøn)

10. december 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. august 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

18. august 2017

Sidst verificeret

1. august 2017

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 69HCL14_0433

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med observation and interview of residents

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Sponsorer og samarbejdspartnere

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Betingelser

Sjældne sygdomme

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Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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