View Clinical Trial (Medical Research Study)
Prevention of Weight Loss in Long Term Care Veterans - NCT00841412-37212(Clinical Trial 271210)
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| City: |
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Nashville |
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State:
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TN |
| Zip Code: |
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37212 |
| Conditions: |
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Malnutrition |
| Purpose: |
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Background:
Numerous studies have shown that many LTC residents receive inadequate staff assistance with
eating, which places them at risk for under-nutrition, dehydration and weight loss.
Moreover, improvements in feeding assistance care have been shown to improve residents'
daily food and fluid consumption and weight loss outcomes. However, these improvements have
only been achieved through the use of research staff as opposed to indigenous LTC staff due
to staffing resource limitations that exist in most LTC facilities. The purpose of this
program evaluation project is to train indigenous LTC staff how to improve nutritional care
within the constraints of existing staffing resources.
Objectives: The PI of this proposal has developed standardized assessment, monitoring and
staffing needs projection tools that can be used by LTC providers to improve feeding
assistance care delivery and unintentional weight loss outcomes. The primary objective of
this project is to train indigenous LTC staff how to (1) identify residents in need of
feeding assistance, (2) effectively monitor daily care delivery; and, (3) utilize existing,
non-nursing staff for some mealtime tasks to improve care.
Methods: A multiple baseline design will be used to evaluate the effectiveness of the
program in one federal and one state VA LTC facility. Research staff will collect baseline
measures related to organizational characteristics, including staffing, nutritional care
processes and resident outcomes including oral food and fluid intake and weight status. All
LTC units in each of the two sites will be divided into two groups for program
implementation purposes (for a total of 4 groups across the 2 sites) based on the proximity
of a unit to other units, resident and staff characteristics. The program will be
implemented with staff and residents on the units in the first site/group; while, the second
site/group remain in usual care and continue to be monitored monthly for all care process
and resident outcome measures. Research staff will train LTC staff in the implementation of
program protocols during a 12-week intervention period. Research staff will then monitor LTC
staff implementation of the program independent of research staff monthly following
intervention to determine the sustainability of the program in the absence of research
staff. All staff training and monitoring will be repeated for the units in groups three and
four. This 3-year program evaluation study will determine the effectiveness and cost of
translating efficacious research protocols into care practice to improve the nutritional
status of LTC veterans.
Status: "In Progress" or "Final IRB approval pending and recruitment scheduled to begin Jan,
2009"
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| Study summary: |
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Background:
Numerous studies have shown that many long term care (LTC) residents receive inadequate
staff assistance with eating, which places them at risk for under-nutrition, dehydration and
weight loss. Moreover, improvements in feeding assistance care have been shown to improve
residents' daily food and fluid consumption and weight loss outcomes. However, these
improvements have only been achieved through the use of research staff as opposed to
indigenous LTC staff due to staffing resource limitations that exist in most LTC facilities.
The purpose of this program evaluation project is to train indigenous LTC staff how to
improve nutritional care within the constraints of existing staffing resources.
Objectives:
The PI of this proposal has developed standardized assessment, monitoring and staffing needs
projection tools that can be used by long-term care (LTC) providers to improve feeding
assistance care delivery and unintentional weight loss outcomes. The primary objective of
this project is to train indigenous LTC staff how to (1) identify residents in need of
feeding assistance, (2) effectively monitor daily care delivery; and, (3) utilize existing,
non-nursing staff for some mealtime tasks to improve care.
Methods:
A multiple baseline design will be used to evaluate the effectiveness of the program in one
federal and one state VA long-term care (LTC) facility. Research staff will collect
baseline measures related to organizational characteristics, including staffing, nutritional
care processes and resident outcomes including oral food and fluid intake and weight status.
All LTC units in each of the two sites will be divided into two groups for program
implementation purposes (for a total of 4 groups across the 2 sites) based on the proximity
of a unit to other units, resident and staff characteristics. The program will be
implemented with staff and residents on the units in the first site/group; while, the second
site/group remain in usual care and continue to be monitored monthly for all care process
and resident outcome measures. Research staff will train LTC staff in the implementation of
program protocols during a 12-week intervention period. Research staff will then monitor
LTC staff implementation of the program monthly following intervention to determine the
sustainability of the program in the absence of research staff. All staff training and
monitoring will be repeated for the LTC units in groups three and four. This 3-year program
evaluation study will determine the effectiveness and cost of translating efficacious
research protocols into care practice to improve the nutritional status of LTC veterans.
Status:
Intervention. |
| Criteria: |
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Inclusion Criteria:
- Long-stay,
- free of feeding tube,
- not receiving hospice care,
- not on a planned weight loss diet,
- able to speak English
Exclusion Criteria: |
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If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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| Data Source: |
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ClinicalTrials.gov |
| Date Processed: |
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July 12, 2010 |
Modifications to
this listing: |
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above to view all information about this clinical trial. |
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