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The Effectiveness of the Healthy Eating Plate on Appetite, Balanced Diet, and Dining Enjoyment Among Community-Dwelling Elderly

8 november 2026 bijgewerkt door: Yi-hsun Chu, Taichung Veterans General Hospital

The Effectiveness of the Healthy Eating Plate on Appetite, Balanced Diet, and Dining Enjoyment Among Community-Dwelling Older Adults

This study aimed to evaluate the effectiveness of a healthy eating plate intervention on appetite, balanced dietary intake, and dining enjoyment among community-dwelling older adults.

A quasi-experimental study was conducted among adults aged 65 years and older attending community-based long-term care stations in Chiayi, Taiwan. Participants were assigned to either an intervention group or a control group according to the participating sites.

The intervention group used a healthy eating plate designed according to the Taiwan Ministry of Health and Welfare's healthy eating guidelines during communal lunches at the community care stations, five days per week. The control group continued their usual meals and received a one-time educational session on healthy eating plate principles.

The study evaluated changes in appetite, balanced dietary intake, and dining enjoyment to examine the effects of the healthy eating plate intervention on dietary behaviors and dining experiences among community-dwelling older adults.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

The healthy eating plate intervention was designed based on the dietary principles promoted by the Taiwan Ministry of Health and Welfare. The plate translates healthy eating proportions into a tangible, practical tool that helps older adults apply balanced dietary principles during meals.

Participants in both groups received a one-time educational session introducing the principles of the healthy eating plate. In addition, participants in the intervention group used the healthy eating plate during communal lunches at community-based long-term care stations, five days per week. The plate served as a practical tool to guide food selection and portion distribution during meals. Participants in the control group continued their usual meal practices without using the healthy eating plate.

The intervention was implemented in community care settings to examine how incorporating a tangible dietary guide into daily meal practices may influence older adults' eating behaviors and dining experiences. Appetite, dietary intake, and dining enjoyment were assessed.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

120

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Taiwan
      • Chiayi City, Taiwan, Taiwan, 600
        • Xindian CDA; Xingren CDA; Qing'an CDA; All-Age Learning Association-Xincuo; Guohua Xingfu Hile Welfare Association; All-Age Learning Association-Chiayi Medical; All-Age Learning Association-Dingliao; Fushou CDA

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

65 jaar en ouder (Oudere volwassene)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Adults aged 65 years or older attending Level C community-based long-term -care stations in Chiayi County or Chiayi City.
  • Able to communicate and engage in conversation in Mandarin or Taiwanese.
  • Barthel Index score of 80 or higher.
  • Able to eat independently and consume a regular or soft diet.
  • Willing to sign the informed consent form and participate in the study.

Exclusion Criteria:

  • Receiving enteral feeding through a nasogastric tube or gastrostomy.
  • Requiring minced or chopped diets.
  • Having dysphagia.
  • Frequently experiencing coughing or choking during or after meals.
  • Being bedridden.
  • Having gastrointestinal dysfunction, such as diarrhea or gastrointestinal bleeding.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Niet-gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Healthy Eating Plate Intervention Group

Participants received a one-time educational session on healthy eating plate principles. In addition, they used a physical healthy eating plate during communal lunches at community-based long-term care stations, five days per week, to guide food selection and portion distribution according to balanced dietary principles.

The intervention involved the use of a physical healthy eating plate designed according to the dietary principles promoted by the Taiwan Ministry of Health and Welfare. The plate was designed to represent recommended food group proportions and serve as a practical tool for guiding food selection and portion distribution during meals. Participants in the intervention group used the plate during communal lunches at community-based long-term care stations, five days per week, throughout the approximately two-month intervention period. Both the intervention and control groups received a one-time educational session on healthy eating plate principles; however, only the intervention group used the physical healthy eating plate during meals.

Geen tussenkomst: Control Group

Participants continued their usual meal practices without using the physical healthy eating plate. Participants received a one-time educational session on healthy eating plate principles, as did those in the intervention group.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Appetite
Tijdsspanne: Baseline to the end of the 2-month intervention period

Food intake was measured and recorded using a digital scale during communal lunches five days per week to assess changes in appetite over the study period. Generalized estimating equations (GEE) were used to analyze changes over time and differences between the intervention and control groups.

Baseline to the end of the 2-month intervention period
Balanced Diet
Tijdsspanne: Baseline and at the end of the 2-month intervention period

Balanced dietary intake was assessed using a six-item Healthy Eating Plate questionnaire. Each item was scored as yes or no, with higher total scores indicating better adherence to balanced dietary principles. Scores were compared between baseline and post-intervention assessments.

Baseline and at the end of the 2-month intervention period
Dining Enjoyment
Tijdsspanne: Baseline and at the end of the 2-month intervention period

Dining enjoyment was assessed using a 12-item Likert-scale questionnaire. Higher total scores indicated greater dining enjoyment. Scores were compared between baseline and post-intervention assessments.

Baseline and at the end of the 2-month intervention period

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

14 juli 2025

Primaire voltooiing (Werkelijk)

31 december 2025

Studie voltooiing (Werkelijk)

31 december 2025

Studieregistratiedata

Eerst ingediend

8 november 2026

Eerst ingediend dat voldeed aan de QC-criteria

8 november 2026

Eerst geplaatst (Werkelijk)

13 november 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

13 november 2026

Laatste update ingediend die voldeed aan QC-criteria

8 november 2026

Laatst geverifieerd

1 juli 2025

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • RVHCY113011
  • RVHCY113011 (Ander subsidie-/financieringsnummer: Chiayi Branch, Taichung Veterans General Hospital)

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Beschrijving IPD-plan

Individual participant data will not be shared because of participant privacy and confidentiality considerations. The data will be used solely for the purposes of this study and managed by the research team in accordance with the approved research ethics requirements.

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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