Evidence map›Paper›PMID 30486814›Full record

Trial reportBMC cancer2018

A process and mechanism of action evaluation of the effect of early and intensive nutrition care, delivered via telephone or mobile application, on quality of life in people with upper gastrointestinal cancer: a study protocol.

Kate Furness, Catherine E Huggins, Lauren Hanna, Mary Anne Silvers, Paul Cashin, Liang Low, Daniel Croagh, Terry P Haines

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. The roles of the dietitian in an 18-week telephone and mobile application nutrition intervention for upper gastrointestinal cancer: a qualitative analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Kate FurnessNutrition and Dietetics, Monash Health, Monash Medical Centre, 246 Clayton Road, Clayton, VIC, 3168, Australia. kate.furness@monashhealth.org.ORCID http://orcid.org/0000-0002-4176-3050
Catherine E HugginsDepartment of Nutrition, Dietetics and Food, School of Clinical Sciences, Faculty of Medicine Nursing and Health Sciences, Monash University, Clayton, VIC, 3168, Australia.
Lauren HannaNutrition and Dietetics, Monash Health, Monash Medical Centre, 246 Clayton Road, Clayton, VIC, 3168, Australia.
Mary Anne SilversNutrition and Dietetics, Monash Health, Monash Medical Centre, 246 Clayton Road, Clayton, VIC, 3168, Australia.
Paul CashinUpper Gastrointestinal and Hepatobiliary Surgery, Monash Medical Centre, Clayton, VIC, 3168, Australia.
Liang LowUpper Gastrointestinal and Hepatobiliary Surgery, Monash Medical Centre, Clayton, VIC, 3168, Australia.
Daniel CroaghUpper Gastrointestinal and Hepatobiliary Surgery, Monash Medical Centre, Clayton, VIC, 3168, Australia.
Terry P HainesDepartment of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, VIC, 3199, Australia.
Monash Medical Centre · AUMonash University · AU

Funding

Victorian Cancer Agency HSR15007
6 · The paper itself

Abstract

backgroundCancers of the upper gastrointestinal tract commonly result in malnutrition, which increases morbidity and mortality. Current nutrition best practice lacks a mechanism to provide early and intensive nutrition support to these patients. A 3-arm parallel randomised controlled trial is testing the provision of a tailored, nutritional counselling intervention delivered using a synchronous, telephone-based approach or an asynchronous, mobile application-based approach to address this problem. This protocol outlines the design and methods that will be used to undertake an evaluation of the implementation process, which is imperative for successful replication and dissemination.

methodsA concurrent triangulation mixed methods comparative analysis will be undertaken. The nutrition intervention will be provided using best practice behaviour change techniques and communicated either via telephone or via mHealth. The implementation outcomes that will be measured are: fidelity to the nutrition intervention protocol and to the delivery approach; engagement; acceptability and contextual factors. Qualitative data from recorded telephone consultations and written messages will be analysed through a coding matrix against the behaviour change techniques outlined in the standard operating procedure, and also thematically to determine barriers and enablers. Negative binomial regression will be used to test for predictive relationships between intervention components with health-related quality of life and nutrition outcomes. Post-intervention interviews with participants and health professionals will be thematically analysed to determine the acceptability of delivery approaches. NVivo 11 Pro software will be used to code for thematic analysis. STATA version 15 will be used to perform quantitative analysis. DISCUSSION: The findings of this process evaluation will provide evidence of the core active ingredients that enable the implementation of best practice nutrition intervention for people with upper gastrointestinal cancer. Elucidation of the causal pathways of successful implementation and the important relationship to contextual delivery are anticipated. With this information, a strategy for sustained implementation across broader settings will be developed which impact the quality of life and nutritional status of individuals with upper gastrointestinal cancer.

trial registration27th January 2017 Australian and New Zealand Clinical Trial Registry ( ACTRN12617000152325 ).

Indexed as

Behavior TherapyCounselingGastrointestinal NeoplasmsHealth EducationHumansMobile ApplicationsNutritional StatusQuality of LifeResearch DesignTelephoneUpper Gastrointestinal TractBehaviour changeDietetic interventionEffectivenessEngagementmHealthOesophagogastricPancreatic cancerProcess evaluation

Identifiers

PMID30486814
PMCPMC6262954
OpenAlexW2902527988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.