Cancer, Haematological Malignancy, Nutrition Aspect of Cancer, Oncologic Disorders
Conditions
Keywords
Nutrition, Health, Literacy, Education, Information, Knowledge
Brief summary
An exploration of the impact of nutrition literacy on ability of cancer patients and their support networks to get, understand and use nutrition information during cancer treatment.
Detailed description
The study is composed of two component projects: Project A: Validation of a NLit tool for UK population. NLit tool is a measurement tool developed at Kansas University to measure nutrition health literacy. It assesses the following functional literacy skills: numeracy & literacy and the following nutrition knowledge fields: macronutrients, food labels, portion sizes, food groups and consumer skills. This project has two phases: Phase A: Nominal consensus groups x 2 - consumer adaptation and tool review for UK use and pilot testing of electronic tool. Phase B: Testing adapted tool in a group of cancer patients for statistical validation. Project B: Planned survey of people with cancer and their families to explore experiences of access to nutrition information This survey is a combination of validated and unvalidated questions built on models of nutrition health literacy. With validated fields being used to evaluate and understand responses to unvalidated questions. It explores access to nutrition information, self-efficacy, confidence, health care infrastructure and support with nutrition information, population demographics, food security, sources of nutrition information, perceived practical skills and knowledge base.
Interventions
OTHERNominal consensus group
NLit-UK linguistic and cultural adaptation (NLit-UK) 2 x nominal consensus groups evidence review and topic expert engagement
OTHERObservational cohort (validity and reliability testing)
Nutrition Literacy Measurement Tool validation (NLit-UK). Target sample 366 on treatment cancer patients confirmatory binary analysis for validity and reliability.
Sponsors
Macmillan Cancer Support
University of Kansas
Bishop Grosseteste University
Newcastle University
Nottingham University Hospitals NHS Trust
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
NLit-UK development Inclusion Criteria: * Members of the public (carers, health service users, lay persons) * Cancer patients with confirmed diagnosis * Friends or family members supporting a patient with a confirmed diagnosis of cancer * \> 18 yrs old * Received cancer treatment at Nottingham University Hospitals between Jan 15 and March 20
Exclusion criteria
* Paediatrics \< 18yrs at the time of diagnosis and treatment * Unconfirmed diagnosis of cancer * Patients on watch and wait
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nutrition health literacy - UK | Jun 19 - Mar 2020 | Measured by UK modified NLit developed during study cultural and linguistic modification of (Gibbs et al., 2018 - original validation) - 64 item questionnaire Scoring interpretation from study: NLit-UK (63item) and NLit-UK short (42-item) NLit-UK (63-item): Scoring interpretation is ≤44 correct is likelihood of poor nutrition literacy; 45-57 is possibility of poor nutrition literacy; and scores ≥58 is likelihood of good nutrition literacy NLit-UK short (42-item): Scoring interpretation is ≤28 correct is likelihood of poor nutrition literacy; 29-37 is possibility of poor nutrition literacy; and scores ≥39 is likelihood of good nutrition literacy |
| NVS-UK health literacy | Jun 19 - Mar 2020 | Validated tool - 6 part question (Rowlands et al, 2013) Scoring interpretation: low health literacy (≤1), intermediate health literacy (2-3), adequate health literacy (≥4). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| How important did you consider nutrition was in helping you through your treatment? | Jun 19 - Mar 2020 | Response sets: Didn't know enough to consider / Not important ; Moderately Important; Very or extremely important |
| Economic status (modified HINTS 2) | Jun 19 - Mar 2020 | At the end of the month, how much money are you able to put aside? (Nothing, £100 or less, £101-250, £251-500, £501-1000, more than £1000, do not want to say). |
| Prior Knowledge | Jun 19 - Mar 2020 | Did you receive any nutrition advice as part of your care for any of these conditions? (Yes or No). |
| Educational status (modified HINTS4 Cyc1) | Jun 19 - Mar 2020 | What is the highest grade or level of schooling you completed? GCSE D or less/ GCSE C or above/ Unsure |
Countries
United Kingdom
Outcome results
None listed