[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100649117":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":30,"centralContacts":35,"locations":25,"responsibleParty":44,"collaborators":46,"id":54,"slug":55,"hasResults":56,"nctId":57,"briefTitle":58,"officialTitle":58,"acronym":59,"eligibilityCriteria":60,"healthyVolunteers":56,"sex":61,"minAge":62,"maxAge":25,"enrollmentInfo":63,"targetDuration":25,"studyType":66,"phases":67,"briefSummary":69,"conditions":70,"keywords":78,"overallStatus":90,"whyStopped":25,"lastUpdateSubmitDate":91,"lastUpdatePostDateStruct":92,"startDateStruct":95,"completionDateStruct":97,"leadSponsor":99,"locationsCount":25},{"fullName":5,"class":6},"Gødstrup Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Dietitian-driven nutritional care model","EXPERIMENTAL","Clinical dietitians are integrated into the ward team and assume primary responsibility for nutritional risk screening, nutritional care planning, follow-up, and nutritional treatment. Nutritional care is delivered in close collaboration with nursing staff according to a predefined model of care.",[13],"Behavioral: Dietitian-driven nutritional care model",{"label":15,"type":16,"description":17,"interventionNames":18},"Current practice","ACTIVE_COMPARATOR","Nutritional risk screening and nutritional care are delivered according to existing ward procedures. Nursing staff are primarily responsible for nutritional risk screening and nutritional care, while clinical dietitians are involved following referral or consultation as needed.",[19],"Other: Current practice nutritional care",[21,26],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","Clinical dietitians are integrated into the ward team and assume primary responsibility for systematic nutritional risk screening, nutritional assessment, nutritional care planning, follow-up, and nutritional treatment. Dietitians identify patients requiring nutritional care without waiting for referral and collaborate with nursing staff and other clinicians to provide coordinated nutritional care during hospital admission.",[9],null,{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Current practice nutritional care","Nutritional care delivered according to existing ward procedures, with nursing staff primarily responsible for nutritional risk screening and nutritional care planning and clinical dietitians involved following referral or consultation.",[15],[31],{"name":32,"affiliation":33,"role":34},"Marianne Boll Kristensen, RD, PhD","Department of Nutrition, Gødstrup Hospital","PRINCIPAL_INVESTIGATOR",[36,40],{"name":32,"role":37,"phone":38,"phoneExt":25,"email":39},"CONTACT","+4581441015","maboki@rm.dk",{"name":41,"role":37,"phone":42,"phoneExt":25,"email":43},"Lone Viggers, RD, MSc.","+4578434500","lonvig@rm.dk",{"type":45,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR",[47,49,52],{"name":48,"class":6},"The Danish Dietetic Association",{"name":50,"class":51},"NIDO Research Foundation","UNKNOWN",{"name":53,"class":51},"Health Research Foundation of Central Denmark Region","100649117","a-dietitian-driven-unified-nutritional-care-model-adduce-100649117",false,"NCT07730996","A Dietitian-Driven Unified Nutritional Care Model (ADDUCE)","ADDUCE","For routinely collected hospital data:\n\nInclusion Criteria:\n\n* Age 18 years or older\n* Admitted to a participating medical ward during the study period\n* First eligible admission during the study period\n\nFor the prospectively enrolled cohort:\n\nInclusion Criteria:\n\n* Age 18 years or older\n* Newly admitted\n* Expected hospital stay of at least 48 hours\n* Able to speak and understand Danish\n* Able to provide written informed consent\n\nExclusion Criteria:\n\n* Terminally ill patients with short expected survival","ALL","18 Years",{"count":64,"type":65},216,"ESTIMATED","INTERVENTIONAL",[68],"NA","The goal of this clinical trial is to learn whether a new way of organising hospital nutrition care can improve outcomes for adults who are admitted to medical wards and are at risk of malnutrition.\n\nThe main questions it aims to answer are:\n\n* Does having clinical dietitians take primary responsibility for nutrition care shorten hospital stay?\n* Does this approach improve nutritional intake, nutritional status, quality of life, and patient satisfaction?\n* Does this approach lower healthcare costs compared with current practice?\n\nResearchers will compare the new nutrition care model with current practice. In current practice, nursing staff are mainly responsible for nutrition screening and nutrition care planning, while clinical dietitians are involved only when requested. In the new model, clinical dietitians are part of the ward team and take primary responsibility for identifying patients at nutritional risk, planning nutritional care, and providing nutritional treatment.\n\nParticipants will:\n\n* Receive either the current nutrition care approach or the new dietitian-led nutrition care approach, depending on when they are admitted to the ward\n* Complete questionnaires about their nutritional status, quality of life, and daily activities during their hospital stay and about 30 days later\n* Have information collected during their hospital stay and from their medical records, including nutritional intake, body weight, length of hospital stay, hospital readmissions, and other health outcomes\n\nThe study will be conducted on three medical wards at Gødstrup Hospital. All wards will start with current practice and will gradually change to the new nutrition care model during the study period. Researchers will compare outcomes before and after the new model is introduced.",[71,72,73,74,75,76,77],"Hospitalized Adult Patients","Inpatient Internal Medicine Patients","Haematologic Disease","Pulmonary Diseases","Infectious Diseases","Gastroenterology","Renal Diseases",[79,80,81,82,83,84,85,86,87,88,89],"Disease-related malnutrition","Nutritional risk","Nutritional care","Clinical dietitian","Nutritional risk screening","Medical inpatients","Health services research","Interdisciplinary care","Hospital nutrition","Nutrition","Stepped-wedge cluster randomised trial","NOT_YET_RECRUITING","2026-07-22",{"date":93,"type":94},"2026-07-28","ACTUAL",{"date":96,"type":65},"2026-08-10",{"date":98,"type":65},"2027-05-16",{"name":5,"class":6}]