BITE-IT

The development and evaluation of a combined exercise and nutrition intervention for vulnerable elderly people.

In the Netherlands, 53,000 vulnerable elderly people are admitted to a geriatric rehabilitation centre for a short period each year. For example, when they are recovering from a bone or joint fracture, stroke or orthopaedic surgery. Upon returning home, their rehabilitation is often scaled down and taken over by an outpatient care programme or primary care. A large proportion of these vulnerable elderly people experience a decline in physical functioning and self-reliance at home. They benefit from intensive care in the areas of nutrition and exercise. A blended intervention offers opportunities: a combination of online and face-to-face guidance, focused on healthy exercise and nutritional behaviour. However, such an intervention requires a tailored approach. The BITE-IT project team is therefore developing a blended nutrition and exercise programme for elderly people recovering at home. This research is being conducted by Amsterdam University of Applied Sciences.

Aim

The aim of this study is to support elderly people undergoing rehabilitation and their practitioners in optimising physical functioning in the home environment. To this end, researchers are developing and testing a blended nutrition and exercise programme in practice.

Outpatient and primary care dieticians, physiotherapists and exercise therapists consider blended care to be promising. Unfortunately, little is known about which ingredients of blended care do and do not work. We are conducting research into this. This is essential because blended care is also being used more and more often in everyday practice.

    Project objectives

    In various co-creation sessions, the project team explores user needs, acceptance, technical and content requirements for a blended nutrition and exercise programme with elderly people, healthcare professionals and ICT professionals. In consultation with future users, researchers develop the blended BITE-IT intervention based on an existing platform. In doing so, they also look at the use of existing and successful applications. Researchers are extensively testing the BITE-IT intervention for feasibility and effectiveness in practice.

    The expected results and products are:

    • Knowledge about how healthcare professionals can use blended care for elderly people rehabilitating at home.
    • A blended rehabilitation programme for dieticians, physiotherapists and exercise therapists.
    • Insight into the feasibility and initial effectiveness of the developed blended rehabilitation programme.

      Timeline

      • 2024-2028

      The research team

      Eva Klaassen MSc

      Eva Klaassen MSc

      PhD-candidate

      HvA

      dr. Daniël Bossen

      dr. Daniël Bossen

      Associate Lector eHealth & Beweeggedrag

      HvA

      prof.dr. Bart Visser

      prof.dr. Bart Visser

      Scientific director Centre of Expertise Urban Vitality || Lector Exercise therapy Daily Movement| Associate professor Self-management

      HvA

      dr. Simone de Droog

      dr. Simone de Droog

      Associate Lector / Associate Professor at Digital Life

      HvA

      dr. Marije Holstege

      dr. Marije Holstege

      Associate lector geriatrische revalidatie Inholland/Omring | GRZPLUS | Senior researcher / Scientific strategy advisor Omring | ZZP Scientific advisor Science2Care | editorial staff TGG | clinical epidemiologist

      dr. Josje Schoufour

      dr. Josje Schoufour

      Senior researcher and associate lector

      prof.dr. Peter Weijs

      prof.dr. Peter Weijs

      Lector and professor Nutrition & Exercise

      HvA

      dr. Esmee Reijnierse

      dr. Esmee Reijnierse

      Senior researcher

      HvA

      dr. Gerben ter Riet

      dr. Gerben ter Riet

      Senior methodology adviser

      HvA

      Anne de Jong MSc

      Anne de Jong MSc

      Datasteward

      HvA

      dr. Marike van der Schaaf

      dr. Marike van der Schaaf

      Promotor

      Associate lector Rehabilitation in the acure care and senior researcher, HvA en Amsterdam UMC

      Jantine van den Helder MSc

      Jantine van den Helder MSc

      Senior researcher

      HvA

      Performed by

      Funded by