title: A theoretically based Behavioral Nutrition Intervention for Community Elders at high risk: the B-NICE randomized controlled clinical trial.
abstract: 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.
authors.affiliation: Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA. Jlocher@uab.edu
authors.forename: Julie L
authors.initials: JL
authors.lastname: Locher
authors.forename: Connie W
authors.initials: CW
authors.lastname: Bales
authors.forename: Amy C
authors.initials: AC
authors.lastname: Ellis
authors.forename: Jeannine C
authors.initials: JC
authors.lastname: Lawrence
authors.forename: Laura
authors.initials: L
authors.lastname: Newton
authors.forename: Christine S
authors.initials: CS
authors.lastname: Ritchie
authors.forename: David L
authors.initials: DL
authors.lastname: Roth
authors.forename: David L
authors.initials: DL
authors.lastname: Buys
authors.forename: Kristin S
authors.initials: KS
authors.lastname: Vickers
mesh_terms: D000368:Aged; D001294:Attitude to Health; D001521:Behavior Therapy; D003376:Counseling; D004032:Diet; D002149:Energy Intake; D005069:Evaluation Studies as Topic; D005260:Female; D015438:Health Behavior; D006291:Health Policy; D006699:Home Care Services; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000517:prevention & control*; D006278:Medicare; D011446:Prospective Studies; D011582:Psychological Theory; D012306:Risk; D012648:Self Care; D016896:Treatment Outcome; D014481:United States
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