Completed

NCT Number: NCT02214758

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

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.

Completed

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Key information

Conditions

Nutrition, Oral Health

Age range

75 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

home care clients

Exclusion criteria

under 75 years

Treatment and study plan

Nutrition and oral health interventions

Other

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.

Primary outcomes

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 outcomes

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

Other outcomes

The agreement between medication in-home interview and EMR in baseline

Time frame: baseline

A pharmacist recorded each prescription and non-prescription medication and complementary and alternative medicine supplements used regularly, as-needed within a week or in the past on the basis of the interview, medication lists, packages and prescriptions at the baseline. All medications were encoded using the ATC (Anatomic Therapeutic Chemical) classification (WHO). The medication list from the locally used electronic medical record (EMR) was gathered from the same day than in-home interview

Sponsors and collaborators

Lead sponsor

University of Eastern Finland

Other

Registry information

Official study title

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

Acronym: NutOrMed

Important dates

Study start: 2012
Primary completion: 2013
Study completion: 2014
First posted: Aug 12, 2014
Registry last updated: Aug 12, 2014

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.