A Nutrition Care Model for Frailty Prevention in the Elderly Based on Design Thinking

NCT07504419 | Completed

• 1 other identifier: N202504135
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This international multicenter study project. A physical function screening activity for the elderly will be held in the community centers. After screening out high-risk subjects for frailty, they will be guided to participate in motivational interviews. Design thinking is used to design product/service processes based on nutritional problems, and combined with the nutritional care process.

Conditions

Malnutrition Elderly; Frailty Syndrome; Sarcopenia in Elderly

Keywords

Older adults; Frailty; Frailty prevention; Design thinking; Community-based nutrition care model; Integrated Care for Older People (ICOPE)

Outcome Measures

Primary Outcomes (6)

• Chewing function

  Chewing function will be assessed using a chewing status question adapted from the Japanese National Health and Nutrition Survey. Higher scores indicate better chewing ability.

  Baseline and 2 months after intervention

• Eating Assessment Tool-10 (EAT-10)

  The Eating Assessment Tool-10 (EAT-10) is a self-administered questionnaire ranging from 0 to 40, with higher scores indicating more severe swallowing difficulties.

  Baseline and 2 months after intervention

• Mini Nutritional Assessment-Short Form (MNA-SF)

  The Mini Nutritional Assessment-Short Form (MNA-SF) ranges from 0 to 14, with higher scores indicating better nutritional status.

  Baseline and 2 months after intervention

• Study of Osteoporotic Fractures Index (SOF)

  The Study of Osteoporotic Fractures (SOF) index assesses frailty status, with higher scores indicating greater frailty.

  Baseline and 2 months after intervention

• Sarcopenia Screening Scale with Calf Circumference (SARC-CalF)

  The SARC-CalF is a screening tool ranging from 0 to 20, with higher scores indicating greater risk of sarcopenia.

  Baseline and 2 months after intervention

• Health behavior change (knowledge, attitude, and practice)

  Health behavior change will be assessed using a structured questionnaire evaluating knowledge, attitude, and practice (KAP) related to nutrition. The total score is calculated based on participants' responses, with higher scores indicating better health-related knowledge, attitudes, and behaviors.

  Baseline and 2 months

Secondary Outcomes (2)

• Participation rate in risk screening

  up to 1 month

• Coverage rate of nutritional intervention

  Up to 2 months

Study Arms (1)

nutrition education

EXPERIMENTAL

Other: nutrition education

Interventions

nutrition education OTHER

Nutrition education course design will be based on interview results with subjects with high risk of frailty.

nutrition education

Eligibility Criteria

• Age: 65 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Elderly people aged 65 and above with nutrition-related risks were screened by the ICOPE (Integrated Care for Older People) scale, that is, those with abnormalities in cognition, mobility, malnutrition, depression, etc., and were defined as high-risk elderly people.

You may not qualify if:

• Those who cannot eat independently, such as those who rely on nasogastric tubes for feeding.
• Those who cannot express their opinions independently.

Sponsors & Collaborators

• Suh-Ching, Yang: lead

Study Sites (1)

Dingshuo Village Residential Center

New Taipei City, Wanhua District, 10860, Taiwan

Location

MeSH Terms

Conditions

Frailty

Interventions

Nutrition Assessment

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Epidemiologic Measurements; Public Health; Environment and Public Health

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Director, Research Center of Geriatric Nutrition, Taipei Medical University

Model Details: For subjects who meet the high risk of frailty after screening with the ICOPE scale, a one-on-one interview will be arranged to gain a deeper understanding of their nutrition-related issues and individual needs. The interview results will serve as the basis for designing nutrition education courses. Subjects are required to complete questionnaires before and after participation and undergo physiological function and health behavior assessments to understand the potential improvement effects of this care model on health behaviors and physical functions. The collected results will be compared with the results of Settsu City, Osaka, Japan.

Study Record Dates

• First Submitted: March 21, 2026
• First Posted: March 31, 2026
• Study Start: July 4, 2025
• Primary Completion: August 29, 2025
• Study Completion: August 29, 2025
• Last Updated: March 31, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)