Culinary medicine for caregivers: protocol for a mixed-methods feasibility study to improve pediatric cancer patient and caregiver outcomes through nutrition and culinary support.

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Brandy-Joe Milliron, Paige Mountain, Khulood Salman, Gabrielle Longo, Haley Schlechter, Jonathan M Deutsch, Tracey Jubelirer
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引用次数: 0

Abstract

Introduction: Pediatric cancer and its treatment can negatively affect nutritional status, impacting treatment tolerance, survival, and overall well-being. Poorly managed side effects often lead to lasting poor dietary habits. Caregivers, who bear the psychosocial burden of these effects, are also at risk for diminished health. Interventions that support caregivers' capacity to provide quality care while maintaining their own health are critically needed. Culinary medicine interventions have shown promise in improving cooking confidence, dietary quality, and symptom management. We developed an 8-week culinary medicine intervention, including caregiver coaching, to support pediatric cancer patients and their caregivers.

Methods: Let's Cook Together is designed to increase caregivers' knowledge of a whole foods dietary approach, improve caregiving preparedness, and boost self-efficacy in managing treatment side effects. Caregivers with children undergoing cancer treatment will be recruited from the Children's Hospital of Philadelphia. The program includes four remote, biweekly cooking sessions led by a medical chef educator and a registered dietitian nutritionist, along with alternating coaching calls focused on caregiving goals and challenges. Participants will also receive written nutrition and cooking resources. This is a single-arm, explanatory sequential mixed-methods feasibility study. Quantitative assessments will be conducted at baseline, post-intervention, and 3-month post-intervention; qualitative interviews will follow the intervention. The primary objective is to assess feasibility and acceptability. Secondary objectives include collecting exploratory outcome data on caregiving preparedness, caregiver self-efficacy, pediatric feeding behaviors, and dietary intake to inform the design and sample size calculations for a future trial and to identify potential signals of intervention effect.

Discussion: Results will inform refinement of the intervention and study design and guide the development of a future trial. Findings may be relevant to oncology and allied health professionals involved in supportive care for families navigating pediatric cancer treatment.

Trial registration:  ClinicalTrials.gov, NCT06523322, Registered 22 July 2024, https://clinicaltrials.gov/study/NCT06523322 .

护理人员的烹饪医学:通过营养和烹饪支持改善儿科癌症患者和护理人员结果的混合方法可行性研究方案。
儿童癌症及其治疗会对营养状况产生负面影响,影响治疗耐受性、生存和整体健康。不良的副作用往往会导致长期的不良饮食习惯。承担这些影响的心理社会负担的护理人员也面临健康下降的风险。迫切需要采取干预措施,支持护理人员在保持自身健康的同时提供高质量护理。烹饪医学干预在提高烹饪信心、饮食质量和症状管理方面显示出了希望。我们开发了一项为期8周的烹饪药物干预,包括护理人员指导,以支持儿科癌症患者及其护理人员。方法:让我们一起烹饪旨在提高护理人员对天然食物饮食方法的了解,改善护理准备,并提高管理治疗副作用的自我效能。正在接受癌症治疗的儿童的看护人员将从费城儿童医院招募。该计划包括四次远程烹饪课程,每两周一次,由一名医疗厨师教育家和一名注册营养师领导,同时还会有针对护理目标和挑战的交替辅导电话。参加者还将收到书面的营养和烹饪资料。这是一项单臂、解释性序列混合方法可行性研究。将在基线、干预后和干预后3个月进行定量评估;定性访谈将在干预之后进行。主要目标是评估可行性和可接受性。次要目标包括收集关于照料准备、照料者自我效能、儿童喂养行为和饮食摄入的探索性结果数据,为未来试验的设计和样本量计算提供信息,并识别干预效果的潜在信号。讨论:结果将为干预和研究设计的改进提供信息,并指导未来试验的发展。研究结果可能与肿瘤学和相关卫生专业人员参与支持护理的家庭导航儿童癌症治疗。试验注册:ClinicalTrials.gov, NCT06523322, 2024年7月22日注册,https://clinicaltrials.gov/study/NCT06523322。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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