Bi-weekly frozen meal home delivery for Dementia

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Neighborly Senior Services, Clearwater, FL
Dementia
Bi-weekly frozen meal home delivery - Behavioral
Eligibility
65+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether home-delivered meals may help improve the health of older adults with Alzheimer's disease and related dementias.

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Treatment Effectiveness

Study Objectives

This trial is evaluating whether Bi-weekly frozen meal home delivery will improve 1 primary outcome in patients with Dementia. Measurement will happen over the course of 6 months.

6 months
Time to Nursing Home Placement

Trial Safety

Trial Design

2 Treatment Groups

Daily Meals
1 of 2
Frozen, Drop-shipped Meals
1 of 2
Active Control
Experimental Treatment

This trial requires 243 total participants across 2 different treatment groups

This trial involves 2 different treatments. Bi-weekly Frozen Meal Home Delivery is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Frozen, Drop-shipped Meals
Behavioral
10 frozen meals that are mailed to participants every two weeks.
Daily Meals
Behavioral
A lunch-time meal delivered to participants' homes multiple times per week with wellness check and socialization.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 6 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 6 months for reporting.

Closest Location

Neighborly Senior Services - Clearwater, FL

Eligibility Criteria

This trial is for patients born any sex aged 65 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
On MOW program waiting list
66 years of age or older (to allow for Medicare enrollment and a one-year baseline look-back)
Self-reporting a diagnosis of memory loss, dementia, cognitive impairment, or Alzheimer's disease

Patient Q&A Section

What are the signs of dementia?

"There are few signs of dementia. An increased amount of secretions in the nose, urinary urgency and urinary incontinence increase as the dementia progresses. If the signs and symptoms do not go away, a visit to a health professional is suggested. If the symptoms disappear after a period of time, check back in a year or so to make sure that the symptoms have not returned. If they have, a doctor should be contacted again. The symptoms are often due to the effect a dementia has on the body, rather than any actual pathology in the brain." - Anonymous Online Contributor

Unverified Answer

Can dementia be cured?

"Some form of treatment can improve mental functioning in many patients with dementia. Studies of these treatments have not produced cures but some treatments, especially neuroleptic drugs and neuro-inactivating drugs, enhance mood or improve cognition and memory." - Anonymous Online Contributor

Unverified Answer

What causes dementia?

"The risk of developing dementia is about 10 times lower with no, or light, alcohol intake (approximately 1 g/day). With moderate-, and heavy alcohol intake, one is around 10- times more likely. Alcohol intake from wine as opposed to beer increases the chances. Recent findings are based on a population-specific study using data from Danish national registries that are highly sensitive to drug abuse." - Anonymous Online Contributor

Unverified Answer

What are common treatments for dementia?

"A number of treatments are available for dementia, including medications and various therapies. Physicians may prescribe antidepressants, antipsychotics, antiemetics, atypical and second-generation antipsychotics, stimulants like methylphenidate, memantine, and bupropion, and acetylcholinesterase inhibitors like donepezil. Cognitive behavioral therapies are used to promote cognitive and behavioral skills, and are often recommended by primary care providers. Some therapies, such as cognitive and behavioral therapies, are available to patients as out-patient treatment, as a community-run day care program, and as residential treatments." - Anonymous Online Contributor

Unverified Answer

What is dementia?

"It is a chronic disabling and progressive disease that is characterized by severe cognitive impairment and behavioural disturbances. At least half of those with dementia develop vascular pathologies or underlying structural brain disease. A large proportion of demented individuals live with their disease for a year or longer but there is no effective intervention to improve the outcome of people with dementia. The International Classification of Diseases 11th revision (ICD-11) has been proposed as the World Health Organization's (WHO) unified diagnostic classification for dementias. This work forms the basis of the forthcoming revision of the ICD-10 criteria for these illnesses. The WHO has called for urgent action to stop brain degenerative diseases now." - Anonymous Online Contributor

Unverified Answer

How many people get dementia a year in the United States?

"The number of people with dementia in the United States is growing rapidly. This will likely have a marked effect on healthcare resource utilization. The American College of Nursing Foundation's report "Dementia and the Nursing Home in the 21st Century" estimated that by 2050, the number of people with dementia in the United States is expected to be four times higher than it is today. This is likely to require significant changes in nursing home management and practice, to the development of new technologies for nursing homes, and to increased attention to the needs of people with dementia in all of our health care systems. In the United States, more than 30 million people live in nursing homes, making it the largest segment of older American population." - Anonymous Online Contributor

Unverified Answer

How serious can dementia be?

"The prognosis of Alzheimer's disease is better when compared with other forms of dementia, but serious consequences can occur. People with dementia are at greater risk of being unable to live independently. They have a higher likelihood of needing assistance from others and being hospitalized. If you want to make the most of the life you have left, being a caregiver is a task that needs to be dealt with. It is a difficult one. Having a loved one with dementia is very hard to live with. There is no cure for dementia, no permanent cure." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets dementia?

"There is no single clear definition of the average age when dementia occurs. While the average is obviously not a bad indicator of the age when dementia occurs, different studies have had different average ages with different cut-offs. We have not found any medical consensus on which age is more reasonable as a criterion for dementia.\n" - Anonymous Online Contributor

Unverified Answer

How does bi-weekly frozen meal home delivery work?

"Despite potential conflicts of interest in the formulation of the meal, the results supported the idea of nutritional benefit to the participants. The bi-weekly (one month apart) delivery of frozen meal home delivery was not superior to a one-time frozen meal home delivery. Additionally, the study results showed that a bi-weekly frozen meal home delivery could work. The participants with daily frozen food delivery lost almost as much weight as the participants who received monthly meals. However, the weight was maintained for 6 months after discontinuation of frozen meal deliveries. Therefore, nutritional benefit from the frozen meal at this time frame cannot be ascertained. However, more research in this area will be useful in determining how nutritious the frozen meal is." - Anonymous Online Contributor

Unverified Answer

What does bi-weekly frozen meal home delivery usually treat?

"Frozen meal delivery is a low-cost home program that usually improves the diet and improves most of the physical deficits of individuals with dementia. Benefits might vary depending on the clinical group. Additional randomized controlled trials are needed to replicate these findings." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of dementia?

"The most common cause of dementia in men and women is age. Over half of all dementia cases are due to Alzheimer's disease and dementia with Lewy bodies. The risk for some subtypes of dementia becomes apparent with age. In men age 80+ the relative risk of Alzheimer's in comparison to age 60+ is 3.1. In women, the relative risk is 1.1." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for dementia?

"Clinical trials for dementia need to incorporate standardized and validated scales for determining the patients' quality of life and functional level. A neurologist specialising in dementia can facilitate clinical trials." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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