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Contact Information:

Prof Paul Little
-
p.little@soton.ac.uk


Miss Natalie Thompson
-
n.thompson@soton.ac.uk


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Be Part of Research - Trial Details - Eat well, feel well, stay well (the STREAM Trial)
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Eat well, feel well, stay well (the STREAM Trial)

Not Recruiting

Open to: All Genders

Age: Adult

Southampton Oxford Coventry

Medical Conditions

Malnutrition in people aged 75 years or older

This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


About 10-15% of people over the age of 65 living at home are at risk of malnutrition. In particular poor appetite is an important risk factor for malnutrition and for weight loss, and a risk factor for the development of infections, hospital admissions and even longer-term mortality. This may be because they are not getting enough to eat, or because they are not eating enough of the right food.
We have developed an approach (‘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 booklets and other materials for older adults, and support for health professionals. The support for health professionals includes guidance about when to see patients, and for those more severely at risk when to use oral nutritional supplements. The intervention was developed by experts who looked at previous literature to find what helps or hinders older adults eating well, and what is likely to work best in general practice. The intervention was improved after feedback from people aged over 65 years, patients and healthcare professionals. In the study, we aim to assess the effectiveness of the intervention.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Oct 2019 31 Jan 2024

All patients get a brief intervention with patient booklets and follow-up, but individuals who are at much greater risk will have the brief intervention plus oral nutritional supplements (ONS) for short spells when they are unwell. For comparison we will follow a group of patients who have the usual care that is provided by their doctors’ surgery. We will assess outcomes including the number of infections people get, change in eating patterns, weight and quality of life. We will also compare patients and health professionals’ experiences of being in these different groups.


Patients aged 75 or older who are either living alone or have one or more major medical or social problem(s) known to increase nutritional risk.

You can take part if:



You may not be able to take part if:


1. Used ONS in the last 6 months2. Terminal disease3. Ongoing primary treatment for cancer4. Diabetes5. Established dementia (this group would be substantially different mandating involvement of the carers, and different outcomes)6. Receiving established nutritional support7. Unable to consent8. Institutionalised patients


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Primary Care, Population Sciences and Medical Education, University of Southampton
    Aldermoor Health Centre Aldermoor Close
    Southampton
    SO16 5ST
  • Primary Care Clinical Trials Unit, Nuffield Department of Primary Care Health Sciences
    University of Oxford Gibson Building Radcliffe Observatory Quarter Woodstock Road
    Oxford
    OX2 6GG
  • Warwick Medical School
    University of Warwick Gibbet Hill Road
    Coventry
    CV4 7AL

Possible benefits are helping to reduce any worries about eating patterns and helping participants to eat well even when appetite is low. We tested the study tasks with 350 participants in the STREAM Feasibility study, so are confident that there are no risks in taking part.

Miss Natalie Thompson
-
n.thompson@soton.ac.uk


Prof Paul Little
-
p.little@soton.ac.uk



The study is sponsored by University of Southampton and funded by NIHR Central Commissioning Facility (CCF); Grant Codes: RP-PG-0614-20004.



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Read full details for Trial ID: ISRCTN12415161

Or CPMS 42564

Last updated 29 January 2025

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