Nutritional Deficiency
Conditions
Brief summary
This feasibility study will look to identify the impact that a remote/virtual nutritional intervention can have on nutrition literacy and knowledge retention of the cardiac surgery patient.
Detailed description
The proposed VIP study will utilize an interventional feasibility design to implement and evaluate the impact of a virtual nutrition intervention prehab program on cardiac surgery patients. The VIP study looks to measure patient adherence and acceptability, and practicality of the remote platform in hopes it will illicit change to the current standard of nutrition care being provided to cardiac surgery patients. The current standards of care do not call for dietitian involvement for cardiac surgery patients' pre-surgery and little to no involvement for patients not receiving CABG surgery. This feasibility study looks to address this gap in current patient nutrition care. The study intervention will provide eligible patients (n=20) with access to four 25-30 minute virtual sessions with a registered dietitian during the two-week period prior to surgery. The dietitian will provide the patient with nutrition counseling prior to the patient's elective cardiac surgery. Zoom (or equivalent) software will be utilized as a remote platform to connect the dietitian virtually with participants during all sessions. The four sessions will follow the same presentation format and will provide all participants with identical nutrition education with curriculum content progressing in each subsequent session. Each session will be comprised of protein education and goal setting, with education content building on previous sessions with a goal of improving patient protein intake perioperatively. Data will be collected on: (1) participant demographics, (2) physical function, (3) nutritional status and (4) nutrition literacy.
Interventions
OTHERVirtual Nutrition Education
4 interventional sessions will be provided using a virtual communication platform and delivered remotely to each participant by a registered dietitian. The virtual counseling sessions will be led by a registered dietitian and delivered to each participant remotely
Sponsors
University of Manitoba
St. Boniface Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Study sessions will be provided using a virtual communication platform and delivered remotely to each participant by a registered dietitian. The virtual counseling sessions will be led by a registered dietitian and delivered to each participant remotely while in the comfort of their own residence or where it is deemed to be comfortable and safe.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* 18 years or older * undergoing non-emergent/elective cardiac surgery
Exclusion criteria
* not able to communicate in English (read or write) * in-patients (urgent or emergent care) * patients who self report protein supplementation on a regular basis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nutritional Literacy | Baseline | measurement of nutrition related understanding - Modified Social Cognitive Theory questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nutrition Status - MNA | Baseline | participant nutritional status - Mini nutritional assessment |
| Nutrition Status - BMI | Baseline | participant nutritional status - Body Mass Index (BMI) |
| Quality of Life - physical function | Baseline | modified Short Form - 36 questionnaire to measure physical function |
| Nutritional behaviour | Baseline | 3-Day Food Record |
| Nutrition Status - PA | Baseline | participant nutritional status - pre-albumin |
Countries
Canada
Outcome results
None listed