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Evaluation of a Rwanda Hospital Feeding Program on Nutrition, Recovery, Costs of Care and Health Related Quality of Life

NCT ID: NCT06852885

Last Updated: 2025-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

794 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-28

Study Completion Date

2024-10-14

Brief Summary

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The purpose of this interventional study was to evaluate outcomes for Solid'Africa's Gemura feeding program in four selected public hospitals comparing results between patients receiving and patients not receiving the feeding program. The study measured the effects of the program on patients nutritional status, recovery during hospitalization, patient health related-quality of life, patient satisfaction, and patient costs of care. Participants were asked: (1) to eat meals provided three times a day if they were in the intervention group; (2) to participate in an intake and discharge survey; and (3) to participate in a daily food intake survey.

Detailed Description

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A multi-center, quasi-experimental study using difference-in-differences controlled comparison to test the outcomes of Solid'Africa's Gemura feeding intervention in four selected public hospitals (two in intervention group and other two in control group) from urban and peri-urban areas targeting socioeconomically vulnerable inpatients. This study has a primary outcome which is nutritional status as measured by body mass index (BMI), and secondary outcomes which include recovery during hospitalization, patient health-related quality of life (HRQOL), patient satisfaction, and patient costs of care.

Conditions

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Nutrition

Keywords

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Nutrition hospitals, public malnutrition sub-Saharan Africa food intake

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Gemura

The intervention of the Solid'Africa Gemura selective feeding program will be administered as usual for study participants in the two intervention sites. Eligible hospital inpatients will receive three meals a day during their hospital stay, as prescribed by hospital nutritionists for their specific conditions and ordered from Solid'Africa. The Solid'Africa team will prepare the ordered meals in their off-site kitchen in Rusororo and deliver them daily to the hospitals where the meals will be distributed to the study participants. Meal caloric and nutritional content information is standardized except upon request. The normal meal is 575g of food consisting of 2300kCal with 300g of carbohydrates, 175g of protein, and 100g vitamins/minerals. In addition, Solid'Africa will adjust meal content per nutritionist request for specific needs like low salt/sugar, etc.

Group Type EXPERIMENTAL

Meals

Intervention Type OTHER

The intervention of the Solid'Africa Gemura selective feeding program will be administered as usual for study participants in the two intervention sites. Eligible hospital inpatients will receive three meals a day during their hospital stay, as prescribed by hospital nutritionists for their specific conditions and ordered from Solid'Africa. The Solid'Africa team will prepare the ordered meals in their off-site kitchen in Rusororo and deliver them daily to the hospitals where the meals will be distributed to the study participants. Meal caloric and nutritional content information is standardized except upon request. The normal meal is 575g of food consisting of 2300kCal with 300g of carbohydrates, 175g of protein, and 100g vitamins/minerals. In addition, Solid'Africa will adjust meal content per nutritionist request for specific needs like low salt/sugar, etc.

Control

This arm includes inpatients meeting the same eligibility criteria as the intervention arm. However, no intervention will be offered and these patients will experience a hospital stay as usual.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Meals

The intervention of the Solid'Africa Gemura selective feeding program will be administered as usual for study participants in the two intervention sites. Eligible hospital inpatients will receive three meals a day during their hospital stay, as prescribed by hospital nutritionists for their specific conditions and ordered from Solid'Africa. The Solid'Africa team will prepare the ordered meals in their off-site kitchen in Rusororo and deliver them daily to the hospitals where the meals will be distributed to the study participants. Meal caloric and nutritional content information is standardized except upon request. The normal meal is 575g of food consisting of 2300kCal with 300g of carbohydrates, 175g of protein, and 100g vitamins/minerals. In addition, Solid'Africa will adjust meal content per nutritionist request for specific needs like low salt/sugar, etc.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Hospital inpatients
* Vulnerable socioeconomic status according to social worker assessment
* Most inpatient categories
* Voluntary, self-feeding ability
* Able to stand on scale, with help if needed

Exclusion Criteria

* Hospital outpatients
* Patients not determined socioeconomically vulnerable by social worker
* Pregnant women hospitalized for delivery
* Patients undergoing special treatment for malnutrition
* Patients receiving enteral or parenteral nutrition treatment
* Patients receiving any kind of artificial feeding support
* Patients unable to stand on scale to measure weight
Minimum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Solid'Africa

OTHER

Sponsor Role lead

Responsible Party

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Stefanie Weiland

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stefanie Weiland, MSc MPH

Role: PRINCIPAL_INVESTIGATOR

Locations

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Centre Hopitalier Universitaire de Butare

Butare, , Rwanda

Site Status

Centre Hopitalier Universitaire de Kigali

Kigali, , Rwanda

Site Status

Masaka Hospital

Kigali, , Rwanda

Site Status

Nyamata Hospital

Nyamata, , Rwanda

Site Status

Countries

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Rwanda

Other Identifiers

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RNEC80/2024

Identifier Type: -

Identifier Source: org_study_id