Training Nonnursing Staff to Assist with Nutritional Care in Nursing Homes: A Cost-Effectiveness Analysis

Key Questions Answered
  • Can nonnursing staff effectively provide feeding assistance to nursing home residents?
  • How effective and cost-effective is this practice?
Key Themes and Takeaways

This resource describes a randomized controlled trial to determine the outcomes and cost-effectiveness of training nonnursing staff to provide feeding assistance for nutritionally at-risk nursing home residents.

  • Inadequate food and fluid intake are common problems in nursing home residents.
  • In this study, nonnursing staff were trained to provide between-meal supplements for the intervention group of nursing home residents. The control group received usual care.
  • The intervention had a significant effect on between-meal caloric intake, with the intervention group consuming, on average, 163.33 calories per person per day more than the control group.
  • The intervention costs were $1.27 per person per day higher than usual care. The incremental cost-effectiveness ratio for the intervention was 134 kcal per dollar.
  • It is cost-effective to train nonnursing staff to provide caloric supplementation, and this practice has a positive effect on residents’ caloric intake between meals.
Sandra Simmons
Emily K. Hollingsworth
Emily A. Long
Xulei Liu
Matthew S. Shortwell
Emmett Keeler
Ruopeng An
Heidi J. SIlver
Population Addressed
Frail Older Adults
Level of Evidence
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