Cargando…

Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention

BACKGROUND: Malnutrition is frequent in patients with cancer, particularly those in advanced stages of the disease. The aim of the present study was to test the feasibility of a family-centred nutritional intervention, based on the Family Systems theory and past research. METHODS: This was a single-...

Descripción completa

Detalles Bibliográficos
Autores principales: Molassiotis, Alex, Roberts, Shelley, Cheng, Hui Lin, To, Henry K. F., Ko, Po Shan, Lam, Wang, Lam, Yuk Fong, Abbott, Jessica, Kiefer, Deborah, Sanmugarajah, Jasotha, Marshall, Andrea P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859412/
https://www.ncbi.nlm.nih.gov/pubmed/29558917
http://dx.doi.org/10.1186/s12904-018-0306-4
_version_ 1783307815109001216
author Molassiotis, Alex
Roberts, Shelley
Cheng, Hui Lin
To, Henry K. F.
Ko, Po Shan
Lam, Wang
Lam, Yuk Fong
Abbott, Jessica
Kiefer, Deborah
Sanmugarajah, Jasotha
Marshall, Andrea P.
author_facet Molassiotis, Alex
Roberts, Shelley
Cheng, Hui Lin
To, Henry K. F.
Ko, Po Shan
Lam, Wang
Lam, Yuk Fong
Abbott, Jessica
Kiefer, Deborah
Sanmugarajah, Jasotha
Marshall, Andrea P.
author_sort Molassiotis, Alex
collection PubMed
description BACKGROUND: Malnutrition is frequent in patients with cancer, particularly those in advanced stages of the disease. The aim of the present study was to test the feasibility of a family-centred nutritional intervention, based on the Family Systems theory and past research. METHODS: This was a single-arm trial assessing feasibility (eligibility, recruitment and retention rates); acceptability by patients, family caregivers and health professionals; intervention fidelity, and energy/protein intake (in one site only). Two sites were involved; one each in Australia (AUS) and Hong Kong (HK), with one site delivering the intervention to oncology patients receiving curative treatments in the hospital, and the other to advanced cancer patients in the home. RESULTS: The sample included 53 patients (23 from AUS and 30 from HK), 22 caregivers (3 from AUS and 19 from HK) and 30 health professionals (20 from AUS and 10 from HK). Recruitment was difficult in the acute inpatient oncology care setting (AUS) and feasibility criteria were not met. Sufficient recruitment took place in the home care setting with advanced cancer patients in HK. Patients, family members and health professionals found the intervention helpful and acceptable, and patients and families indicated they would take part in the future in a similar study. Energy and protein intake improved from baseline to end of intervention (mean 22 kcal/kg/day to 26 and 0.9 g/kg/day to 1.0 respectively). CONCLUSION: The new intervention is feasible in a home setting when delivered to patients with advanced cancer, acceptable to patients and families, and has the potential to improve nutritional status in patients. A large randomised trial is warranted in the future. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12904-018-0306-4) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-5859412
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-58594122018-03-20 Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention Molassiotis, Alex Roberts, Shelley Cheng, Hui Lin To, Henry K. F. Ko, Po Shan Lam, Wang Lam, Yuk Fong Abbott, Jessica Kiefer, Deborah Sanmugarajah, Jasotha Marshall, Andrea P. BMC Palliat Care Research Article BACKGROUND: Malnutrition is frequent in patients with cancer, particularly those in advanced stages of the disease. The aim of the present study was to test the feasibility of a family-centred nutritional intervention, based on the Family Systems theory and past research. METHODS: This was a single-arm trial assessing feasibility (eligibility, recruitment and retention rates); acceptability by patients, family caregivers and health professionals; intervention fidelity, and energy/protein intake (in one site only). Two sites were involved; one each in Australia (AUS) and Hong Kong (HK), with one site delivering the intervention to oncology patients receiving curative treatments in the hospital, and the other to advanced cancer patients in the home. RESULTS: The sample included 53 patients (23 from AUS and 30 from HK), 22 caregivers (3 from AUS and 19 from HK) and 30 health professionals (20 from AUS and 10 from HK). Recruitment was difficult in the acute inpatient oncology care setting (AUS) and feasibility criteria were not met. Sufficient recruitment took place in the home care setting with advanced cancer patients in HK. Patients, family members and health professionals found the intervention helpful and acceptable, and patients and families indicated they would take part in the future in a similar study. Energy and protein intake improved from baseline to end of intervention (mean 22 kcal/kg/day to 26 and 0.9 g/kg/day to 1.0 respectively). CONCLUSION: The new intervention is feasible in a home setting when delivered to patients with advanced cancer, acceptable to patients and families, and has the potential to improve nutritional status in patients. A large randomised trial is warranted in the future. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12904-018-0306-4) contains supplementary material, which is available to authorized users. BioMed Central 2018-03-20 /pmc/articles/PMC5859412/ /pubmed/29558917 http://dx.doi.org/10.1186/s12904-018-0306-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Molassiotis, Alex
Roberts, Shelley
Cheng, Hui Lin
To, Henry K. F.
Ko, Po Shan
Lam, Wang
Lam, Yuk Fong
Abbott, Jessica
Kiefer, Deborah
Sanmugarajah, Jasotha
Marshall, Andrea P.
Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention
title Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention
title_full Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention
title_fullStr Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention
title_full_unstemmed Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention
title_short Partnering with families to promote nutrition in cancer care: feasibility and acceptability of the PIcNIC intervention
title_sort partnering with families to promote nutrition in cancer care: feasibility and acceptability of the picnic intervention
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859412/
https://www.ncbi.nlm.nih.gov/pubmed/29558917
http://dx.doi.org/10.1186/s12904-018-0306-4
work_keys_str_mv AT molassiotisalex partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT robertsshelley partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT chenghuilin partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT tohenrykf partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT koposhan partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT lamwang partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT lamyukfong partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT abbottjessica partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT kieferdeborah partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT sanmugarajahjasotha partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention
AT marshallandreap partneringwithfamiliestopromotenutritionincancercarefeasibilityandacceptabilityofthepicnicintervention