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Food ServicesNCT06502093

Hospital Foodservice, Patient Satisfaction, and Malnutrition Risk

An observational study of Food Services and Malnutrition, run by Istanbul Bilgi University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Malnutrition is the body's inability to absorb necessary nutrients, often due to disease, hunger, aging, or other factors. The European Society for Clinical Nutrition and Metabolism (ESPEN) focuses on the malnutrition aspect [1,2]. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Food Services, Malnutrition
What is being tested?
Observational Malnutrition Screening and Foodservice Satisfaction
How many people
310 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Jan 2022to 28 Feb 2022
How long will I take part?
7 Days
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Adult, Older adult

Study population: Patients who were hospitalized in neurology, internal medicine, general surgery, cardiovascular surgery, and chest disease clinics.

Who may be able to join

  • aged 18-65 years
  • volunteers patients
  • Patients who were hospitalized for at least seven days

Who cannot join

  • Patients with a hospital stay of less than seven days,
  • receiving oral intake restrictive treatment,
  • patients in the terminal phase,
  • patients under 18 years of ages,
  • patients over 65 years of ages.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site

  • Ondokuz Mayıs University

    Samsun, 55270

Other trials in Turkey (Türkiye)

About this study

Official title: Relationship Between Hospital Foodservice, Patient Satisfaction, and Malnutrition Risk: A Pilot Study in Hospital

Malnutrition is the body's inability to absorb necessary nutrients, often due to disease, hunger, aging, or other factors. The European Society for Clinical Nutrition and Metabolism (ESPEN) focuses on the malnutrition aspect [1,2]. Unidentified or unmonitored malnutrition before hospitalization, complications affecting eating, patient inability to eat regularly due to exams/treatments, delayed meal times, psychological factors, hospital stay duration, lack of nutrition awareness, prejudices against hospital meals, etc., can lead to hospital malnutrition. Patient-related issues and lack of dietitian referrals may contribute, with food service problems being a key factor in nutritional decline [3,4]. The critical factors affecting the patient's food appreciation include the appearance, presentation, taste, consistency, texture, and temperature. In cases where patient expectations and satisfaction are not met, a decrease in food consumption and an increase in the amount of leftovers are observed. It has been observed that if the organoleptic properties and presentation style of the food offered to the patient are good, the patients evaluate the food as high quality, and their satisfaction with the food increases [5]. As a result, not being able to consume food due to lack of meal satisfaction means that the energy and elements that the patient needs are not taken into the body, which increases the patient's risk of malnutrition [4]. Effective hospital meal provision is crucial in preventing malnutrition, as emphasized by ESPEN. One of the most essential duties of the dietitian is to supervise every stage of food services to ensure the consumption of foods suitable for medical nutrition treatment of the hospitalized patient [6,7].

This study aimed to determine the role and effect of hospital food services on inpatient malnutrition. For this purpose, NRS-2002 screening was performed on 310 inpatients within three days after admission. NRS-2002 is a comprehensive screening test that the ESPEN recommends for hospitalized patients. Along with the second NRS-2002 screening, a food service satisfaction survey was administered to patients. The results of both NRS-2002 screening and satisfaction surveys were evaluated.

Being tested
Observational Malnutrition Screening and Foodservice Satisfaction
Keywords
Nutritional Assessment, Food Services, Malnutrition, Patient Satisfaction
Medical subject headings
Malnutrition, Patient Satisfaction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Observational Malnutrition Screening and Foodservice SatisfactionOther

    Patients asked Acute Care Hospital Foodservice Patient Satisfaction Questionnaire and malnutrition risk assessed with NRS-2002 screening tool.

Study groups in NCT06502093
Study groupRoleWhat they receive
Observational Study Group* Aged 18-65, * Volunteers at the Isparta City Hospital * Patients who were hospitalized in neurology, internal medicine, general surgery, cardiovascular surgery, and chest disease clinics for at least seven days
Receives: Other: Observational Malnutrition Screening and Foodservice Satisfaction

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. NRS-2002 Screening Tool

    NRS-2002 is a malnutrition assessment tool developed by Kondrup et al. As a result of the screening test, patients are classified as having no risk of malnutrition (<3 points) and having a risk of malnutrition (≥3 points)

    Measured: NRS-2002 was administered for the first time 2 days after the patients were hospitalized. It was repeated for the second time 1 week later.

  2. Acute Care Hospital Foodservice Patient Satisfaction Questionnaire (ACHFPSQ)

    Acute Care Hospital Foodservice Patient Satisfaction Questionnaire (ACHFPSQ), developed by Capra et al. It is evaluated out of a total of 100 points. The increase in the patient's scale score in each sub-dimension means that satisfaction with hospital food services also increases.

    Measured: The scale was administered once, 9 days after hospitalization, together with the NRS-2002 second screening.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jul 2024
  2. Study start1 Jan 2022
  3. Primary completion28 Feb 2022
  4. Study completion28 Feb 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
310 participants (actual)
Target duration
7 Days
IDs, dates and publications
ClinicalTrials.gov ID
NCT06502093
Sponsor's protocol ID
FOODSAT
Status last verified
Jul 2024
First submitted
3 Jul 2024
Last updated
15 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Data will be available upon reasonable request from corresponding author.

Publications

  • Kruizenga HM, Seidell JC, de Vet HC, Wierdsma NJ, van Bokhorst-de van der Schueren MA. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ). Clin Nutr. 2005 Feb;24(1):75-82. doi: 10.1016/j.clnu.2004.07.015.

    PubMed 15681104

  • Klek S, Krznaric Z, Gundogdu RH, Chourdakis M, Kekstas G, Jakobson T, Paluszkiewicz P, Vranesic Bender D, Uyar M, Demirag K, Poulia KA, Klimasauskas A, Starkopf J, Galas A. Prevalence of malnutrition in various political, economic, and geographic settings. JPEN J Parenter Enteral Nutr. 2015 Feb;39(2):200-10. doi: 10.1177/0148607113505860. Epub 2013 Nov 4.

    PubMed 24190900

  • Sorensen J, Fletcher H, Macdonald B, Whittington-Carter L, Nasser R, Gramlich L. Canadian Hospital Food Service Practices to Prevent Malnutrition. Can J Diet Pract Res. 2021 Dec 1;82(4):167-175. doi: 10.3148/cjdpr-2021-013. Epub 2021 Jul 21.

    PubMed 34286621

  • Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC, Deutz NEP, Erickson N, Laviano A, Lisanti MP, Lobo DN, McMillan DC, Muscaritoli M, Ockenga J, Pirlich M, Strasser F, de van der Schueren M, Van Gossum A, Vaupel P, Weimann A. ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr. 2017 Oct;36(5):1187-1196. doi: 10.1016/j.clnu.2017.06.017. Epub 2017 Jun 23.

    PubMed 28689670

  • Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003 Jun;22(3):321-36. doi: 10.1016/s0261-5614(02)00214-5.

    PubMed 12765673

  • Capra S, Wright O, Sardie M, Bauer J, Askew D. The acute hospital foodservice patient satisfaction questionnaire: the development of a valid and reliable tool to measure patient satisfaction with acute care hospital foodservices. Foodserv Res Int. 2005;16(1-2):1-14.

Questions about this trial

What is this clinical trial studying?

An observational study of Food Services and Malnutrition, run by Istanbul Bilgi University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

NRS-2002 Screening Tool (time frame: NRS-2002 was administered for the first time 2 days after the patients were hospitalized. It was repeated for the second time 1 week later.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06502093, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jul 2024.

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