Colorectal Surgery, Gastroenterology Surgery, Weight Change, Body, Weight Loss
Conditions
Keywords
diet monitoring, diet optimisation, nutrition
Brief summary
Many patients would benefit from dietary/nutritional support to better manage their conditions but evaluating current intake in relation to personal targets is labour-intensive and often does not feature as part of clinical consultations. Primary objective: test usability and acceptability of 'myfood24 Health' for monitoring dietary intake in a group of patients. Recruit 60 gastroenterology surgery patient (Leeds) and 60 Tier 3 Weight Management patients (30 Leeds/ 30 York). Randomise to 3 groups 1. usual care 2. myfood24Health 3. myfood24Health plus personalised feedback 'diet optimisation engine' which suggests changes to amounts or types of foods During a 2-month follow-up, patients in group 2 or 3 will be asked to record daily diet in myfood24, including weekend and weekdays and use it a minimum of 4 times. HCPs will be able to review diet/nutrients for group 2 and 3 patients and can support dietary change or nutritional goals, as part of patients' ongoing clinical management, during existing scheduled clinic visits (N.B. not all participants will have a scheduled clinic appointment during the study). 2 months after recruitment, all participants will receive a link to an online feedback questionnaire. At end of study, HPCs will be invited to provide feedback during a 30 minute interview.
Detailed description
See published results at https://www.mdpi.com/2072-6643/14/9/1768
Interventions
OTHERmyfood24
An app to support monitoring of food and nutrient intake using robust validated methodology.
OTHERusual care
Patients will receive standard advice as provided by the clinical team, this may or may not include nutrition.
Sponsors
Dietary Assessment Ltd
University of Leeds
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomised into: Usual care; myfood24; myfood24 with automated suggestions
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Able to use a smartphone or tablet * Have regular access to the internet * Aged 18 years or over * Not receiving palliative treatment for their condition * No pre-existing condition, eg. diabetes which requires a specific diet or eating disorder * No food allergies * Be receiving ongoing gastrointestinal surgery or weight management treatment * Be able to read and understand English
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Usability of myfood24 | 6 weeks | System usability scale 1 to 10. HIgher score is better. Online survey. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ability of myfood24+ diet optimisation to change diet to meet diet targets | 6 weeks | myfood24 app allows the healthcare professional to set personalised nutrition targets for the patient. Nutrient intakes will be measured in myfood24 and myfood24+ diet optimisation groups. We will explore differences in nutrient intakes between the groups. Nutrients measured will be daily intake average for energy (kcal), protein (g), fat (g), carbohydrate (g), fibre (g) sodium (g). |
| Response rate | 6 weeks | response rates prior to undertaking a full scale randomised controlled trial |
| Correlation between diet and routine measure of body mass index | 6 weeks | To explore correlations between mean energy intake (kcal/day) as recorded by multiple online 24-hour dietary recalls, with routine BMI in kg/m\^2 |
Countries
United Kingdom
Outcome results
None listed