A best practice dietetic service for rural patients with cancer undergoing chemotherapy: A pilot of a pseudo-randomised controlled trial

Brown, Leanne, Capra, Sandra and Williams, Lauren (2008) A best practice dietetic service for rural patients with cancer undergoing chemotherapy: A pilot of a pseudo-randomised controlled trial. Nutrition & Dietetics, 65 2: 175-180.


Author Brown, Leanne
Capra, Sandra
Williams, Lauren
Title A best practice dietetic service for rural patients with cancer undergoing chemotherapy: A pilot of a pseudo-randomised controlled trial
Journal name Nutrition & Dietetics  (ERA 2012 Listed)    (ERA 2010 Rank C)   Check publisher's open access policy
Publication date 2008-06
Sub-type Article
DOI 10.1111/j.1747-0080.2008.00238.x
Volume number 65
Issue number 2
ISSN 1446-6368; 1747-0080
Start page 175
End page 180
Total pages 6
Place of publication Deakin, Australia
Publisher Blackwell Publishing for the Dietitians Association of Australia
Language eng
Subject 1111 Nutrition and Dietetics
Formatted abstract Aim: The aim of the present study was to test a predetermined model of best practice for rural patients with cancer undergoing chemotherapy treatment by assessing patient satisfaction and patient outcomes.

Methods: The study design was a pseudo-randomised controlled trial, comparing a predetermined best practice protocol with usual service delivery, as provided by the local hospital. Patient outcomes were measured using the Patient-Generated Subjective Global Assessment (PG-SGA), Modified Constipation Assessment Scale (MCAS) and Global Quality of Life questionnaire C30 (QLQ-C30). Patient satisfaction and feedback were also assessed.

Results: Twenty-four cancer patients receiving chemotherapy treatment in a rural oncology treatment centre were recruited to the study, with complete data sets for 12 participants. The median age of participants was 60 years (range 41–74), with equal numbers of male and female participants. No statistically significant results were found for any of the outcome variables. More than half of all the service delivery provided to the intervention group was outside the designated clinic times, with services provided most days of the week. The preferred method of review for respondents was by telephone or in person at the time of treatment.

Conclusions: This pilot study indicates the need to further investigate this best practice dietetic service model to determine if patient outcomes are significant. Patient feedback indicates that a rural dietetic service to oncology patients needs to be well organised with a screening process and provided in a timely and flexible way.
Keyword Best practice
Cancer
Malnutrition
Pseudo-randomised controlled trial
Rural
Q-Index Code C1

Document type: Journal Article
Sub-type: Article
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement Studies Publications
 
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Created: Tue, 23 Feb 2010, 15:48:12 EST by Tara Johnson on behalf of Faculty Of Health Sciences