A theoretically based Behavioral Nutrition Intervention for Community Elders at high risk: the B-NICE randomized controlled clinical trial.
A theoretically based Behavioral Nutrition Intervention for Community Elders at high risk: the B-NICE randomized controlled clinical trial.
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DOI：
10.1080/21551197.2011.623955
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发表时间：
2011
影响因子：
--
通讯作者：
Vickers KS
中科院分区：
文献类型：
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作者：
Locher JL;Bales CW;Ellis AC;Lawrence JC;Newton L;Ritchie CS;Roth DL;Buys DL;Vickers KS
我们进行了一项研究，旨在评估多层次自我管理干预措施的有效性和可行性，以改善接受医疗保险家庭健康服务的一组老年人的营养摄入，这些老年人营养不良的风险特别高。社区老年人行为营养干预 (B-NICE) 试验采用前瞻性随机对照设计，以确定针对饮食的社会和行为方面的个性化咨询是否会增加高危老年人群的热量摄入并改善营养相关的健康结果。该研究以生态模型和社会认知理论的理论方法为指导。本文介绍了 B-NICE 方案的制定和实施，包括理论框架、方法、行为干预的具体要素、治疗保真度的保证，以及试验结果对卫生政策的影响。
We conducted a study designed to evaluate the efficacy and feasibility of a multilevel self-management intervention to improve nutritional intake in a group of older adults receiving Medicare home health services who were at especially high risk for experiencing undernutrition. The Behavioral Nutrition Intervention for Community Elders (B-NICE) trial used a prospective randomized controlled design to determine whether individually tailored counseling focused on social and behavioral aspects of eating resulted in increased caloric intake and improved nutrition-related health outcomes in a high-risk population of older adults. The study was guided by the theoretical approaches of the Ecological Model and Social Cognitive Theory. The development and implementation of the B-NICE protocol, including the theoretical framework, methodology, specific elements of the behavioral intervention, and assurances of the treatment fidelity, as well as the health policy implications of the trial results, are presented in this article.