A Multi-Component Behavioral Nutrition Intervention for Homebound Elderly (MCBNIHE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01197768
Recruitment Status : Completed
First Posted : September 9, 2010
Last Update Posted : October 14, 2011
Duke University
Mayo Clinic
Information provided by (Responsible Party):
Julie Locher, PhD, University of Alabama at Birmingham

Brief Summary:
The purpose of this study is to evaluate the efficacy and feasibility of a multi-level self-management intervention to improve nutritional intake in a group of homebound older adults (HOAs) who are at especially high risk for undernutrition. The study will be guided by the theoretical approaches of the Ecological Model and Social Cognitive Theory and will use a prospective randomized controlled design to estimate whether individually tailored counseling focusing on social and behavioral aspects of eating results in increased caloric intake and improved nutrition-related health outcomes in a sample of 104 HOAs. The investigators hypothesize that intervention at these levels will improve caloric intake and indirectly improve health outcomes.

Condition or disease Intervention/treatment Phase
Undernutrition Behavioral: Nutrition Intervention Not Applicable

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 104 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Multi-Component Behavioral Nutrition Intervention for Homebound Older Adults
Study Start Date : September 2008
Actual Primary Completion Date : February 2011
Actual Study Completion Date : February 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Malnutrition
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Nutrition Intervention
The intervention group will receive a full nutrition assessment and a nutrition intervention.
Behavioral: Nutrition Intervention
Participants randomized to the intervention group receive a comprehensive nutrition assessment and a in-home intervention with follow-up calls from a Registered Dietician who will addresses their risk for becoming under-nourished at multiple levels.
No Intervention: Control
This group will receive the nutrition assessment but no intervention from a Registered Dietician. If participant appears to be in danger due to BMI or Caloric intake status, their primary care physician will be notified.

Primary Outcome Measures :
  1. Caloric Intake [ Time Frame: 2 and 8 months post-baseline ]
    At each of the data collection points, (3) 24 hour Food Recalls will be collected and measured against each other. Participants who receive the intervention are hypothesized to increase their caloric intake post-baseline.

Secondary Outcome Measures :
  1. Health services utilization, specifically hospitalization and re-hospitalization [ Time Frame: 6 months from follow-up assessment ]
    Patients receiving the intervention are hypothesized to have lower rates of hospitalization and re-hospitalization due to increased caloric intake and a reduced rate of physical decline.

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. at least 65 years of age
  2. homebound (based upon Medicare's definition of homebound status)
  3. able to communicate or have a caregiver who is able to communicate
  4. living in a private residence
  5. experiencing either an acute illness or chronic condition
  6. not consuming enough calories to maintain body weight or weight loss of > 5% over past 6 months (if known)

Exclusion Criteria:

  1. significantly cognitive impaired (MMSE < 24 if living alone or MMSE < 15 if living with caregiver) (if known)
  2. terminally ill
  3. any cancer diagnosis within the past five years (melanoma excluded)
  4. end-stage renal disease
  5. gastric or enteral tube-feedings
  6. dependent on a ventilator

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01197768

United States, Alabama
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294
Sponsors and Collaborators
University of Alabama at Birmingham
Duke University
Mayo Clinic

Responsible Party: Julie Locher, PhD, Principal Investigator, University of Alabama at Birmingham Identifier: NCT01197768     History of Changes
Other Study ID Numbers: F080428013
First Posted: September 9, 2010    Key Record Dates
Last Update Posted: October 14, 2011
Last Verified: October 2011

Additional relevant MeSH terms:
Nutrition Disorders