Nutritional and Metabolic Diseases

All Conditions

Malnutrition

Nutrition Disorders

5 days educative programme before treatment

Stakeholders give preventive therapeutic education recommandations in their specific expertize

Therapeutic education for patients in nutrition

Philippe Dr Pouillart, Doctor

Mathilde Harleux, Engineer

Sif Dr Bendjaballah, Doctor

The innovation is based on the proposal to integrate the patient, just after the announcement, before or at the beginning of the treatment (before the third session of chemotherapy or radiotherapy), in a 5-day training course in a clinical site that inspires peace of mind involving the family caregiver. The therapeutic education programme is led by a multidisciplinary team whose approach is centred on dietetics, supported by tools for encouragement via socio-aesthetics, physical activity and sophrology.

The educational objective is to promote the autonomy of the patient as well as the family caregiver, to involve them in the care pathway alongside the practitioners, with a view to contain undernutrition and reverse the spiral that increases the risks of morbi-mortality.

The aim of the study is to assess patient adherence to the device, the technical and economic feasibility, and its impact on quality of life.

60 patients entered a 5-day educational device and then followed monthly for 8 months remotely by a smart phone application and dietary consultations.

Early Education Programme in Malnourished Cancer Patients

Feasibility of Early Nutritional Prehabilitation Through a Therapeutic Education Programme for Cancer People With Potential Risk of Malnutrition

The PNI will be calculated by the following equation: \[(10 × serum albumin (g/dL)) + (0.005 × total lymphocyte count)\].

Albumin Pre-albumin CRP Haemoglobin

Scale from 0 (taking care is not constraining for the caregiver) to 88 (taking care is a very heavy load for the caregiver)

Rate of errors in filling in the Dietis tool by patients during the intervention week.

Number of times the Dietis tool questionnaires were completed by patients during the intervention week

Rate of complete questionnaires and responses to the dietétician calls during the follow-up

Evaluation of the rate of screening failures and the explanation of refusals when the program is offered to patients (CONSORT Standards)

Rate of patients completing the stay and demonstrating ongoing or effective acquisition on 18 skills (self-reported questionnaire and confronted with observations of nursing staff) (acquired, in progress of acquisition, not acquired)

Patient's motivational level during the therapeutic educative programme

Alliance to care during the 8 months of follow-up via the IDP. This is measured by the number of PTE sessions the patients enroll and by questions on the application of the nutritional advices given during the intervention week

Calculation of "cost-utility" and "cost-effectiveness" based on a group of 6 people by PTE session

Estimation of avoided costs and calculation of the difference with the actual consolidated cost of the NEHOTEL stay

Scale from 0 (worse quality of life) to 100 (best quality of life)

Number of therapeutic events completed compared to the initial objective (IDP)

The count of adverse events related or not to treatment

Evolution of cancer biomarkers (IDP) to asses the evolution of undernutrition

evolution of cancer biomarkers (IDP) to asses the evolution of undernutrition

Scale from 0 (no food intake) to 10 (normal quatity food intake) to assess the evolution of undernutrition

Evolution of NOC's consumption to assess the evolution of undernutrition

Score between 0 (no perceived effort) and 20 (perceived effort maximal)

Evolution of the time of intense activity, moderate activity, light intensity and sedentary

Scale from 0 (same capacity than before the surgery) to 4 (incapacity to move alone)

Evolution between the first drawing test at the beginning of the week and the second at the end

Final score between 10 (worse self-esteem and 40 (best self-esteem))

Two scales (one for anxiety and one for depression) from 0 (worse well-being) to 21 (best well-being)

Scale from 0 (worse health) to 100 (best health)

Spots Global Cancer Trial Database for therapeutic education for patients in nutrition