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Completed

NCT Number: NCT07794657

Brief Training Program for General Practitioners on Malnutrition and Adapted Physical Activity

This randomized, parallel-group interventional study evaluated the impact of brief targeted training on general practitioners' knowledge and professional practices regarding malnutrition and adapted physical activity (APA). Final-year GP residents and practicing GPs in the Pays de la Loire region were randomly assigned to either a malnutrition training group or an APA training group. Each group served as an active control for the topic not received. Knowledge and self-reported practices were assessed using an online questionnaire before and one month after training.

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Key information

Conditions

Malnutrition Elderly Adapted Physical Activity Behavior Frailty General Practitioner Education Motor Activity Older Adults (65 Years and Older) Pathologic Processes Pathological Conditions, Signs and Symptoms Primary Care Sedentary Behavior

Age range

25 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CHU Nantes

Nantes, CHU de Nantes, 44093, France

About this study

Participants were recruited in the Pays de la Loire region, France. Recruitment occurred in two phases: invitations to final-year GP residents in November 2024 with a reminder in May 2025, and regional dissemination through the Regional Union of Private Practitioners in April 2025. Inclusion occurred from 13 January to 14 August 2025. Participants were randomized equally to a malnutrition training group or an APA training group. The malnutrition intervention consisted of a 10-minute online training video and a summary leaflet. The APA intervention consisted of a 14-minute online training video and a summary leaflet. The videos were based on relevant guidelines and the leaflets summarized the main messages. Participants completed identical online questionnaires at inclusion and one month after training. The questionnaire assessed practice characteristics, sedentary behavior and APA prescribing, and malnutrition diagnosis and management.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Final-year GP residents in ambulatory training and practicing GPs in the Pays de la Loire region, willing to participate in the study and complete the study questionnaires

Exclusion criteria

  • None

Treatment and study plan

Malnutrition training

Behavioral

Participants received a 10-minute online training video focused on malnutrition in older adults, followed by a summary leaflet. The training covered definition, diagnostic criteria, causes, consequences, and management in primary care, with emphasis on dietary counseling and dietary enrichment. Content was based on local and international guidelines and validated by experts.

Adapted physical activity training

Behavioral

Participants received a 14-minute online training video focused on adapted physical activity, followed by a summary leaflet. The training reviewed frailty, physical activity recommendations, and practical guidance for prescribing APA, with emphasis on available online tools and local resources. Content was based on local and WHO guidelines and validated by experts.

Primary outcomes

  1. Change in the number of adapted physical activity prescriptions.

    Time frame: One Month after Training

    Change in the self-reported number of APA prescriptions during the previous month, assessed by online questionnaire.

  2. Change in malnutrition management, dietary enrichment prescriptions.

    Time frame: One Month after Training

    Change in the proportion of physicians reporting dietary enrichment as a malnutrition management practice.

  3. Change in malnutrition management, oral nutritional supplement prescriptions.

    Time frame: One Month after Training

    Change in the proportion of physicians reporting oral nutritional supplement (ONS) prescriptions as a malnutrition management practice.

Secondary outcomes

  1. Change in the number of consultations addressing APA during the previous month

    Time frame: One Month after Training

  2. Change in the percentage of participants acquainted with local facilities/resources providing APA.

    Time frame: One Month after Training

  3. Change in the number of consultations with weight analysis

    Time frame: One Month after Training

  4. Change in the number of consultations with albumin dosage

    Time frame: One Month after Training

  5. Change in the percentage of referral to a nutritionist/dietitian after diagnosis of malnutrition

    Time frame: One Month after Training3

  6. Change in the percentage of referral to a dentist after diagnosis of malnutrition

    Time frame: One Month after Training

  7. Change in the percentage of texture modification or fractionation prescription after diagnosis of malnutrition

    Time frame: One Month after Training

  8. Change in the percentage of participants reporting "lack of knowledge" as a barrier to APA prescription

    Time frame: One Month after Training

  9. Change in the percentage of participants reporting "lack of time" as a barrier to APA prescription

    Time frame: One Month after Training

  10. Change in the percentage of participants reporting "lack of facilities" as a barrier to APA prescription

    Time frame: One Month after Training

  11. Change in the percentage of participants reporting "financial difficulties" as a barrier to APA prescription

    Time frame: One Month after Training

  12. Change in the percentage of participants reporting "patient refusal" as a barrier to APA prescription

    Time frame: One Month after Training

Sponsors and collaborators

Lead sponsor

Nantes University Hospital

Other

Collaborators

  • Laboratoire Motricité, Interactions, Performance (UR 4334) of Nantes University

Registry information

Official study title

Malnutrition and Adapted Physical Activity in Older Adults: Impact of a Brief Training Program on General Practitioners' Knowledge and Practices: A Randomized Controlled Trial

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Aug 31, 2026
Registry last updated
Aug 31, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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