ISRCTN ISRCTN10147817
DOI https://doi.org/10.1186/ISRCTN10147817
Secondary identifying numbers SLEF2110\4
Submission date
12/02/2024
Registration date
07/03/2024
Last edited
19/02/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Older people living in socially deprived circumstances may experience 20 fewer years of good health compared to less deprived older people. Their health and wellbeing may be reduced by poor diet, limited physical activity, and social isolation, reducing their overall quality of life. Active participation in communal activities and maintaining meaningful engagement with the community are integral to identity, sense of purpose and contribute to healthy ageing. The aim of this study is to co-create and implement an inclusive and culturally tailored intervention to improve health, wellbeing and social connectedness in older people.

Who can participate?
Older people 60 years old and above who are residents of Appleby Blue or Bermondsey

What does the study involve?
The intervention will involve food-related activities including food growing, cooking, eating together and keeping socially active. Data will be collected before and after (at 12 weeks) the intervention using validated questionnaires and objective measures of health and wellbeing (blood pressure, body composition and physical activity). Qualitative data will be collected using Photovoice (photographs) and focus groups.

What are the possible benefits and risks of participating?
Participants will have access to a free nutrition, health, wellbeing and social engagement intervention. Whilst there may be no immediate personal benefits to taking part in this research, the work will help to improve the health, wellbeing and social engagement of older people in England. There are no immediate risks to taking part in the study.
The impact of this research will be far-reaching. It will inform new research on the health, wellbeing and social connectedness of older people. It will shape best practice by improving understanding of what activities have the most impact on improving quality of life in older people. Finally, it will have an important role in influencing policymakers, architects and commissioners of social housing and buildings so that the benefits identified by this study can be replicated nationally.

Where is the study run from?
The project will be set in a new community facility within an over-60’s social housing scheme in Bermondsey, United St Saviours Charity’s Appleby Blue.

When is the study starting and how long is it expected to run for?
July 2023 to July 2025

Who is funding the study:
Dunhill Medical Trust (UK)

Who is the main contact?
Dr Sophia Amenyah, samenyah@bournemouth.ac.uk

Study website

Contact information

Dr Sophia Amenyah
Public, Principal Investigator

BGB504, Bournemouth Gateway Building
Bournemouth University
St Pauls Lane
Bournemouth
BH8 8GP
United Kingdom

ORCiD logoORCID ID 0000-0001-7785-4336
Phone +44 (0)7718130550
Email samenyah@bournemouth.ac.uk
Prof Jane Murphy
Scientific

Bournemouth Gateway Building BGB 507b
Bournemouth University
St Pauls Lane
Bournemouth
BH8 8GP
United Kingdom

ORCiD logoORCID ID 0000-0003-3531-5566
Phone +44 (0)1202962805
Email jmurphy@bournemouth.ac.uk
Prof Lee-Ann Fenge
Scientific

Bournemouth Gateway Building BG501
Bournemouth University
St Pauls Lane
Bournemouth
BH8 8GP
United Kingdom

ORCiD logoORCID ID 0000-0003-0896-7323
Phone +44 (0)1202 961693
Email lfenge@bournemouth.ac.uk

Study information

Study designSingle-group pre-post intervention non-randomized study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Community
Study typePrevention, Quality of life
Participant information sheet Not available in web format
Scientific titleAn incLusivE community fOod model for health wellbeiNg and social connectedness of olDer pEople (LEMONADE)
Study acronymLEMONADE
Study hypothesisIntervention activities will result in improved diet quality, health, wellbeing and social connectedness.
Ethics approval(s)

Approved 12/09/2023, Bournemouth University Research Ethics committee (M402, Melbury House, 1-3 Oxford Road, Bournemouth, BH8 8ES, United Kingdom; +44 (0)1202 961073; swignall@bournemouth.ac.uk), ref: 51979

ConditionImproving nutrition, health, wellbeing and social connectedness in older adults
InterventionInterventions in LEMONADE will be a combination of nutrition, health, wellbeing and social activities. Activities will focus on communal food growing and gardening activities, food preparation and cooking activities, meal sharing, enjoying and choosing a healthy diet, food-related craft activities, storytelling around food, and social activities around food. Specific activities to be implemented within the model will be co-created with participants, tailored to suit the needs and functional capacity of the older people and the community to ensure high participation rates, ownership and sustainability. Activities will be diverse and reflect differences in ethnicity, and culture, ensuring a range that will be of interest to people from different backgrounds across multiple age groups.

