MiOA: Intervention: Community: Registered Dietitian Nutritionists' Interventions (2023)

Author and Year:
Locher J, Vickers K, et al. 2013
PubMed ID:
Article Title:
A randomized controlled trial of a theoretically-based behavioral nutrition intervention for community elders: lessons learned from the Behavioral Nutrition Intervention for Community Elders Study.
Authors:
Locher J, Vickers K, Buys D, Ellis A, Lawrence J, Newton L, Roth D, Ritchie C, Bales C
Journal:
Journal of the Academy of Nutrition and Dietetics
Year of publication:
2013
Volume:
113
Issue:
12
Page numbers:
1675-1682
Study Design:
Randomized Controlled Trial
Risk of Bias Assessment Rating:
Some concerns
Inclusion Criteria:
Medicare eligible; at least 65 years of age; homebound (based upon Medicare's definition of homebound status); able to communicate or have a caregiver who was able to communicate; living in a private residence (house or apartment); experiencing either an acute illness or chronic condition; undereating (defined as either A) consuming insufficient calories to maintain current body weight [calorie intake of 5% or more below the estimated energy requirement (EER)] and/or B) having a history of unintentional body weight loss of 2.5% or more over the past 6 months (and BMI not greater than 40 without comorbidities or not greater than 35 and less than 40 with diabetes or hypertension).
Exclusion Criteria:
Cognitive impairment (scoring less than 8 out of 10 if living alone or without a caregiver or less than 5 out of 10 if living with someone or having a caregiver present using the Short Portable Mental Status Questionnaire; terminal illness; cancer diagnosis within past 5 years; end-stage renal disease; any tube feedings; ventilator dependence.
Research Purpose:
To evaluate the feasibility and efficacy of a multi-level self-management intervention to improve nutritional status in a group of high-risk older adults. We hypothesized that the intervention would result in increased caloric intake and weight gain in underweight older adults and increased/stabilized caloric intake and weight in normal and overweight older adults.
Blinding efforts:
Participants and intervention study personnel were not blinded. Research interviewers collecting outcomes data were blinded to group assignment.
Study Location:
University of Alabama, Birmingham, Alabama
Source(s) of Funding:
Government
Please specify names of funders:
National Institutes of Health/National Institute on Aging