Optimising Nutrition, Oral Health and Medication for Older Home Care Clients (NutOrMed)

Overview

The aim of the study is to evaluate the impact of six month long nutritional and oral health intervention on nutritional status, oral health, functional performance and hospital admission/costs on older persons using home care services. Additionally, participants are interviewed at home regarding their drugs use and this information will be compared with medication information in electronic patient records.

Full Title of Study: “Optimising Nutrition, Oral Health and Medication for Older Home Care Clients”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Non-Randomized
    • Intervention Model: Factorial Assignment
    • Primary Purpose: Health Services Research
    • Masking: None (Open Label)
  • Study Primary Completion Date: May 2013

Interventions

  • Other: Nutrition and oral health interventions
    • On the basis of a blood test, Mini Nutritional Assessment, and nutritional anamnesis, the nutritionist developed a plan for individualised nutritional care and discussed with the participant and her/his nurse or family members. If the participants seemed unable to increase the energy and/or protein of their diet, daily complementary dietary drinks were recommended to them. After the dental hygienist interview and oral health examination, the participants in need were targeted for oral health intervention. The intervention included individualised instructions on either dental hygiene, denture hygiene, cleaning of the oral mucosa or for dry mouth. The participants were re-examined six months after the baseline interviews to evaluate the effectiveness of the interventions. Both the intervention and control groups had the same examinations as with the exception of the nutritional and oral health intervention.

Arms, Groups and Cohorts

  • Other: Dietary counseling
  • Other: Oral health counseling
  • No Intervention: nutrition no counseling
  • No Intervention: oral health no counseling

Clinical Trial Outcome Measures

Primary Measures

  • Change from baseline in nutritional status on the Mini Nutritional Assessment (MNA) test and s-albumin level at months 6
    • Time Frame: Baseline, Month 6
    • Using MNA test and s-albumin level test

Secondary Measures

  • Change from baseline in oral health status on clinical oral health examination and in-home interview at months 6
    • Time Frame: Baseline, Month 6
    • Clinical oral health examination included type and location of removable dental prosthesis, examination of the oral mucosa, number and location of teeth, condition of teeth, presence of plaque, gingival bleeding and measurement of periodontal pockets. In-home interview included questions about dental and denture hygiene, a subjective feeling of dry mouth and pain in mouth

Participating in This Clinical Trial

Inclusion Criteria

  • home care clients Exclusion Criteria:

  • under 75 years

Gender Eligibility: All

Minimum Age: 75 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • University of Eastern Finland
  • Provider of Information About this Clinical Study
    • Principal Investigator: Irma Nykänen, PhD – University of Eastern Finland
  • Overall Official(s)
    • Irma Nykänen, PhD, Principal Investigator, University of Eastern Finland

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