None listed
Conditions
Brief summary
This study will investigate the impact of early nutrition counselling delivered electronically on health-related quality of life and nutritional status in patients diagnosed with stomach or oesophageal or lung cancer compared with both early nutrition counselling delivered via the telephone and standard nutrition care. You may be eligible to join this study if you are aged 18 years or above and have been diagnosed with upper gastrointestinal (GI) cancer or lung cancer and are being treated at Monash Health and your consultant is agreeable. Participants in this study are randomly allocated (by chance) to one of three groups. Participants in one group will receive early nutrition counselling delivered electronically via a mobile device (ipad). Participants in another group will receive early nutrition counselling delivered via telephone. Participants in the third group will receive standard nutrition care as deemed necessary by their health professional. Participants with early nutrition intervention will receive contact from the dietitian for the first 18 weeks of the study. Health-related quality of life and nutritional status will be assessed by questionnaires throughout the study up to 26 weeks.
Interventions
The intervention is an early and intensive nutrition counselling delivered via an e-platform on an iPad using an app called myPace. This App is installed on the iPad and provides a medium for nutrition information materials, nutritional advice via email and text reminders to be accessible by participants at home via text messages. The iPad also contains a repository of resources such as diet tips and how to manage symptoms such as nausea via dietary changes. Relevant resources can be emailed to the patient by the dieititian. who tailors advice to each participant with an emphasis on addressing current and anticipated nutrition-related symptoms. Participants will also be able to ask questions to the dietitian via this medium. The patient self monitor their weight and symptoms and send then via the App directly to their dietitian. The dietititan can respond each week via email or text and each counselling session takes 15-30 minutes depending on the complexity of the advice provided. The telephone intervention is similar in content to the e-intervention but delivered by regular weekly phone calls and written resources posted via the mail to the patient. The duration of these interventions are approximately 18 weeks from shortly after diagnosis and throughout the cancer treatment journey which is individualised. The participants will be able to access the mobile device for 26 weeks although dietetic contact via the e-platform will cease at about 18 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
1. A new histological diagnosis of cancer of the upper gastrointestinal or lung cancer and are to undergo surgery and/or chemotherapy and/or definitive chemoradiotherapy 2. 18 years or over 3. Competency to consent 4. Provision of consent
Exclusion criteria
Palliative care only is being provided