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This systematic review and meta-analysis examines the efficacy of telehealth methods in delivering malnutrition-related interventions to community-dwelling older adults. The study shows that telehealth interventions, such as telephone calls with dietitian delivery, can significantly improve quality of life and increase protein intake in malnourished older adults. The findings suggest that telehealth can be a patient-centered and accessible approach to addressing malnutrition in this population.
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Telehealth improves quality of life and protein intake in malnourished older adults A Systematic Review and Meta-Analysis Dr Skye Marshall BNutr&Diet(Hons1), PhD, APD skye_marshall@bond.edu.au, @DrSkyeMarshall Published: Maturitas (2018) 111:31-46
All researchers declare no potential or actual conflicts of interest
Protein-energy malnutrition Immune system Viscera Blood cells Skeletal muscle Marshall (2016) Maturitas
Prevalence Crichton (2018) Age & Ageing
What is the efficacy of telehealth methods in delivering malnutrition-related interventions to community-dwelling older adults?
Intervention Characteristics REFERENCE FONT
Effectiveness of telehealth Clinical significance: Increase in 10g protein/day for 80kg individual
Effectiveness of telehealth Clinical significance: Increase in 11/100 points on EQ-5D Visual Analogue Scale
Take away message Can we adopt into practice? • Patient-centred benefit • Telephone calls, not devices • Dietitian-delivery • DVA/Medicare item supports How? • FREER – Family carer engagement during inpatient stay + 3m telehealth d/c • Marshall (2019) JMIR Protocols 8(4) FREER Protocol = full resources!