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Engaging Elderly People Living in Institutions in Eating Situations (ENGAGE)

10 de febrero de 2022 actualizado por: Centre Hospitalier Universitaire Dijon

Several recent studies have revealed a significant under-consumption of food in hospitals and nursing homes. For instance, at the Dijon University Hospital, 8 out of 10 patients consume less than 80% of the meals served. This has two consequences: an increase in the risk of malnutrition (some patients leave the hospital in such a poor nutritional state that they must be re-hospitalized within six months) and significant food waste. At the heart of this problem, the taste of the food is the subject of frequent and recurrent complaints from users. Although the food industry widely uses sensory methods to adapt its products to the taste of consumers, these methods are rarely used by the organizations that provide meals to care institutions.

The objective is to establish "taste commissions" in the daily practice in institutions for the elderly (hospital, nursing home), in order to improve the organoleptic quality of the meals served according to the expectations and preferences of the users. The principle of this system is to allow the users to taste the dishes produced by the kitchen of the establishment and to transmit these evaluations to the cooks so that they can rework the recipes according to the users' feedback.

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Anticipado)

640

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

Sí

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

Hospitalized patients:

  • Person hospitalized in one of the following departments: the endocrinology-diabetology department, geriatric medicine, pulmonology, rheumatology, dermatology, infectious diseases, internal medicine, cardiology, as well as the rehabilitation department, which are departments with an average length of stay sufficient to perform the study
  • Person aged ≥ 50 years (this choice was made because more than 60% of the hospitalized population is currently over 50 years old)
  • Person having given their oral agreement
  • Person with an oral diet and eating without assistance
  • Person with a normal texture diet
  • For taste commissions and SWOT interviews: person with sufficient cognitive status to answer questions in a questionnaire or interview (MMSE > 21).

Residents in nursing home (EHPAD):

  • Person residing in EHPAD
  • Person aged ≥ 65 years
  • Person having given oral consent
  • Person who is orally fed and self-feeding
  • Person with a normal texture diet
  • For taste commissions and SWOT interviews: person with sufficient cognitive status to answer questions in a questionnaire or interview (MMSE > 21).

Facility staff for SWOT interviews:

  • Person who has worked at the facility where the taste commissions were implemented at least 3 months previously.
  • Person who gave oral consent
  • Person between the ages of 18 and 60

Exclusion Criteria:

  • Person at the end of life
  • Person with an eating disorder
  • Person with a significant chronic psychiatric disorder (psychosis, manic-depression).
  • Person requiring enteral or parenteral nutrition.
  • Person in a period of exclusion from a previous study

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Otro
  • Asignación: No aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Otro: Patients

Hospital Patients:

- Person hospitalized in one of the following departments: endocrinology-diabetology, geriatric medicine, pulmonology, rheumatology, dermatology, infectious diseases, internal medicine, cardiology, as well as in the rehabilitation department

Evaluation of the daily meal once a week:

Introduction on the different sensory dimensions of the food, hedonic rating for each component, indicate what pleases/what could be improved in the recipe.

At 0, 3, 6 months:

  • Food intake measurement, satisfaction measurement, and food waste measurement performed on 2 days (same week but not necessarily consecutive)
  • Assessment of nutritional status using the Mini-Nutritional Assessment (MNA)
Otro: Institutional staff
Person working in the establishment where the taste commissions have been in place for at least 3 months
Individual semi-guided face-to-face interview with an experimenter. They will allow us to identify the positive and negative effects of the taste commissions in the establishment as well as the levers and difficulties encountered during the implementation of the taste commissions. These interviews will be recorded using an audio device (dictaphone). Their content will then be transcribed in full.
Otro: Residents
Patients residing in nursing home

Evaluation of the daily meal once a week:

Introduction on the different sensory dimensions of the food, hedonic rating for each component, indicate what pleases/what could be improved in the recipe.

At 0, 3, 6 months:

  • Food intake measurement, satisfaction measurement, and food waste measurement performed on 2 days (same week but not necessarily consecutive)
  • Assessment of nutritional status using the Mini-Nutritional Assessment (MNA)
Individual semi-guided face-to-face interview with an experimenter. They will allow us to identify the positive and negative effects of the taste commissions in the establishment as well as the levers and difficulties encountered during the implementation of the taste commissions. These interviews will be recorded using an audio device (dictaphone). Their content will then be transcribed in full.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
weight of consumed ingesta
Periodo de tiempo: Change from Baseline to 6 months
Change from Baseline to 6 months

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

29 de marzo de 2021

Finalización primaria (Anticipado)

1 de marzo de 2023

Finalización del estudio (Anticipado)

1 de diciembre de 2023

Fechas de registro del estudio

Enviado por primera vez

27 de octubre de 2021

Primero enviado que cumplió con los criterios de control de calidad

10 de febrero de 2022

Publicado por primera vez (Actual)

14 de febrero de 2022

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

14 de febrero de 2022

Última actualización enviada que cumplió con los criterios de control de calidad

10 de febrero de 2022

Última verificación

1 de febrero de 2022

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • VAN WYMELBEKE I-SITE 2017

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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