Improved Modified Care Meals to Improving the Quality Of Life of the Pre-Frailty Chewing Disorders of the Older Adult

Quality of Life Clinical Trial

Official title:

To Explore the Effect of Improved Modified Care Meals to Improving the Quality Of Life of the Pre-Frailty Chewing Disorders of the Older Adult

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05922098
• Other study ID #: WangJiaJie
• Status: Recruiting
• Phase: N/A
• Start date: June 7, 2023
• Est. completion date: July 31, 2024

Study information

• Verified date: June 2023
• Source: National Taipei University of Nursing and Health Sciences
• Contact: Wang JiaJie
• Phone: +886 965073193
• Email: mswing97[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In 2020, we have entered an aging society. During the aging process, the body will decline with age, and the muscles will decrease, which will affect the swallowing muscles, causing chewing and swallowing difficulties are very common. Difficulty masticating is associated with problems with real teeth, dentures, and oral health disease, and is associated with infection, pain, inadequate nutritional intake, affected appearance, decreased quality of life, and mortality.

At present, Taiwan mostly provides the elderly with shredded food, cooked soft and rotten food, or whipped food. However, when the food is mashed or shredded, the original color, fragrance, and taste of the food will be lost. It cannot change the appetite of the elderly, and it will reduce the satisfaction of the elderly's meal, and there will still be risks of insufficient food intake and uneven nutrition. Appearance or taste can improve the satisfaction and quality of life of the elderly, improve the health needs of nutrition, and allow a variety of choices when eating to change the current situation of traditional whipped food and shredded meals.It is expected that the quality of life, nutritional status, and meal satisfaction of the pre-frail elders with masticatory difficulties will be significantly higher than those of the control group if the subjects receive care meals, which can be used as a reference for the daily care of the elderly with masticatory disorders in the future.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: July 31, 2024
• Est. primary completion date: May 8, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Elderly over 65 years old.

• Elders who are pre-frail cases after the five assessments of frailty and who are abnormal after the chewing test.

• Clear awareness, willing to accept visitors, able to communicate in Chinese and Taiwanese.

• Ability to express food appearance and taste.

• Those who eat by mouth.

Exclusion Criteria:

• Elderly with dementia (certified by medical records and disability handbook).

• Elderly people who have swallowing disorders in the throat stage after being screened by the modified water swallowing test.

• Visually impaired and no primary caregiver to assist the program implementer.

Related Conditions & MeSH terms

• Food Selection
• Frailty
• Quality of Life
• Satisfaction

Intervention

Other:
• Texture Modified Foods Manual for chewing dysfunctions in older adult
Texture Modified Foods Manual for chewing dysfunctions (including IDDSI)

Locations

Country	Name	City	State
Taiwan	WangJiaJie	Hualien City

Sponsors (1)

Lead Sponsor	Collaborator
National Taipei University of Nursing and Health Sciences

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Geriatric oral health assessment index,GOHAI	Total score is 64 points, with higher scores indicating poorer oral health	10-20mins
Primary	Oral Health Assessment Tool ,OHAT	Total score is 16 points, with higher scores indicating poorer oral health	10-20mins
Primary	Oral health impact profile,OHIP	Total score is 56 points, with higher scores indicating poorer oral health	10-20mins
Primary	Meal satisfaction seven-item questionnaire	full score 35, minimum score 5 points.	5-10mins
Secondary	Mini Nutritional Assessment - MNA Elderly,	Less than or equal to 7 points for malnutrition; 8-11 points for high-risk groups of malnutrition; 12 points for normal.	5-10mins