Support Through Remote Observation and Nutrition Guidance (STRONG), a digital health intervention to reduce malnutrition among pancreatic cancer patients: A study protocol for a pilot randomized controlled trial

• DOI: 10.1016/j.conctc.2024.101271
• Publication Date: 2024-02-23T08:38:49Z
• Authors: Kea Turner; Dae Won Kim; Brian D. Gonzalez; Laurence R. Gore; Erin Gurd; Jeanine Milano; Diane Riccardi; Margaret Byrne; Mohammed Al-Jumayli; Tiago Biachi de C...; Damian A. Laber; Sarah Hoffe; James Costello; Edmondo Robinson; Juskaran S. Chadha; Sahana Rajasekhara; Emma Hume; Ryan Hagen; Oliver T. Nguyen; Nicole Nardella; Nathan Parker; Tiffany L. Carson; Amir Alishahi Tabriz; Pamela Hodul
• Keywords: Medicine (General); 03 medical and health sciences; Remote monitoring; R5-920; 0302 clinical medicine; Wearable device; Malnutrition; Pancreatic cancer; Digital health; Article; Nutrition

Malnutrition is a common and distressing condition among pancreatic cancer patients. Fewer than quarter of patients receive medical nutrition therapy (MNT), important for improving nutritional status, weight maintenance, quality life survival. System, provider, patient level barriers limit access to MNT. We propose examine the feasibility 12-week multi-level, digital health intervention designed expand MNT Individuals with advanced starting chemotherapy (N = 80) will be 1:1 randomized or usual care. The Support Through Remote Observation Nutrition Guidance (STRONG) includes system-level (e.g., routine malnutrition screening), provider-level dietitian training web-based dashboard), patient-level strategies individualized plan, self-monitoring dietary intake via Fitbit, ongoing goal monitoring feedback). receiving care referred dietitians based on their oncologists' discretion. Study assessments completed at baseline, 4-, 8-, 12-, 16-weeks. Primary outcomes recruitment, retention, assessment completion) acceptability. collect additional implementation outcomes, such as adherence, perceived usability, feedback an exit interview. preliminary data that may associated including malnutrition, life, treatment This study advance our knowledge reduce individuals cancer. Trial registration: NCT05675059, registered December 9, 2022.