Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 541240
Title Implementation of a multicomponent telemonitoring intervention to improve nutritional status of community-dwelling older adults : A process evaluation
Author(s) Doorn-van Atten, Marije N. van; Groot, Lisette C.P.G.M. de; Romea, Albert Collet; Schwartz, Simon; Vries, Jeanne H.M. De; Haveman-Nies, Annemien
Source Public Health Nutrition (2018). - ISSN 1368-9800
DOI https://doi.org/10.1017/S1368980018002185
Department(s) Chair Nutrition and Health over the Lifecourse
VLAG
Strategic Communication
Publication type Refereed Article in a scientific journal
Publication year 2018
Keyword(s) Implementation research - Older adults - Telemonitoring - Undernutrition
Abstract

ObjectiveThe present study aimed to conduct a process evaluation of a multicomponent nutritional telemonitoring intervention implemented among Dutch community-dwelling older adults.DesignA mixed-methods approach was employed, guided by the process evaluation framework of the Medical Research Council and the Unified Theory of Acceptance and Use of Technology. The process indicators reach, dose, fidelity and acceptability were measured at several time points within the 6-month intervention among participants and/or nurses.SettingThe intervention was implemented in the context of two care organisations in the Netherlands.SubjectsIn total, ninety-seven participants (average age 78 years) participated in the intervention and eight nurses were involved in implementation.ResultsAbout 80 % of participants completed the intervention. Dropouts were significantly older, had worse cognitive and physical functioning, and were more care-dependent. The intervention was largely implemented as intended and received well by participants (satisfaction score 4·1, scale 1-5), but less well by nurses (satisfaction score 3·5, scale 1-5). Participants adhered better to weight telemonitoring than to telemonitoring by means of questionnaires, for which half the participants needed help. Intention to use the intervention was predicted by performance expectancy (β=0·40; 95 % CI 0·13, 0·67) and social influence (β=0·17; 95 % CI 0·00, 0·34). No association between process indicators and intervention outcomes was found.ConclusionsThis process evaluation showed that nutritional telemonitoring among older adults is feasible and accepted by older adults, but nurses' satisfaction should be improved. The study provided relevant insights for future development and implementation of eHealth interventions among older adults.

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