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Completed

NCT Number: NCT03195283

Novel Meal Service Improves Nutritional Intake

This study aims to investigate whether a novel meal service FoodforCare (FfC), comprising 6-protein-rich meals a day following proactive advice from a nutritional assistant, improves dietary intake and patient satisfaction, compared to the traditional 3-meals a day service (TMS).

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Key information

Conditions

Malnutrition Behavior Nutrition Disorders Nutritional and Metabolic Diseases Personal Satisfaction

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

About this study

The investigators performed a quasi experimental study at medical (Gastroenterology) and surgical (Gynecology, Urology, Orthopedics) wards. Patients were offered TMS (July 2015 - May 2016; n=326) or FfC meal service (after stepwise introduction per ward from January 2016 - December 2016; n=311). Primary outcome was the mean percentage of protein and energy intake relative to requirements, between patients receiving TMS and those receiving FfC, on the first and fourth day of full oral intake. Patient satisfaction comprised rating of the experienced quality of the food and the meal service and by means of a validated questionnaire.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Dutch speaking
  • Aged 18 years or older
  • Exclusively oral intake
  • Expected hospital stay of at least 1 day

Exclusion criteria

  • Patients with tube- or parenteral feeding
  • A language barrier
  • Considered to be too weak to adequately answer our questions

Treatment and study plan

Meal service

Other

The type of meal service in the hospital (usual care)

Primary outcomes

  1. Protein intake day 1 (gram)

    Time frame: 1 day

    The percentage of protein intake (gram) relative to requirements (1.2 gram/kilogram bodyweight) on the first day of full oral intake.

  2. Protein intake day 4 (gram)

    Time frame: 4 days

    The percentage of protein intake (gram) relative to requirements (1.2 gram/kilogram bodyweight) on the fourth day of full oral intake.

  3. Energy intake day 1 (kcal)

    Time frame: 1 day

    The percentage of energy intake (kcal) relative to requirements (Harris & Benedict formula * 1.3) on the first day of full oral intake.

  4. Energy intake day 4 (kcal)

    Time frame: 4 days

    The percentage of energy intake (kcal) relative to requirements (Harris & Benedict formula * 1.3) on the fourth day of full oral intake.

Secondary outcomes

  1. Patients' satisfaction (food appreciation and access to food)

    Time frame: 3 day

    Patients completed a questionnaire on food appreciation and experiences regarding food access on the third day of full oral intake in the hospital.

  2. Patients' satisfaction (food quality and meal service)

    Time frame: 3 day

    Patients completed a questionnaire in which they rated the quality of the food and the meal service (scale 0-10) on the third day of full oral intake in the hospital.

  3. Change in nutritional status (body weight)

    Time frame: 4 days

    Body weight (in kg) was measured prior to meals in the morning of the first and fourth day of oral intake.

  4. Change in nutritional status (handgrip strength)

    Time frame: 4 days

    Handgrip strength (in kg) was measured prior to meals in the morning of the first and fourth day of oral intake.

  5. Nutritional status (height)

    Time frame: 1 day

    Height (in cm) was measured prior to meals in the morning of the first day of oral intake.

  6. Nutritional status (malnutrition universal screening tool)

    Time frame: 1 day

    Malnutrition universal screening tool (MUST)) was measured prior to meals in the morning of the first day of oral intake. Weight (kg) and height (cm) will be combined to report BMI in kg/m^2.

Sponsors and collaborators

Lead sponsor

Radboud University Medical Center

Other

Registry information

Official study title

A Novel In-hospital Meal Service Improves Protein and Energy Intake

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Jun 22, 2017
Registry last updated
Jun 22, 2017

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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