Dietician Online

Project: Reducing malnutrition among elderly people through personalised quality assured digitalised nutrition care service

The Dietician Online project aims to reduce malnutrition among elderly people by means of a personalised quality assured digitalised nutrition care service comprising screening, investigation, treatment, and follow-up.

Malnutrition in the elderly is a major problem that causes great individual suffering and substantial additional costs to society. Two contributing challenges in the health care of elderly are the lack of nutrition competence of caregivers and difficulties in maintaining an effective nutrition chain. Dietician Online will address these challenges by integrating online dietician expertise with a digitalised nutrition system. This combination will facilitate a personalized nutrition care from screening and investigation of malnutrition, to the treatment and follow-up of interventions efforts. Through a digital platform (such as a tablet computer), users will be able to remotely communicate and interact with dieticians and receive support and counselling through all stages of the nutrition chain.

Final report summary

WA Dietistkompetens partnered with Cuviva to develop an e-health tool that supports Swedish national guidelines for the nutrition care process (NCP). The aim was to support nurses with a more strategic approach to preventing and treating malnutrition in elderly people.

An initial pilot study was conducted at two elderly care units from May to June 2019. This included training nurses and nursing assistants to work with the tool in a fictive test environment. The tool was then tested in daily operations with real patients from September to October. During this time, nursing staff carried out malnutrition risk assessments, calculated energy and nutritional needs and registered patient food intake. Nutritional intervention measures were then planned based on a comparison of nutritional needs and actual intake. Nursing staff had access to dietician support throughout the trial period.

During interviews, all participating nurses stated that they lacked sufficient expertise and tools to investigate and deal with nutritional problems. The tool bridged the knowledge gap, making it easier for nurses to adapt nutritional measures to individual needs. Nurses also responded that the tool made them feel more confident about working with the NCP.

Following the good results in the pilot trial, Karolinska University Hospital has now shown interest in the tool. Dialogue about conducting additional pilot studies is underway.

  • Sectors involved: E-health and healthcare

  • Partner country: Sweden

  • Voucher(s): Demonstration Voucher

  • Part of consortium: Yes

About Dietistkompetens/Dietician Online

Dietistkompetens is a service company offering dietician and healthcare expertise with experience in both clinical work and quality assurance work in elderly care



Cuviva is a developer and provider of personalised digital services in healthcare.