Nutrition Health Literacy of Cancer Patients and Their Support Networks.

Terminated

• Conditions: Oncologic Disorders; Haematological Malignancy; Cancer; Nutrition Aspect of Cancer

• Registration Number: NCT03978312
• Lead Sponsor: Nottingham University Hospitals NHS Trust

Brief Summary

An exploration of the impact of nutrition literacy on ability of cancer patients and their support networks to get, understand and use nutrition information during cancer treatment.

Detailed Description

The study is composed of two component projects:

Project A: Validation of a NLit tool for UK population.

NLit tool is a measurement tool developed at Kansas University to measure nutrition health literacy. It assesses the following functional literacy skills: numeracy \& literacy and the following nutrition knowledge fields: macronutrients, food labels, portion sizes, food groups and consumer skills.

This project has two phases:

Phase A: Nominal consensus groups x 2 - consumer adaptation and tool review for UK use and pilot testing of electronic tool.

Phase B: Testing adapted tool in a group of cancer patients for statistical validation.

Project B: Planned survey of people with cancer and their families to explore experiences of access to nutrition information

This survey is a combination of validated and unvalidated questions built on models of nutrition health literacy. With validated fields being used to evaluate and understand responses to unvalidated questions.

It explores access to nutrition information, self-efficacy, confidence, health care infrastructure and support with nutrition information, population demographics, food security, sources of nutrition information, perceived practical skills and knowledge base.

Study Timeline

• Study First Submitted: 2019-06-05
• Study First Submitted QC: 2019-06-05
• Study First Posted: 2019-06-07
• Study Start: 2019-09-01
• Primary Completion: 2020-03-31
• Study Completion: 2020-03-31
• Status Verified: 2022-03
• Last Update Submitted: 2023-08-17
• Last Update Posted: 2023-08-21

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 58

Inclusion Criteria

• Members of the public (carers, health service users, lay persons)
• Cancer patients with confirmed diagnosis
• Friends or family members supporting a patient with a confirmed diagnosis of cancer
• > 18 yrs old
• Received cancer treatment at Nottingham University Hospitals between Jan 15 and March 20

Exclusion Criteria

• Paediatrics < 18yrs at the time of diagnosis and treatment
• Unconfirmed diagnosis of cancer
• Patients on watch and wait

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Nutrition health literacy - UK	Jun 19 - Mar 2020	Measured by UK modified NLit developed during study cultural and linguistic modification of (Gibbs et al., 2018 - original validation) - 64 item questionnaire; Scoring interpretation from study: NLit-UK (63item) and NLit-UK short (42-item) NLit-UK (63-item): Scoring interpretation is ≤44 correct is "likelihood of poor nutrition literacy"; 45-57 is "possibility of poor nutrition literacy"; and scores ≥58 is "likelihood of good nutrition literacy; NLit-UK short (42-item): Scoring interpretation is ≤28 correct is "likelihood of poor nutrition literacy"; 29-37 is "possibility of poor nutrition literacy"; and scores ≥39 is "likelihood of good nutrition literacy
NVS-UK health literacy	Jun 19 - Mar 2020	Validated tool - 6 part question (Rowlands et al, 2013); Scoring interpretation: low health literacy (≤1), intermediate health literacy (2-3), adequate health literacy (≥4).

Secondary Outcome Measures

Name	Time	Method
Prior Knowledge	Jun 19 - Mar 2020	Did you receive any nutrition advice as part of your care for any of these conditions?" (Yes or No).
Educational status (modified HINTS4 Cyc1)	Jun 19 - Mar 2020	What is the highest grade or level of schooling you completed? GCSE D or less/ GCSE C or above/ Unsure
How important did you consider nutrition was in helping you through your treatment?	Jun 19 - Mar 2020	Response sets: Didn't know enough to consider / Not important ; Moderately Important; Very or extremely important
Economic status (modified HINTS 2)	Jun 19 - Mar 2020	At the end of the month, how much money are you able to put aside? (Nothing, £100 or less, £101-250, £251-500, £501-1000, more than £1000, do not want to say).

Trial Locations

Locations (1)

Nottingham University Hospitals NHS Trust; 🇬🇧 Nottingham, Nottinghamshire, United Kingdom