NCT02440165

Brief Summary

Early nursing nutrition intervention for outpatients in need of surgery

  • Objective - To investigate the feasibility and effectiveness of screening and an early nursing intervention on malnutrition in outpatients in need for surgery.
  • Design - Multi-centre cluster-randomised controlled early trial design (n=150 patients)
  • Intervention - Malnutrition screening (during outpatient clinic visit) and (in case of patients being ´at risk for malnutrition´ or being ´malnourished´), a nutrition care plan (including nutritional drinks and energy and protein rich meals) tailored to individual patient requirements
  • Comparison - Usual care (no nutritional care plan)

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2015

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2015

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

March 11, 2015

Completed
2 months until next milestone

First Posted

Study publicly available on registry

May 12, 2015

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2016

Completed
Last Updated

May 12, 2015

Status Verified

May 1, 2015

Enrollment Period

11 months

First QC Date

March 11, 2015

Last Update Submit

May 6, 2015

Conditions

Keywords

nutritionnurseinterventionmalnutrition

Outcome Measures

Primary Outcomes (1)

  • Change in BMI

    body mass index: at 3 points in time; 1) at the outpatient clinic, 2) at hospitalisation, and 3) at discharge. Average time frame for each patient is 5 weeks.

    Up to 6 months

Secondary Outcomes (5)

  • LOS

    Up to 6 months

  • Health related QoL

    Up to 6 months

  • CQ satisfaction

    Up to 6 months

  • Costs

    Up to 6 months

  • Process

    Up to 6 months

Study Arms (2)

Experimental

EXPERIMENTAL

The early nursing nutrition intervention will include malnutrition screening (during outpatient clinic visit) with the MUST. If patients are ´at risk for malnutrition´ or ´malnourished´, a standardized nutrition care plan will be discussed with the patient by the nurse. This nutrition care plan will include: * Information and advice; * Examples of energy and protein rich meals; * patients will be asked to register their nutritional intake for two days at home; * after a week, the nurse will call the patients to answer questions and to give advice. This nutrition care plan will be tailored to the individual patient requirements. Furthermore, if patients are 'malnourished', a visit to the dietician is always suggested, because this is usual care.

Behavioral: Nursing nutrition intervention

Usual care

NO INTERVENTION

All participants, both in the intervention group and the control group, receive usual care containing a regular visit to a nurse who will perform a malnutrition screening with the MUST (Malnutrition Universal Screening Tool). If patients are 'malnourished', a visit to the dietician is suggested.

Interventions

The early nursing nutrition intervention will include malnutrition screening (during outpatient clinic visit) with the MUST. If patients are ´at risk for malnutrition´ or ´malnourished´, a standardized nutrition care plan will be discussed with the patient by the nurse. This nutrition care plan will include: * Information and advice; * Examples of energy and protein rich meals; * patients will be asked to register their nutritional intake for two days at home; * after a week, the nurse will call the patients to answer questions and to give advice. This nutrition care plan will be tailored to the individual patient requirements. Furthermore, if patients are 'malnourished', a visit to the dietician is always suggested, because this is usual care.

Experimental

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients planned for surgery within 6 weeks after the outpatient clinic visit;
  • Patients with an age of 18 years or older;
  • Patients with the ability to speak and read the Dutch language.

You may not qualify if:

  • Hospital admission within one week after the outpatient clinic visit;
  • Expected hospital admission \< 5 days.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Sint Maartenskliniek

Nijmegen, Gelderland, 6500 GM, Netherlands

RECRUITING

Radboudumc

Nijmegen, Gelderland, 6500 HB, Netherlands

COMPLETED

Related Publications (1)

  • van Noort HHJ, Witteman BJM, Vermeulen H, Huisman-de Waal G; Basic Care Revisited research group. An outpatient nursing nutritional intervention to prehabilitate undernourished patients planned for surgery: A multicentre, cluster-randomised pilot study. Clin Nutr. 2020 Aug;39(8):2420-2427. doi: 10.1016/j.clnu.2019.11.038. Epub 2019 Dec 2.

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition DisordersNutritional and Metabolic Diseases

Study Officials

  • Ria Nijhuis- van der Sanden, PhD

    Radboud University Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Getty Huisman - de Waal, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 11, 2015

First Posted

May 12, 2015

Study Start

January 1, 2015

Primary Completion

December 1, 2015

Study Completion

June 1, 2016

Last Updated

May 12, 2015

Record last verified: 2015-05

Locations