A Randomized Controlled Trial of a Theoretically-Based Behavioral Nutrition Intervention for Community Elders: Lessons Learned from the Behavioral Nutrition Intervention for Community Elders Study

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dc.contributor.authorLocher, Julie L.
dc.contributor.authorVickers, Kristin S.
dc.contributor.authorBuys, David R.
dc.contributor.authorEllis, Amy
dc.contributor.authorLawrence, Jeannine C.
dc.contributor.authorNewton, Laura Elizabeth
dc.contributor.authorRoth, David L.
dc.contributor.authorRitchie, Christine S.
dc.contributor.authorBales, Connie W.
dc.contributor.otherUniversity of Alabama Birmingham
dc.contributor.otherMayo Clinic
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherJohns Hopkins University
dc.contributor.otherUniversity of California San Francisco
dc.contributor.otherDuke University
dc.date.accessioned2023-09-28T19:36:27Z
dc.date.available2023-09-28T19:36:27Z
dc.date.issued2013
dc.description.abstractOlder adults with multiple comorbidities are often undernourished or at high risk for becoming so, especially after a recent hospitalization. Randomized controlled trials of effective, innovative interventions are needed to support evidence-based approaches for solving nutritional problems in this population. Self-management approaches where participants select their own behavioral goals can enhance success of interventions. The purpose of this study was to evaluate the feasibility and efficacy of a multilevel self-management intervention to improve nutritional status in a group of high-risk older adults. The Behavioral Nutrition Intervention for Community Elders (B-NICE) trial used a prospective randomized controlled design to determine whether the intervention, compared to standard care, maintained or increased caloric intake (depending on baseline body mass index) and, consequently, stabilized or increased body weight. Participants were 34 Medicare-eligible, age 65 years old or older, homebound adults who were consuming insufficient calories and/or had a history of weight loss >= 2.5% over 6 months. The, intervention took place within participants' homes. Outcome measures, including energy intake (based on collection of three 24-hour dietary recalls) and body weights were assessed at baseline and at 60 days post randomization. The primary analyses included analyses of covariance and Pearson's chi(2). We hypothesized that the intervention would result in increased caloric intake and weight gain in underweight older adults and increased or stabilized caloric intake and weight for everyone else. The intervention was feasible: however, it did not result in differences between groups for desired outcomes of either caloric intake or body weight. Future interventions might either deliberately involve caregivers or reduce burden for both patients and caregivers.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationLocher, J. L., Vickers, K. S., Buys, D. R., Ellis, A., Lawrence, J. C., Newton, L. E., Roth, D. L., Ritchie, C. S., & Bales, C. W. (2013). A Randomized Controlled Trial of a Theoretically-Based Behavioral Nutrition Intervention for Community Elders: Lessons Learned from the Behavioral Nutrition Intervention for Community Elders Study. In Journal of the Academy of Nutrition and Dietetics (Vol. 113, Issue 12, pp. 1675–1682). Elsevier BV. https://doi.org/10.1016/j.jand.2013.06.352
dc.identifier.doi10.1016/j.jand.2013.06.352
dc.identifier.orcidhttps://orcid.org/0000-0002-2639-6459
dc.identifier.urihttps://ir.ua.edu/handle/123456789/11577
dc.languageEnglish
dc.language.isoen_US
dc.publisherElsevier
dc.subjectBehavioral nutrition intervention
dc.subjectCommunity-based nutrition intervention
dc.subjectOlder adults
dc.subjectTransitions of care
dc.subjectPatient-centered care
dc.subjectDISCHARGED OLDER-ADULTS
dc.subjectWEIGHT-LOSS
dc.subjectFOOD-INTAKE
dc.subjectHEALTH
dc.subjectMORTALITY
dc.subjectRISK
dc.subjectSUPPLEMENTATION
dc.subjectSERVICES
dc.subjectWOMEN
dc.subjectAGE
dc.subjectNutrition & Dietetics
dc.titleA Randomized Controlled Trial of a Theoretically-Based Behavioral Nutrition Intervention for Community Elders: Lessons Learned from the Behavioral Nutrition Intervention for Community Elders Studyen_US
dc.typeArticle
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