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

10. februar 2022 oppdatert av: 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.

Studieoversikt

Studietype

Intervensjonell

Registrering (Forventet)

640

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Annen: 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)
Annen: 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.
Annen: 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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
weight of consumed ingesta
Tidsramme: Change from Baseline to 6 months
Change from Baseline to 6 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

29. mars 2021

Primær fullføring (Forventet)

1. mars 2023

Studiet fullført (Forventet)

1. desember 2023

Datoer for studieregistrering

Først innsendt

27. oktober 2021

Først innsendt som oppfylte QC-kriteriene

10. februar 2022

Først lagt ut (Faktiske)

14. februar 2022

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

14. februar 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. februar 2022

Sist bekreftet

1. februar 2022

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • VAN WYMELBEKE I-SITE 2017

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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