Evidence map›Paper›PMID 41088125›Full record

Trial reportBMC health services research2025

Experiences with nutritional follow-up and barriers and opportunities of implementing digital seamless nutrition care in the head and neck cancer treatment course: a qualitative study from patient, family caregiver, and healthcare professional perspectives.

Frida Severinsen, Cecilie Varsi, Lene Frost Andersen, Christine Henriksen, Mari Mohn Paulsen

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05997329 (Nutrition Throughout the Treatment Course - Expanding Care From Hospital to Home), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT05997329 naactive not recruitingnot on this map

Nutrition Throughout the Treatment Course - Expanding Care From Hospital to Home

TypeinterventionalSponsorUniversity of OsloRan2023 to 2025Enrolled125ConditionsHead and Neck CancerArmsApp for diet record (MyFood)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. The multidimensional impact of malnutrition in incurable cancer.Current opinion in supportive and palliative care · 2026
    Review
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  3. Article
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  5. Review
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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

5 authors.

Frida SeverinsenDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, P.O. Box 1046, Blindern, Oslo, 0317, Norway. Frida.severinsen@medisin.uio.no.
Cecilie VarsiFaculty of Health and Social Sciences, University of South-Eastern Norway, P.O. Box 4, Drammen, Borre, 3199, Norway.
Lene Frost AndersenDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, P.O. Box 1046, Blindern, Oslo, 0317, Norway.
Christine HenriksenDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, P.O. Box 1046, Blindern, Oslo, 0317, Norway.
Mari Mohn PaulsenDepartment of Food Safety, Norwegian Institute of Public Health, P.O. Box 222, Skøyen, Oslo, N- 0213, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with head and neck cancer (HNC) are often malnourished. Despite evidence of beneficial effects of digital health interventions, challenges with implementation into clinical practice have been reported.

objectiveTo investigate the implementation of a seamless nutrition care intervention into the HNC treatment course, this study aimed to (1) explore the experiences with current nutritional follow-up; and (2) identify potential barriers and opportunities associated with future implementation of the Nutrition Throughout the Treatment Course (NUTREAT) intervention.

methodsThis qualitative study involved semi-structured interviews with patients with HNC, family caregivers, and healthcare professionals (HCPs). The Consolidated Framework for Implementation Research (CFIR) guided the development of the interview guide and analysis. Inductive-deductive analyses were conducted.

resultsInterviews were conducted with patients (n = 7), family caregivers (n = 4), registered nurses (n = 5), and physicians (n = 2). Themes created to cover experiences with the current nutritional follow-up were: (1) Nutritional challenges; (2) Family caregiver support; and (3) Experience with current nutritional follow-up. Barriers and opportunities for implementing the NUTREAT intervention were analyzed within 20 constructs of CFIR. Patients were satisfied with nutritional follow-up, and spouses served as key emotional support, yet a need for closer monitoring post-treatment was identified. Exhaustion, advanced age, and dementia were potential barriers for implementing NUTREAT. Increased awareness of nutritional requirements for patients, and increased accessibility of dietary recordings for HCPs compared to current practices were opportunities.

conclusionOverall, patients and spouses were satisfied with the nutritional follow-up, though challenges were identified. The identified barriers and opportunities will inform the development of an implementation plan for an effectiveness- and implementation study.

trial registrationThe study is registered in the National Institutes of Health Clinical Trials (identifier: NCT05997329|| 2023-06-26).

Indexed as

CaregiversHead and Neck NeoplasmsMalnutritionAdultAgedAttitude of Health PersonnelFemaleHealth PersonnelHumansInterviews as TopicMaleMiddle AgedQualitative ResearchCancerDigital healtheHealthImplementation scienceMalnutrition

Identifiers

PMID41088125
PMCPMC12522967

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Registered trials

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.