Comparison of Goal Achievement during an Early, Intensive Nutrition Intervention Delivered to People with Upper Gastrointestinal Cancer by Telephone Compared with Mobile Application

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES

International Journal of Telemedicine and Applications Pub Date : 2024-03-26 DOI:10.1155/2024/7841826

K. Furness, C. Huggins, Lauren Hanna, D. Croagh, M. Sarkies, Terry P. Haines

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Abstract

Objective This study is aimed at exploring whether the mode of nutrition intervention delivery affected participant goal achievement in a three-arm randomised controlled trial of early and intensive nutrition intervention delivered to upper gastrointestinal cancer patients. Methods Newly diagnosed upper gastrointestinal cancer patients were recruited from four tertiary hospitals in Melbourne, Australia. Participants in the intervention groups received a regular nutrition intervention for 18 weeks from an experienced dietitian via telephone or mobile application (app) using behaviour change techniques to assist in goal achievement. Univariate and multiple regression models using STATA determined goal achievement, dose, and frequency of contact between groups. A p value <0.05 was considered statistically significant. Results The telephone group (n = 38) had 1.99 times greater frequency of contact with the research dietitian (95% CI: 1.67 to 2.36, p < 0.001) and 2.37 times higher frequency of goal achievement (95% CI: 1.1 to 5.11, p = 0.03) compared with the mobile app group (n = 36). The higher dose (RR 0.03) of intervention and more behaviour change techniques employed in the telephone group compared with the mobile app group increased participant goal achievement (95% CI: 0.01 to 0.04, p < 0.001). Discussion. Telephone nutrition intervention delivery led to a higher frequency of goal achievement compared to the mobile app intervention. There was also a higher number of behaviour change techniques employed which may have facilitated the greater goal achievement. Mobile app-based delivery may have poorer acceptance in this population with high levels of withdrawal. Practice Implications. We need to ensure that specifically designed technologies for our target populations are fit for purpose, efficacious, and acceptable to both patients and healthcare providers. This trial is registered with ACTRN12617000152325.

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通过电话与移动应用对上消化道癌症患者进行早期强化营养干预期间目标实现情况的比较

目的本研究旨在探讨在一项针对上消化道癌症患者的早期和强化营养干预的三臂随机对照试验中，营养干预的实施方式是否会影响参与者目标的实现。方法从澳大利亚墨尔本的四家三级医院招募新确诊的上消化道癌症患者。干预组的参与者通过电话或移动应用程序（App）接受经验丰富的营养师提供的为期 18 周的定期营养干预，并使用行为改变技术协助实现目标。使用 STATA 建立的单变量和多元回归模型确定了各组之间的目标达成度、剂量和接触频率。P 值小于 0.05 即为具有统计学意义。结果与手机应用组（n = 36）相比，电话组（n = 38）与研究营养师联系的频率高出 1.99 倍（95% CI：1.67 至 2.36，p < 0.001），实现目标的频率高出 2.37 倍（95% CI：1.1 至 5.11，p = 0.03）。与手机应用组相比，电话组的干预剂量更高（RR 0.03），采用的行为改变技术更多，从而提高了参与者的目标实现率（95% CI：0.01 至 0.04，p < 0.001）。讨论与手机应用干预相比，电话营养干预实现目标的频率更高。采用的行为改变技术也更多，这可能有助于实现更高的目标。基于手机应用的干预方式可能在退缩程度较高的人群中接受度较低。实践意义。我们需要确保为目标人群专门设计的技术符合目的、有效，并为患者和医疗服务提供者所接受。本试验已在 ACTRN12617000152325 上注册。

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来源期刊

International Journal of Telemedicine and Applications HEALTH CARE SCIENCES & SERVICES-

CiteScore

6.90

自引率

2.30%

发文量

审稿时长

12 weeks

期刊介绍： The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.