Evaluating the RelAte Mealtime Program as an Intervention to Treat Social Isolation and Improve Cooking Behaviour Among Older Adults Living Alone

NCT02007551 | Completed

• 1 other identifier: RelAte-12122
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate the impact of a psychosocial and nutritional intervention, entitled "RelAte", on cooking and mealtime behaviours of older adults who are living alone and at risk of social isolation. The intervention will be delivered in the home of participants by a trained volunteer of a similar age.

Conditions

Social Isolation; Meals

Keywords

Social Isolation; Nutrition Assessments; Food Habits; Meals; Self Efficacy; Quality of Life; Peer Group

Outcome Measures

Primary Outcomes (3)

• Change in Self-efficacy over 6 months

  Self-efficacy measured using the Generalised Self-efficacy scale (Schwarzer \& Jerusalem,1995) and the nutrition self-efficacy scale (Schwarzer \& Renner, 2000) will be assessed for all participants.

  Assessed at baseline, in the week post-intervention, at 12-week and at 26-week follow-up

• Change in Food-related health beliefs over 6 months

  This outcome measure is a social cognitive variable measured using the Health Beliefs Survey (Anderson, Winett \& Wojcik, 2007). The survey assess beliefs related to the impact of food on health, including food-related goals, outcome expectations, beliefs and strategies relating to food.

  At baseline, in the week post-intervention, at 12-week and 26-week follow-up

• Change in Energy intake over 6 months

  Energy intake will be measured using two 24-hour dietary recall metrics, whereby the participant is asked to recall on two occasions within the same week everything they have eaten or drank in the past 24 hours. The assessors will receive dietetic training in how to measure energy intake, e.g. the types of probes and questions that can help to achieve an accurate recall of dietary intake.

  Baseline, in the week post-intervention, at 12-week and 26-week follow-up

Secondary Outcomes (10)

• Change in Quality of Life over 6 months

  Baseline, in the week post-intervention, at 12-week and 26-week follow-up

• Change in Cognitive function over 6 months

  Baseline, in the week post-intervention, and at 12-week and 26-week follow-up

• Premorbid cognitive function

  Baseline assessment

• Change in Social Connectedness over 6 months

  Baseline assessment, in the week post-intervention, and at 12-week and 26-week follow-up

• Change in Psychological Wellbeing over 6 months

  Baseline assessment, in the week post-intervention, at 12-week and 26-week follow-up

Study Arms (1)

Mealtime Intervention

EXPERIMENTAL

The mealtime intervention group will receive a trained peer volunteer to their home once weekly for 8 weeks to prepare and share a meal with them.

Behavioral: Mealtime Intervention

Interventions

Mealtime Intervention BEHAVIORAL

The mealtime intervention constitutes once a week visits from a trained volunteer for 8 weeks, each visit lasting 90 minutes and comprising of preparing and sharing a meal together with the participant.

Mealtime Intervention

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Living alone
• Aged over 60
• Screen positive for Social Isolation (Lubben \& Gironda, 2004).

You may not qualify if:

• Screen positive for cognitive impairment using the TCogS (Telephone Cognitive Screen; Newkirk et al., 2004).
• Stroke
• Epilepsy
• Schizophrenia
• Bipolar affective disorder
• Recurrent psychotic depression
• Alcohol and drug abuse within the past 5 years
• Anti-convulsants
• Anti-psychotic medications
• Significant hearing difficulties even when wearing hearing aid
• Illness that caused permanent decrease in memory or other mental function
• Blood borne infectious diseases
• Contact based infectious diseases
• Airborne infectious diseases
• Peer Volunteers

Sponsors & Collaborators

• University of Dublin, Trinity College: lead
• Home Instead Inc: collaborator

Study Sites (1)

Institute of Neuroscience, Trinity College Dublin

Dublin, Dublin 2, Ireland

Location

Related Publications (21)

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  BACKGROUND

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  BACKGROUND

• Anderson ES, Winett RA, Wojcik JR. Self-regulation, self-efficacy, outcome expectations, and social support: social cognitive theory and nutrition behavior. Ann Behav Med. 2007 Nov-Dec;34(3):304-12. doi: 10.1007/BF02874555.

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  PMID: 9990575 BACKGROUND

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  PMID: 15533269 BACKGROUND

• Vailas LI, Nitzke SA. Food enjoyment scale for older adults: development and application in a Wisconsin population. Journal of Nutrition for the Elderly 17(3): 59-64.

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• Romero-Ortuno R, Walsh CD, Lawlor BA, Kenny RA. A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). BMC Geriatr. 2010 Aug 24;10:57. doi: 10.1186/1471-2318-10-57.

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• Lubben J, Gironda M. Measuring social networks and assessing their benefits. In Philipson C, Allan G, Morgan DHJ. Social Networks and Social Exclusion: Sociological and Policy Perspectives. London, UK: Ashgate Publishing.

  BACKGROUND

• Newkirk LA, Kim JM, Thompson JM, Tinklenberg JR, Yesavage JA, Taylor JL. Validation of a 26-point telephone version of the Mini-Mental State Examination. J Geriatr Psychiatry Neurol. 2004 Jun;17(2):81-7. doi: 10.1177/0891988704264534.

  PMID: 15157348 BACKGROUND

• McHugh J, Lee O, Aspell N, Lawlor BA, Brennan S. A shared mealtime approach to improving social and nutritional functioning among older adults living alone: study protocol for a randomized controlled trial. JMIR Res Protoc. 2015 Apr 21;4(2):e43. doi: 10.2196/resprot.4050.

  PMID: 25900904 DERIVED

MeSH Terms

Conditions

Social Isolation; Feeding Behavior

Condition Hierarchy (Ancestors)

Social Behavior; Behavior; Behavior, Animal

Study Officials

• Sabina Brennan, B.A., Ph.D.

  University of Dublin, Trinity College

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Postdoctoral Research Fellow

Study Record Dates

• First Submitted: November 28, 2013
• First Posted: December 11, 2013
• Study Start: May 1, 2013
• Primary Completion: December 1, 2014
• Study Completion: May 1, 2015
• Last Updated: May 27, 2015

Record last verified: 2015-05

Locations

IE (1)