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Effects of nutrition counselling on nutritional status and quality of life in patients with colorectal cancer undergoing chemotherapy

ABSTRACT: Interventions: Arm 1 : Intervention group - These patients will receive an intensive individualised diet and lifestyle intervention for 8 weeks. There will be counselling by a reseacher (dietitian) using a standard protocol: the American Dietetic Association Medical Nutrition Therapy (ADA MNT) protocol for cancer patients (ADA 1998). Each visit will take between 20 and 30 minutes one on one with the dietitian for dietary counselling. These patients will receive dietary counselling at baseline, week 4 and week 8 only. The main goal of an intensive counselling intervention is to enable every patient to achieve his or her calculated energy and protein requirements. This will involve the prescription of a therapeutic diet which will be further modified to provide for individual requirements. Advice on managing symptoms that negatively impact on eating and nutritional status will be also provided. Individually tailored sample meal plans and recipe suggestions will also be provided as and when required during the face-to-face sessions. General advice on physical activity will also be provided. Dietetic counselling will be conducted at baseline, week 4 and week 8 then followed up by motivational sessions that will be reinforced at regular intervals through phone calls once a week during the 8 week intervention. Arm 2: Control group - These patients will receive the standard practice of the clinic (ie, a general nutrition talk by the dietitian and information on nutrition and cancer in form of a booklet). The booklet used in this study is in English and Malay language . Those who are assessed as having moderate and severe malnutrition will be referred to see a dietitian for nutrition counselling. However, the intervention group will receive tailored and more intensive and ongoing nutr Primary outcome: nutritional status as determined by PG-SGA score.[At baseline and at 4, 8, 20 weeks after intervention commencement.] Study Design: Purpose: Educational / counselling / training; Allocation: Randomised controlled trial; Masking: Open (masking not used);Assignment: Parallel;Type of endpoint: Efficacy

DISEASE(S): Colorectal Cancer,Cancer-bowel-back Passage (rectum) Or Large Bowel (colon)

PROVIDER: 2457320 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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Project description:Interventions: The general rehabilitation program will consist of a multidisciplinary education and exercise program, which will be provided as group sessions twice weekly for 8 weeks. The education component will include 1-hour nutritional advice and management provided by a dietitian; 1-hour exercise education regarding the importance of exercise to well-being, bladder and bowel advice, and adherence to exercise provided by a physiotherapist; 1-hour fatigue management and return to work strategies provided by an occupational therapist; and 5-hours health behavior change and self-management strategies provided by a psychologist. The exercise component will consist of a moderate intensity (Borg Rating of Perceived Exertion (RPE) Scale 12-14), physiotherapist-supervised, combined aerobic and resistance training program. The exercise program will be individualized based on the results from baseline outcome measures. Participants will be required to attend an one hour education session per week and an one hour exercise session per week over the 8-week intervention period. The home-based walking program requires participants to perform daily walking with duration and intensity individually prescribed based on the results of baseline walking tests. To encourage adherence to the home-based walking program, 6 telephone motivational coaching sessions (1 to 2 calls per month) will be provided from a physiotherapist, between data collection time-points 2 (immediately post-intervention) and 3 (6 months following baseline) . Daily feedback for participants regarding distance and number of steps taken will be encouraged with a simple pedometer. Primary outcome(s): Functional capacity as assessed using the six-minute walk test [At baseline, immediately post-intervention, and at 6 months following baseline];Feasibility as assessed by the recruitment rate, adherence, withdrawals, and adverse events. There are minimal risks associated with the rehabilitation and measurement tests. Participants may feel some general muscle discomfort after exercise, which is a normal response to exercise.[At baseline, immediately post-intervention, and at 6, 12, 24, and 60 months following baseline] Study Design: Purpose: Educational / counselling / training; Allocation: Non-randomised trial

Project description:Interventions: This is a pilot 3-arm randomised controlled trial with the primary aim of investigating the efficacy of an enhanced eHealth nutrition intervention at reducing lifestyle-related colorectal cancer risk (as determined by the 2018 World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR) score) at 3 months, within patients undergoing colonoscopy. This will be compared with the efficacy of a standard eHealth nutrition intervention, and no intervention, at reducing lifestyle-related colorectal cancer risk at 3 months, within patients undergoing colonoscopy. Enhanced intervention group: Enhanced group participants will receive one 30 minute online consultation via Zoom with an Accredited Practising Dietitian, and a personal nutrition report generated through completion of the online Australian Eating Survey (AES), at baseline. The one-on-one online consultation with the dietitian, using a standardised format and informed by results of the AES nutrition report, will provide participants with personalised dietary advice, strategies, and resources to improve dietary intake over 3 months, in line with the 2018 WCRF/AICR Recommendations for Cancer Prevention. The personal nutrition report will contain specific information and feedback about the participants’ current dietary intake, including energy intake from core and non-core foods and drinks, macronutrient and micronutrient intake, and diet quality. The resources provided will include resources designed specifically for this study by a team of dietitians, as well as resources readily available from organisations such as the World Cancer Research Fund, Australian Government, Cancer Council, Cancer Institute NSW, and Nutrition Australia. Standard intervention group: Standard group participants w Primary outcome(s): The primary outcome is change in colorectal cancer risk measured using the 2018 World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR) score [Baseline, 3 months after randomisation ] Study Design: Purpose: Prevention; Allocation: Randomised controlled trial; Masking: Open (masking not used);Assignment: Parallel;Type of endpoint: Efficacy

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Effects of nutrition counselling on nutritional status and quality of life in patients with colorectal cancer undergoing chemotherapy

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