Nutrition-Focused Quality Improvement Program (QIP) Among Community Dwelling Malnourished Patients
Assessing Malnutrition Prevalence and Impact of a Nutrition-Focused Quality Improvement Program (QIP) Among Community-Dwelling Malnourished Colombian Patients Receiving Care in an Ambulatory Health Clinic
1 other identifier
observational
1,325
1 country
1
Brief Summary
This study aims to assess the malnutrition prevalence of Colombian community-dwelling adults and evaluate the feasibility of a nutrition-focused QIP implemented in a Colombian ambulatory care facility on healthcare utilization.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2019
Shorter than P25 for all trials
1 active site
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
First Submitted
Initial submission to the registry
July 30, 2019
CompletedFirst Posted
Study publicly available on registry
August 2, 2019
CompletedStudy Start
First participant enrolled
September 10, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 19, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
June 12, 2020
CompletedOctober 5, 2020
October 1, 2020
6 months
July 30, 2019
October 1, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Prevalence of Malnutrition
Measured by the Mini Nutritional Assessment (MNA®) a maximum 30 point scale resulting in a single Malnutrition Indicator Score where lower number indicates malnutrition
Change from Baseline to Week 10 post-QIP enrollment
Secondary Outcomes (1)
Healthcare Resource Utilization
10-weeks follow-up period post enrollment from ambulatory care facility
Other Outcomes (6)
Body mass index (BMI)
Baseline and Week 10 post-QIP enrollment
Calf Circumference (CC)
Baseline and Week 10 post-QIP enrollment
Short Physical Performance Battery (SPPB)
Baseline and Week 10 post-QIP enrollment
- +3 more other outcomes
Study Arms (2)
Historical Control Group
Retrospective chart review
Prospective QIP Group
Participants that meet eligibility criteria will be prospectively enrolled into QIP including malnutrition screening, nutrition consultation, expedited provision of oral nutritional supplementation (ONS) and encouragement of ONS consumption.
Eligibility Criteria
Sites will recruit patients for QIP group at discharge from hospital (after 3 months) or in ambulatory care facility.
You may qualify if:
- Patient is screened as being malnourished or at risk for malnutrition
- Patient can consumer beverages and food orally
- Patients have a life expectancy of equal or greater than 90 days
- Patient is literate and willing to voluntarily sign and date an Informed Consent Form (ICF) after it is explained
You may not qualify if:
- Patient is pregnant
- Patient is intubated, receiving tube feeding or parenteral nutrition
- Patient has severe dementia, delirium or history of significant psychiatric disorder and no dedicated caregiver who could assure their compliance with QIP study requirements and help with the completion of QIP study materials
- Any other disorder that may interfere with QIP product consumption or compliance with QIP protocol procedures
- Patient has an allergy or intolerance to any of the ONS ingredients
- Patients does not want to participate or sign ICF
- Patient is bedridden or confined in a wheelchair
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Geriatric Unit. Hospital Universitario San Ignacio, Aging Institute, Pontificia Universidad Javeriana
Bogotá, Colombia
Related Publications (2)
Gomez G, Botero-Rodriguez F, Misas JD, Garcia-Cifuentes E, Sulo S, Brunton C, Venegas-Sanabria LC, Gracia DA, Cano Gutierrez CA. A nutritionally focused program for community-living older adults resulted in improved health and well-being. Clin Nutr. 2022 Jul;41(7):1549-1556. doi: 10.1016/j.clnu.2022.05.003. Epub 2022 May 13.
PMID: 35667271DERIVEDChavarro-Carvajal DA, Ayala AM, Venegas-Sanabria LC, Gomez G, Sulo S, Misas JD, Cano-Gutierrez C. Use of a nutrition-focused quality improvement program for community-living older adults at malnutrition risk is associated with better nutritional outcomes. Clin Nutr ESPEN. 2022 Apr;48:291-297. doi: 10.1016/j.clnesp.2022.01.032. Epub 2022 Feb 2.
PMID: 35331504DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Suela Sulo, PhD, MSc
Abbott Nutrition
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- OTHER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 30, 2019
First Posted
August 2, 2019
Study Start
September 10, 2019
Primary Completion
March 19, 2020
Study Completion
June 12, 2020
Last Updated
October 5, 2020
Record last verified: 2020-10