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

Julie L. Locher, Kristin S. Vickers, David R. Buys, Amy Ellis, Jeannine C. Lawrence, Laura Elizabeth Newton, David L. Roth, Christine S. Ritchie, Connie W. Bales

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Older 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 χ2. 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.

Original languageEnglish (US)
Pages (from-to)1675-1682
Number of pages8
JournalJournal of the Academy of Nutrition and Dietetics
Volume113
Issue number12
DOIs
StatePublished - Dec 2013

Fingerprint

nutritional intervention
Energy Intake
energy intake
Randomized Controlled Trials
caregivers
Body Weight
Self Care
Caregivers
body weight
self-efficacy
underweight
diet recall
Thinness
Random Allocation
Medicare
Nutritional Status
Weight Gain
body mass index
nutritional status
Comorbidity

Keywords

  • Behavioral nutrition intervention
  • Community-based nutrition intervention
  • Older adults
  • Patient-centered care
  • Transitions of care

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

Cite this

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. / Locher, Julie L.; Vickers, Kristin S.; Buys, David R.; Ellis, Amy; Lawrence, Jeannine C.; Newton, Laura Elizabeth; Roth, David L.; Ritchie, Christine S.; Bales, Connie W.

In: Journal of the Academy of Nutrition and Dietetics, Vol. 113, No. 12, 12.2013, p. 1675-1682.

Research output: Contribution to journalArticle

Locher, Julie L. ; Vickers, Kristin S. ; Buys, David R. ; Ellis, Amy ; Lawrence, Jeannine C. ; Newton, Laura Elizabeth ; Roth, David L. ; Ritchie, Christine S. ; Bales, Connie W. / 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. 2013 ; Vol. 113, No. 12. pp. 1675-1682.
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