Implementation of a multicomponent telemonitoring intervention to improve nutritional status of community-dwelling older adults: A process evaluation

Marije N. van Doorn-van Atten, Lisette C.P.G.M. de Groot, Albert Collet Romea, Simon Schwartz, Jeanne H.M. De Vries, Annemien Haveman-Nies

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

ObjectiveThe present study aimed to conduct a process evaluation of a multicomponent nutritional telemonitoring intervention implemented among Dutch community-dwelling older adults.DesignA mixed-methods approach was employed, guided by the process evaluation framework of the Medical Research Council and the Unified Theory of Acceptance and Use of Technology. The process indicators reach, dose, fidelity and acceptability were measured at several time points within the 6-month intervention among participants and/or nurses.SettingThe intervention was implemented in the context of two care organisations in the Netherlands.SubjectsIn total, ninety-seven participants (average age 78 years) participated in the intervention and eight nurses were involved in implementation.ResultsAbout 80 % of participants completed the intervention. Dropouts were significantly older, had worse cognitive and physical functioning, and were more care-dependent. The intervention was largely implemented as intended and received well by participants (satisfaction score 4·1, scale 1-5), but less well by nurses (satisfaction score 3·5, scale 1-5). Participants adhered better to weight telemonitoring than to telemonitoring by means of questionnaires, for which half the participants needed help. Intention to use the intervention was predicted by performance expectancy (β=0·40; 95 % CI 0·13, 0·67) and social influence (β=0·17; 95 % CI 0·00, 0·34). No association between process indicators and intervention outcomes was found.ConclusionsThis process evaluation showed that nutritional telemonitoring among older adults is feasible and accepted by older adults, but nurses' satisfaction should be improved. The study provided relevant insights for future development and implementation of eHealth interventions among older adults.

LanguageEnglish
Pages363-374
JournalPublic Health Nutrition
Volume22
Issue number2
Early online date3 Sep 2018
DOIs
Publication statusPublished - Feb 2019

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Independent Living
Nutritional Status
Nurses
Telemedicine
Netherlands
Biomedical Research
Organizations
Technology
Weights and Measures

Keywords

  • Implementation research
  • Older adults
  • Telemonitoring
  • Undernutrition

Cite this

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title = "Implementation of a multicomponent telemonitoring intervention to improve nutritional status of community-dwelling older adults: A process evaluation",
abstract = "ObjectiveThe present study aimed to conduct a process evaluation of a multicomponent nutritional telemonitoring intervention implemented among Dutch community-dwelling older adults.DesignA mixed-methods approach was employed, guided by the process evaluation framework of the Medical Research Council and the Unified Theory of Acceptance and Use of Technology. The process indicators reach, dose, fidelity and acceptability were measured at several time points within the 6-month intervention among participants and/or nurses.SettingThe intervention was implemented in the context of two care organisations in the Netherlands.SubjectsIn total, ninety-seven participants (average age 78 years) participated in the intervention and eight nurses were involved in implementation.ResultsAbout 80 {\%} of participants completed the intervention. Dropouts were significantly older, had worse cognitive and physical functioning, and were more care-dependent. The intervention was largely implemented as intended and received well by participants (satisfaction score 4·1, scale 1-5), but less well by nurses (satisfaction score 3·5, scale 1-5). Participants adhered better to weight telemonitoring than to telemonitoring by means of questionnaires, for which half the participants needed help. Intention to use the intervention was predicted by performance expectancy (β=0·40; 95 {\%} CI 0·13, 0·67) and social influence (β=0·17; 95 {\%} CI 0·00, 0·34). No association between process indicators and intervention outcomes was found.ConclusionsThis process evaluation showed that nutritional telemonitoring among older adults is feasible and accepted by older adults, but nurses' satisfaction should be improved. The study provided relevant insights for future development and implementation of eHealth interventions among older adults.",
keywords = "Implementation research, Older adults, Telemonitoring, Undernutrition",
author = "{van Doorn-van Atten}, {Marije N.} and {de Groot}, {Lisette C.P.G.M.} and Romea, {Albert Collet} and Simon Schwartz and {De Vries}, {Jeanne H.M.} and Annemien Haveman-Nies",
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Implementation of a multicomponent telemonitoring intervention to improve nutritional status of community-dwelling older adults : A process evaluation. / van Doorn-van Atten, Marije N.; de Groot, Lisette C.P.G.M.; Romea, Albert Collet; Schwartz, Simon; De Vries, Jeanne H.M.; Haveman-Nies, Annemien.

In: Public Health Nutrition, Vol. 22, No. 2, 02.2019, p. 363-374.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Implementation of a multicomponent telemonitoring intervention to improve nutritional status of community-dwelling older adults

T2 - Public Health Nutrition

AU - van Doorn-van Atten, Marije N.

AU - de Groot, Lisette C.P.G.M.

AU - Romea, Albert Collet

AU - Schwartz, Simon

AU - De Vries, Jeanne H.M.

AU - Haveman-Nies, Annemien

PY - 2019/2

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N2 - ObjectiveThe present study aimed to conduct a process evaluation of a multicomponent nutritional telemonitoring intervention implemented among Dutch community-dwelling older adults.DesignA mixed-methods approach was employed, guided by the process evaluation framework of the Medical Research Council and the Unified Theory of Acceptance and Use of Technology. The process indicators reach, dose, fidelity and acceptability were measured at several time points within the 6-month intervention among participants and/or nurses.SettingThe intervention was implemented in the context of two care organisations in the Netherlands.SubjectsIn total, ninety-seven participants (average age 78 years) participated in the intervention and eight nurses were involved in implementation.ResultsAbout 80 % of participants completed the intervention. Dropouts were significantly older, had worse cognitive and physical functioning, and were more care-dependent. The intervention was largely implemented as intended and received well by participants (satisfaction score 4·1, scale 1-5), but less well by nurses (satisfaction score 3·5, scale 1-5). Participants adhered better to weight telemonitoring than to telemonitoring by means of questionnaires, for which half the participants needed help. Intention to use the intervention was predicted by performance expectancy (β=0·40; 95 % CI 0·13, 0·67) and social influence (β=0·17; 95 % CI 0·00, 0·34). No association between process indicators and intervention outcomes was found.ConclusionsThis process evaluation showed that nutritional telemonitoring among older adults is feasible and accepted by older adults, but nurses' satisfaction should be improved. The study provided relevant insights for future development and implementation of eHealth interventions among older adults.

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