The Dietetic Consultation: an Illuminative Evaluation
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|ClinicalTrials.gov Identifier: NCT03509116|
Recruitment Status : Recruiting
First Posted : April 26, 2018
Last Update Posted : April 26, 2018
This study aims to understand the experience of the dietetic consultation from the perspective of nutritionally vulnerable older patients receiving oral nutrition support and dietitians, as well as other key stakeholders involved in the process of such a consultation.
Malnutrition is prevalent and increases the risk of health complications and socioeconomic burden. Patients with malnutrition are often older patients with complex needs and therefore may require specialist knowledge and skills to provide nutritional support. Dietitians are uniquely skilled to assess the multiple factors that underpin diet and to tailor nutritional support, which could help improve outcomes. Although the causes of malnutrition are complicated, its treatment typically involves oral nutritional supplements, dietary advice or food-based interventions, either separately or in combination.
Effectiveness of the various oral nutritional support interventions has been studied, with the findings on food-based interventions suggesting more research is needed and the widespread research on ONS suggesting contradictory results and interpretations. Despite this, the factors responsible for these inconsistencies have not been identified. There are no studies so far that have examined the patient experience of the consultation with the dietitian in the context of nutritional support. Although the patient experience of consultations is increasingly being recognised as an important part of investigating their effectiveness in healthcare, to date, there are a number of limitations in this literature, leaving the role of the patient experience in dietetic consultations for the management of malnutrition, poorly understood. It's probable that this is one contributing factor to the variation observed in the literature.
A review of the literature indicates a need for exploration of the patient experience and its possible impact on the success or failure of the dietetic encounter. This study aims to address some of the knowledge gaps. The use of qualitative interviews will allow an in-depth understanding of the experience of the dietetic consultation for the provision of nutrition support and will utilise an overall illuminative evaluation approach to broaden that understanding by considering data from various sources. Participants will include older patients who are considered nutritionally vulnerable, their consulting dietitians and patient-nominated key stakeholders. Four clinical settings within the Trust where dietitians would often see patients for nutritional support will be included.
|Condition or disease||Intervention/treatment|
|Malnutrition||Other: Observations Other: Interviews, key stakeholders, documents|
|Study Type :||Observational|
|Estimated Enrollment :||30 participants|
|Official Title:||Understanding the Experience of the Dietetic Consultation and the Perceptions of Its Value From the Perspective of Nutritionally Vulnerable Older Patients, Dietitians and Other Key Stakeholders: an Illuminative Evaluation|
|Actual Study Start Date :||March 16, 2018|
|Estimated Primary Completion Date :||December 28, 2019|
|Estimated Study Completion Date :||December 28, 2019|
Patient group 1
Patient group 2
Qualitative interview, key stakeholders, documentary analysis
Other: Interviews, key stakeholders, documents
Qualitative interviews, key stakeholders, documentary analysis
- The experience of the dietetic consultation (Qualitative Outcome) [ Time Frame: 23 months ]Themes and sub-themes generated from qualitative data collected from direct observations of dietetic consultations, semi-structured qualitative interviews, analysis of relevant documents pertaining to the dietetic consultation.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03509116
|Contact: Michelle Gibbs, PhD student||+44 email@example.com|
|King's College London||Recruiting|
|London, United Kingdom, SE1 9NH|
|Contact: Michelle Gibbs, PhD student firstname.lastname@example.org|
|Principal Investigator: Christine Baldwin, PhD|
|Sub-Investigator: Peter Emery, PhD|
|Sub-Investigator: Elizabeth Weekes, PhD|
|Principal Investigator:||Christine Baldwin||King's College London|