Maintaining nutrition in aged care residents with a train-the-trainer intervention and nutrition coordinator

Gaskill, Deanne; Isenring, Elisabeth; Black, Lucinda J; Hassall, Stacey; Bauer, Judy

doi:10.1007/s12603-009-0251-2

Cited by 37 publications

(22 citation statements)

References 31 publications

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“…The original study identified the malnutrition prevalence of residents (Gaskill et al. , 2008) and the impact of implementing a train‐the‐trainer nutrition program versus usual care on the nutritional status of residents after 6 months (Gaskill et al. , 2009).…”

Section: Methodsmentioning

confidence: 99%

The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care

Isenring

Bauer

Banks

et al. 2009

J Human Nutrition Diet

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The components of the MST have acceptable sensitivity and specificity, suggesting that it can play a valuable role in quickly identifying the risk of malnutrition in the residential aged care setting. Further prospective research using the MST tool against a broader array of objective and subjective nutritional parameters is required to confirm its validity as a screening tool in aged care settings.

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Section: Methodsmentioning

confidence: 99%

The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care

Isenring

Bauer

Banks

et al. 2009

J Human Nutrition Diet

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“…The education of the nutrition coordinator includes three whole-day courses plus train-the-trainer sessions with other staff members (based on [13]) and local study circles in-between (based on [17]). These nutrition coordinators will be active in both the control and the intervention group.…”

Section: Methodsmentioning

confidence: 99%

“…One of these actually documented a positive effect nutritional and functional status of a multidisciplinary intervention consisting of energy- and protein dense home-made oral supplements, exercise and oral care [12]. While the other found that a multidisciplinary intervention consisting of education of nutrition coordinators including train-the-trainer sessions were able to maintain nutritional status [13]. …”

Section: Introductionmentioning

confidence: 99%

Study protocol: cost-effectiveness of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care: cluster randomized controlled trial

Beck

Christensen

Hansen

et al. 2014

Nutr J

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BackgroundOlder adults in nursing home and home-care are a particularly high-risk population for weight loss or poor nutrition. One negative consequence of undernutrition is increased health care costs. Several potentially modifiable nutritional risk factors increase the likelihood of weight loss or poor nutrition. Hence a structured and multidisciplinary approach, focusing on the nutritional risk factors and involving e.g. dieticians, occupational therapists, and physiotherapist, may be necessary to achieve benefits. Up till now a few studies have been done evaluating the cost-effectiveness of nutritional support among undernourished older adults and none of these have used such a multidisciplinary approach.MethodsAn 11 week cluster randomized trial to assess the cost-effectiveness of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care, identified by screening with the Eating validation Scheme. Before start of the study there will be performed a train-the-trainer intervention involving educated nutrition coordinators.In addition to the nutrition coordinator, the participants assigned to the intervention group strategy will receive multidisciplinary nutrition support. Focus will be on treatment of the potentially modifiable nutritional risk factors identified by screening, by involving physiotherapist, registered dietician, and occupational therapist, as relevant and independent of the municipality’s ordinary assessment and referral system.The primary outcome parameter will be change in quality of life (by means of Euroquol-5D-3L). Secondary outcomes will be: physical performance (chair stand), nutritional status (weight, Body Mass Index and hand-grip strength), oral care, fall incidents, hospital admissions, rehabilitation stay, moving to nursing homes (for participants from home-care), use of social services and mortality.An economic evaluation will be conducted to evaluate the cost-effectiveness of the multidisciplinary support.Furthermore, interviews with nursing home and home-care management, nursing staff and nutrition coordinators in both the control and intervention groups, participants in the intervention group and the involved multidisciplinary team will be performed.ConclusionIn this study we will evaluate in a randomized controlled trial whether multidisciplinary nutritional support is cost-effective, in undernourished older adults in home-care and nursing home and contribute to important research.Trial registrationClinicalTrials.gov 2013 NCT01873456.

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“…Furthermore, staff education, regular monitoring for nutritional risk and weight, with prompt and individualised triage for malnourished residents is crucial in the management of malnutrition (93)(94)(95). In addition, the training and appointment of a staff member as a nutrition coordinator or champion has also demonstrated positive results in managing malnutrition in RAC (96)…”

Section: Nutritional Management Of Malnutrition In Racmentioning

confidence: 99%

Optimising nutrition in residential aged care: A narrative review

et al. 2016

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Maintaining nutrition in aged care residents with a train-the-trainer intervention and nutrition coordinator

Cited by 37 publications

References 31 publications

The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care

The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care

Study protocol: cost-effectiveness of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care: cluster randomized controlled trial

Optimising nutrition in residential aged care: A narrative review

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