The Continuity of Nutritional Care Among Elderly Patients

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2012 by Bait Balev Hospital.
Recruitment status was  Not yet recruiting
Sponsor:
Collaborator:
Ben-Gurion University of the Negev
Information provided by (Responsible Party):
Danit R Shahar, Ben-Gurion University of the Negev
ClinicalTrials.gov Identifier:
NCT01584661
First received: April 24, 2012
Last updated: NA
Last verified: April 2012
History: No changes posted
  Purpose

Objectives:

  1. To determine the level of compliance with nutritional recommendations (dietary and nutritional supplements) following discharge from hospitalization;
  2. To identify barriers for post-discharge adherence to professional nutritional recommendations;
  3. To determine the impact of adherence (high vs. low) to the nutritional treatment guidelines on functional and health indicators.

Working hypothesis:

High adherence to nutritional care after hospitalization will be associated with better functional and health outcomes.


Condition Intervention
Continuity of Nutritional Care
Health Care Use
Nutritional Status
Behavioral: Dietary recommendations

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: The Continuity of Nutritional Care From the Hospital to the Community and Its Impact on Health and Functional Indicators Among Elderly Patients

Resource links provided by NLM:


Further study details as provided by Bait Balev Hospital:

Primary Outcome Measures:
  • Primary: Compliance with nutritional recommendations

Secondary Outcome Measures:
  • Health status

Study Start Date: July 2012
Estimated Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Compliance with nutritional care
The Inclusion criteria comprise patients who were treated nutritionally with food enrichment supplements during their hospitalization in "Bait Balev" and were discharged to their homes with dietary recommendations. Participants who are willing to participate will sign an informed consent form. For patients with cognitive impairment or dementia, as reported in their medical records, their formal primary caregiver or proxy will sign the informed consent form.
Behavioral: Dietary recommendations

Detailed Description:

The proposed study will follow patients who were hospitalized in the rehabilitation departments at "Bait Balev". Patients who were treated with nutritional supplements by a dietitian during hospitalization and received dietary recommendations upon discharge will be followed for their adherence with the treatment recommendations. The impact of the level of adherence to the nutritional recommendations on health will be assessed.

C2. Experimental design:

This shall be a retrospective and prospective cohort study. Patients from the orthopedic and neurologic rehabilitation departments, who received nutritional intervention by nutritional supplements during hospitalization and were advised to receive nutritional enrichment at discharge, will be enrolled to the study. The main criteria for nutritional intervention during hospitalization and recommendation for supplements upon discharge include, among others, withdrawal of alternative nourishment, underweight, undernutrition, non-voluntary weight loss, low protein status and other criteria typical among this population during hospitalization. In order to assess the level of compliance with dietitian's recommendations upon discharge, only patients who were discharged to their homes will be followed. In order to increase the sample size, a retrospective cohort study will be conducted, in which patients from the same departments who were discharged in the last 3 months will be followed both retrospectively and prospectively.

Home visits will take place 3 and 6 months after discharge, during which the dietitian shall complete a questionnaire measuring the level of patient compliance to the nutritional recommendations, and in addition the patient or their legal guardian shall provide anamnesis in order to review the effect of compliance on health, functional, nutritional and social status (it should be noted that approx. 90% of the patients in the hospital belong to the Maccabi Health Care Services group, so the follow up of discharged patients in the community will be conducted with Maccabi Health Care Services).

  Eligibility

Ages Eligible for Study:   65 Years to 95 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Study population Patients over the age of 65 who are members of Maccabi Health Care Services will be recruited for the current study. The Inclusion criteria comprise patients who were treated nutritionally with food enrichment supplements during their hospitalization in "Bait Balev" and were discharged to their homes with dietary recommendations. Participants who are willing to participate will sign an informed consent form. For patients with cognitive impairment or dementia, as reported in their medical records, their formal primary caregiver or proxy will sign the informed consent form.

Criteria

Inclusion Criteria:comprise patients who were treated nutritionally with food enrichment supplements during their hospitalization in "Bait Balev" and were discharged to their homes with dietary recommendations. Participants who are willing to participate will sign an informed consent form. For patients with cognitive impairment or dementia, as reported in their medical records, their formal primary caregiver or proxy will sign the informed consent form.

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Exclusion Criteria:

  • 1. Patients who were discharged to a Retirement home; 2. Palliative patients; 3. Patients who are not members of Maccabi Health Care Services. 4. Patients with enteral nutrition (PZ / PEG / PEJ)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01584661

Locations
Israel
Bait Balev Not yet recruiting
Bat-Yam, Israel
Contact: Yulia Ginzburgh, RD    972526885631    yulia_ginzburg@walla.com   
Bait Balev Not yet recruiting
Bat-Yam, Israel
Contact: Yulia Ginzburgh, RD    972526885631    yulia_ginzburg@walla.com   
Sub-Investigator: Danit R Shahar, PhD         
Sponsors and Collaborators
Bait Balev Hospital
Ben-Gurion University of the Negev
  More Information

No publications provided

Responsible Party: Danit R Shahar, Prof, Ben-Gurion University of the Negev
ClinicalTrials.gov Identifier: NCT01584661     History of Changes
Other Study ID Numbers: ABB-1-2012
Study First Received: April 24, 2012
Last Updated: April 24, 2012
Health Authority: Israel: The Israel National Institute for Health Policy Research and Health Services Research

ClinicalTrials.gov processed this record on October 02, 2014