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

2022年2月10日 更新者: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.

研究概览

研究类型

介入性

注册 (预期的)

640

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

学习地点

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

描述

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

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:其他
  • 分配:非随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
其他: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)
其他: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.
其他: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.

研究衡量的是什么?

主要结果指标

结果测量
大体时间
weight of consumed ingesta
大体时间:Change from Baseline to 6 months
Change from Baseline to 6 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2021年3月29日

初级完成 (预期的)

2023年3月1日

研究完成 (预期的)

2023年12月1日

研究注册日期

首次提交

2021年10月27日

首先提交符合 QC 标准的

2022年2月10日

首次发布 (实际的)

2022年2月14日

研究记录更新

最后更新发布 (实际的)

2022年2月14日

上次提交的符合 QC 标准的更新

2022年2月10日

最后验证

2022年2月1日

更多信息

与本研究相关的术语

其他研究编号

  • VAN WYMELBEKE I-SITE 2017

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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