The research will have a one-group pre-test post-test study design and participants will be followed up over time, with measurements at baseline and 12 weeks.
Intervention typeBehavioural
Primary outcome measureCurrent primary outcome measures as of 19/02/2025:
1. Recruitment and retention rates: Data will be collected on recruitment and retention rates at baseline and follow-up and attendance to activity
2. Acceptability (e.g., content and delivery) and appropriateness of intervention activities: This data will be collected from Photovoice interviews, focus group discussions, and qualitative feedback from participants
3. Acceptability and engagement with evaluation measures and procedures: This data will be collected as part of Photovoice interviews, focus group discussions and qualitative feedback from participants
4. Resource and cost requirements to co-produce and deliver intervention, measured using a post-activity evaluation form on resource requirements to deliver each session including number of staff, cost of consumables, resource requirements and participants’ feedback on the session


Previous primary outcome measures:
1. Blood pressure (systolic and diastolic) will be measured using an Omron blood pressure monitor at baseline and at 12 weeks
2. Diet intake and quality will be measured using myFood24 at baseline and 12 weeks
3. Social engagement will be measured using the Social Engagement and Activities Questionnaire (SEAQ) at baseline and at 12 weeks
4. Health-related quality of life will be measured using the five-level EuroQol EQ-5D-5L questionnaire which consists of a short descriptive system questionnaire and a visual analogue scale (EQ VAS) at baseline and 12 weeks
5. Body composition measures including weight, body fat percentage, visceral fat, body mass index, skeletal muscle mass will be measured using an Omron VIVA body composition monitor (HBF-222T-EBK) at baseline and 12 weeks
6. Ageing friendliness of the community will be measured using the WHO Age-friendly Cities and Communities Questionnaire at baseline and 12 weeks
7. Physical activity will be measured using the Physical & Leisure Activity Questionnaire and ActiPal accelerometers at baseline and 12 weeks
Secondary outcome measuresCurrent secondary outcome measures as of 19/02/2025:
1. Blood pressure (systolic and diastolic) will be measured using an Omron blood pressure monitor at baseline and at 12 weeks
2. Diet intake and quality will be measured using myFood24 at baseline and 12 weeks
3. Social engagement will be measured using the Social Engagement and Activities Questionnaire (SEAQ) at baseline and at 12 weeks
4. Health-related quality of life will be measured using the five-level EuroQol EQ-5D-5L questionnaire which consists of a short descriptive system questionnaire and a visual analogue scale (EQ VAS) at baseline and 12 weeks
5. Body composition measures including weight, body fat percentage, visceral fat, body mass index, skeletal muscle mass will be measured using an Omron VIVA body composition monitor (HBF-222T-EBK) at baseline and 12 weeks
6. Ageing friendliness of the community will be measured using the WHO Age-friendly Cities and Communities Questionnaire at baseline and 12 weeks
7. Physical activity will be measured using the Physical & Leisure Activity Questionnaire and ActiPal accelerometers at baseline and 12 weeks



Previous secondary outcome measures:
There are no secondary outcome measures
Overall study start date05/07/2023
Overall study end date04/07/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupSenior
Lower age limit60 Years
SexBoth
Target number of participants60
Total final enrolment44
Participant inclusion criteriaIndividuals who are 60 years old and above living in Bermondsey
Participant exclusion criteriaThere will be no specific exclusion criteria applied and individuals who have the capacity to consent and the capacity to participate in activities will be enrolled.
Recruitment start date15/01/2024
Recruitment end date30/09/2024

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Appleby Blue Almshouse
94-116 Southwark Park Road
London
SE16 3RD
United Kingdom

Sponsor information

Bournemouth University
University/education

Head of Research Development & Support
M402
Melbury House
1-3 Oxford Road
Bournemouth
BH8 8GP
England
United Kingdom

Phone +44 (0)1202 961208
Email ascott@bournemouth.ac.uk
Website https://www1.bournemouth.ac.uk/
ROR logo "ROR" https://ror.org/05wwcw481

Funders

Funder type

Charity

Dunhill Medical Trust
Private sector organisation / Other non-profit organizations
Alternative name(s)
The Dunhill Medical Trust, DMT
Location
United Kingdom

Results and Publications

Intention to publish date30/06/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository
Publication and dissemination planPlanned publication of results in a high-impact peer-reviewed journal.
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication. Data will be stored and backed up in accordance with the UK Service Guidance, Bournemouth University (BU) research data policy (in line with UKRI principles) and BU information classification. Data will be stored within BU's secure storage (e.g. a specific BU research SharePoint site). Access will be restricted to only authorised users and based on their role within the project. Data in an anonymised form will be stored on BORDaR (BORDaR – Bournemouth Online Research Data Repository) after the research is completed.

Editorial Notes

19/02/2025: The following changes were made:
1. The primary and secondary outcome measures were amended.
2. The overall study end date was changed from 30/06/2025 to 04/07/2025.
08/10/2024: Total final enrolment added.
04/03/2024: Study's existence confirmed by the Dunhill Medical Trust.