Recruitment and eligibility of study participants
cognitive impairment, stroke, DysphagiaChronic kidney diseaseDiabetes, cognitive declineAbility, telephone/video
STROKE, RECRUITMENT, COMPLICATIONS, UNDERNUTRITION
Multiple recruitment strategies will be employed including paid Facebook advertisements, other media (eg, newspaper, radio and television), and identification of potentially eligible participants from community networks, primary care sectors and health and social care trusts in NI. Those interested in participating will be provided with an information sheet detailing the study protocol, followed by a phone call to discuss study procedures.Potentially eligible participants will be screened by telephone/video to last around 45 min. Individuals will be eligible to enrol if they are community dwelling, aged ≥60 years, at risk of undernutrition defined by an MNA-Short Form score of 8–11PROMED-EX trial eligibility criteriaAge ≥60 yearsCommunity dwellingMini Nutritional Assessment-Short Form score 8–11, indicating increased risk of undernutritionPositive screen for subjective cognitive declineAbility to provide informed consentCognitive impairment: Telephone Cognitive Screen ≤21 or Mini Mental State Examination ≤24 or clinical diagnosis of mild cognitive impairment or dementiaIn receipt of prescribed oral or artificial nutritional supportDietary restrictions/allergies to PROMED foods (eg, nuts) or taking high-dose nutritional supplements (eg, vitamin E) that limit the ability to take part in the studyLiving in long-term care facilitiesSelf-reported:DysphagiaChronic kidney diseaseDiabetes complications or HbA1c >8%Significant medical comorbidities that may alter cognitive test performance, for example, stroke, brain injuryInability to complete cognitive testing due to language or visual impairmentPROMED-EX, PROtein enriched MEDiterranean Diet and EXercise.