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The University of Southampton

Research project: STREAM - Screen and TREAt for Malnutrition

Currently Active: 

About 13% of older people living at home are at risk of malnutrition. This may be because they are not getting enough to eat, or because they are not eating enough of the right food.

Our colleagues in Health Psychology have developed an intervention, to help doctors and nurses in general practice to check if older adults who live at home are at risk of malnutrition. They can then offer support to those who need it. Our intervention, called ‘Eat well, feel well, stay well’, includes MUST (the Malnutrition Universal Screening Tool), booklets and other materials for older adults, and a support tool for health professionals. The support tool includes guidance about when to see patients and when to use oral nutritional supplements.

In the study, we aim to assess the feasibility and acceptability of the intervention. We will compare two versions of the intervention. One is a brief intervention with MUST screening, patient booklets and follow-up; the other is a stepped care intervention. This means that patients will have the brief intervention plus oral nutritional supplements (ONS) for short spells when they are unwell. We will also follow a group of patients who have the usual care that is provided by their doctors’ surgery. We will assess outcomes including change in eating patterns, weight and quality of life. We will also compare patients and health professionals’ experiences of being in these three different groups.  The results of the feasibility study will help us to design a full trial.

Funder: NIHR Programme Grant for Applied Research

Jan 2017 – Oct 2018

Contact: Jo Kelly  

External investigators: University of Oxford and University of Warwick


Related research groups

Primary Care, Population Sciences and Medical Education
Centre for Clinical and Community Applications of Health Psychology (CCCAHP)
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