Exploring Individual Nutrition Care Elements and Nutritional Evaluation Methods Within Dietetic Practice in Cancer Care
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Cancer, Malnutrition. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Sweden
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The purpose of the study is to explore and deepen the understanding of the dietitian's role and work related to individually tailored nutritional treatment in cancer care. The research questions focus on behavior change strategies, goal setting, the possibility of using calf circumference to assess changes in muscle mass, and mapping energy and protein intake, nutritional symptoms, and food-related quality of life during nutritional treatment for cancer patients. In the first part of the project, audio recordings of conversations between dietitians and patients with cancer will be conducted to investigate the dietitian's work with behavior change strategies and goal setting. Data analysis will be performed using two different methods: content analysis and thematic analysis. The research subjects include both dietitians and cancer patients who engage in conversations. The second part of the project will include 100 patients with cancer at risk for or with malnutrition. Data collection will involve measurements of weight, height, calf circumference, muscle mass, energy and protein intake, nutritional symptoms, and food-related quality of life.
Primary outcome measures
- Calf Circumference [Time frame: Baseline, 1 month and 3 months]
Secondary outcome measures (6)
- Fat Free Mass and Fat Mass [Time frame: Baseline, 1 month and 3 months]
- Food-Related Quality of Life [Time frame: Baseline, 1 month and 3 months]
- Energy and Protein Intake [Time frame: Baseline, 1 month and 3 months]
- Nutrition Impact Symptoms [Time frame: Baseline, 1 month and 3 months]
- Quality of Life [Time frame: Baseline, 1 month and 3 months]
- Muscle Function and Strength [Time frame: Baseline, 1 month and 3 months]
Eligibility criteria
Inclusion criteria
Inclusion criteria for the first part of the project involve encountering dietitians treating patients with cancer who have malnutrition or are at risk of malnutrition. For these patients, the inclusion criteria are as follows:
- aged ≥18 years with a diagnosed cancer
- ongoing nutrition therapy by a dietitian
- malnutrition or risk of malnutrition according to the hospitals criteria where at least one of the following criteria must be met: low BMI, involuntary weight loss, and/or eating difficulties. Patients can also be included if they are referred to a dietitian based on treatment guidelines due to a high risk of malnutrition associated with the cancer diagnosis or its medical therapy.
For the second part of the project, the inclusion criteria are:
- aged ≥18 years with a diagnosed cancer
- undergoing or planned treatment, including surgical, oncological, or a combination of these
- have been referred to a dietitian but have not yet had their initial contact with the dietitian, and
- malnutrition or risk of malnutrition according to the hospital's criteria, where at least one of the following criteria must be met: low BMI, involuntary weight loss, and/or eating difficulties. Patients can also be included if they are referred to a dietitian based on treatment guidelines due to a high risk of malnutrition associated with the cancer diagnosis or its medical therapy.
Exclusion criteria
For the first part of the project, the exclusion criteria regarding patients are:
- known dementia or impaired cognitive function, and
- not proficient in spoken and written Swedish.
For the second part of the project, the exclusion criteria are:
- known dementia or impaired cognitive function,
- ongoing nutrition therapy by a dietitian at inclusion, and
- not proficient in spoken and written Swedish.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Sweden · 1 center
- Uppsala University — Uppsala
Identifiers
NCT: NCT06531174 · 240901