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 543871
Title Telemonitoring to improve nutritional status in community-dwelling elderly : Design and methods for process and effect evaluation of a non-randomized controlled trial
Author(s) Doorn-van Atten, M.N. van; Haveman-Nies, A.; Pilichowski, P.; Roca, R.; Vries, J.H.M. de; Groot, C.P.G.M. de
Source BMC Geriatrics 18 (2018)1. - ISSN 1471-2318
DOI https://doi.org/10.1186/s12877-018-0973-2
Department(s) Chair Nutrition and Health over the Lifecourse
Strategic Communication
VLAG
Publication type Refereed Article in a scientific journal
Publication year 2018
Keyword(s) Community-dwelling elderly - Prevention - Real-life setting - Study protocol - Telemonitoring - Undernutrition
Abstract

Background: A good nutritional status is key for maintaining health and quality of life in older adults. In the Netherlands, 11 to 35% of the community-dwelling elderly are undernourished. Undernutrition or the risk of it should be signalled as soon as possible to be able to intervene at an early stage. However, in the context of an ageing population health care resources are scarce, evoking interest in health enabling technologies such as telemonitoring. This article describes the design of an intervention study focussing at telemonitoring and improving nutritional status of community-dwelling elderly. Methods: The PhysioDom Home Dietary Intake Monitoring intervention was evaluated using a parallel arm pre-test post-test design including 215 Dutch community-dwelling elderly aged > 65 years. The six-month intervention included nutritional telemonitoring, television messages, and dietary advice by a nurse or a dietician. The control group received usual care. Measurements were performed at baseline, after 4.5 months, and at the end of the study, and included the primary outcome nutritional status and secondary outcomes behavioural determinants, diet quality, appetite, body weight, physical activity, physical functioning, and quality of life. Furthermore, a process evaluation was conducted to provide insight into intervention delivery, feasibility, and acceptability. Discussion: This study will improve insight into feasibility and effectiveness of telemonitoring of nutritional parameters in community-dwelling elderly. This will provide relevant insights for health care professionals, researchers, and policy makers. Trial registration: The study was retrospectively registered at Clinical-Trials.gov (identifier NCT03240094) since August 3, 2017.

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