Mediterranean Diet Interventions for Eating Behavior and Cognitive Performance Among Older Adults in the Community

National Yang Ming Chiao Tung University

Status: Completed

Conditions: Healthy

Treatments: Behavioral: Mini-flipped Game-based Learning; Behavioral: Balanced diet

Study type: Interventional

Funder types: Other

Identifiers

NCT04788446

YM109146E

Details and patient eligibility

About

The object is to investigate the effects of a modified Mediterranean diet learning intervention program with a Mini-flipped game strategy on dietary behavior and cognitive function of elderly people in the community. The six communities were randomly assigned to the experimental group and the control group. The intervention group will last for 8 weeks. An eight-week Mediterranean diet learning program applying mini-flipped game-based learning strategies could improve dietary behavior and global cognitive function among elderly people living in the general community.

Full description

Background：The world is facing an aging population, with an increase in the number of people with mild cognitive impairment and dementia, creating a huge burden of medical costs for individuals, families, and society. Previous studies have shown that the Mediterranean Diet delays cognitive decline, but older adults are less likely to follow the Mediterranean Diet and have less knowledge about the risk of dementia and protective factors of the diet. This study will integrate the Asian version of the Mediterranean Diet Pyramid and local ingredients from Taiwan to design a nutritional health education and game intervention for the Mediterranean Diet.

Purposes：To investigate the effectiveness of developing a Mini-flipped Game-based Learning strategy to promote dietary behavior and cognitive function in the community elderly with a modified diet learning intervention.

Methods：This study was a cluster-randomized controlled trial. The six communities were randomly assigned to the experimental group and the control group.The intervention group completed an eight-week, mini-flipped, game-based learning program reinforcing compliance with the Mediterranean diet, consisting of one 40-minute session per week. The control group members maintained their usual daily diet and were given a booklet on nutrition and health. All participants will be assessed at baseline(0 weeks) and post-test(8 weeks).

Enrollment: 84 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 65 years and older
• No visual, hearing, or mental impairment, and could speak Mandarin.
• Are willing to participate in the study and fill out the volunteer consent form.

Exclusion criteria

• Diagnosis of cognitive dysfunction, brain injury with loss of consciousness for more than 30 minutes, or other central nervous system disorders. The presence of impaired sensory problems.
• Severe illnesses such as heart, liver, and lung failure, end-stage renal disease, total paralysis, terminal cancer or chemotherapy, and a diagnosis of mental illness

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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84 participants in 2 patient groups, including a placebo group

Mini-flipped Game-based Learning

Experimental group

Description:

1. group diet education, an interactive food card game, and guidance on the Mediterranean diet 2. once a week for 40 minutes. 3. lasts for 8 weeks

Treatment:

Behavioral: Mini-flipped Game-based Learning

Balanced diet

Placebo Comparator group

Description:

1. given a leaflet on balanced diet and nutrition among the elderly 2. lasts for 8 weeks

Treatment:

Behavioral: Balanced diet