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Trial registered on ANZCTR
Registration number
ACTRN12624001017516
Ethics application status
Approved
Date submitted
31/07/2024
Date registered
22/08/2024
Date last updated
22/08/2024
Date data sharing statement initially provided
22/08/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Feasibility of a tailored weekly meal box delivery service addressing quality of life and nutritional intake for people with Acquired Brain Injury in Western Australia
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Scientific title
Feasibility of a tailored weekly meal box delivery service addressing quality of life and nutritional intake for people with Acquired Brain Injury in Western Australia
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Secondary ID [1]
312660
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acquired Brain Injury
334628
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Condition category
Condition code
Neurological
331210
331210
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0
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Other neurological disorders
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Diet and Nutrition
331211
331211
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study aims to assess the feasibility of a weekly meal box that is specifically tailored to those living with a neurological condition. The meal box has been developed based on feedback from co-design workshops with members of the neurological community (those living with a neurological condition who will be the consumers); health professionals working with people with neurological conditions (dietitians, speech pathologists, occupational therapists, psychologists, clinical specialists); and an existing meal box service provider (You Plate It, Perth). The meal boxes will be provided for one week and will comprise recipes and ingredients for 5 main meals, for up to four persons. In consultation with You Plate It chefs, the recipes have been selected by dietitians to ensure that they meet Australian Dietary Guidelines, whilst following the suggestions of the neurological community to be appealing and not too complex. Recipe instructions will be clear and easy to follow and supported with pictorial images. Ingredients will be pre-prepared to help overcome motor and cognitive limitations and other concerns raised during the co-design workshops.
15 people with Acquired Brain Injury (ABI) who are living in the community with their family will be invited to participate via our not-for-profit partner (Synapse). During the week prior to receiving the weekly meal box, participants will be invited to attend a simulation event at ECU to familiarise themselves with an example meal box. They will also attend an interview with the study’s dietitian to investigate their normal behaviours associated with mealtimes, including habitual intakes. At these interviews, participants will select their preferred recipes for the following week, to be included in their meal box that will be provided by our industry partner via their usual weekly delivery service. During the week-long trial, participants will be supported by study investigators and will be asked to complete a daily survey about their experience with the meal box as well as attending a final interview with the study dietitian, in the week after the trial.
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Intervention code [1]
329179
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Behaviour
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Intervention code [2]
329180
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Lifestyle
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Process feasibility
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Assessment method [1]
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Primary assessment Method: Process feasibility includes measuring how effectively we can recruit participants and keep them engaged. This includes how people react to our invitation to the study, how many remain interested after we explain what's involved, and how many are suitable to take part. Evaluation of the process metric will involve an audit of participant recruitment and retention data (number referred, number eligible, number enrolled, number of withdrawals, trial recruitment rate, trial completion rate).
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Timepoint [1]
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At the conclusion of the study.
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Primary outcome [2]
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Resource feasibility
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Assessment method [2]
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Primary assessment Method 2: Resource feasibility involves measuring the effort and costs related to using the meal box encompassing keeping participants engaged. Evaluation of the methods used to communicate with participants throughout the trial, as well as encouraging compliance with the meal preparation and cooking will be measured via the post-trial questionnaire developed specifically for this trial. In addition, evaluation of the resource metric relating to setting up and running the trial will involve an audit of communication with participants and staff (the method and time spent communicating with staff and participants will be recorded), as well as all monetary costs involved with execution of the research.
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Timepoint [2]
339109
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At the conclusion of the study
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Primary outcome [3]
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Management feasibility
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Assessment method [3]
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Primary assessment Method 3: Management feasibility involves an audit of research ethics and governance approval procedures, staff preparation time for participant communication, time and accuracy in data collection/entry and the reporting and handling of adverse events outlined in Hazard Risk Assessment- Ref No: 4544.
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Timepoint [3]
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At the conclusion of the study. In the case of any adverse events, these will be handled and reported at the time they occur throughout the study.
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Secondary outcome [1]
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Scientific feasibility. This is a primary outcome.
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Assessment method [1]
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This is an additional Primary assessment Method. Scientific feasibility involves an audit of any adverse events (should they occur) for example the risk of illness due to exposure to food allergens or contaminated food, with an additional audit of participant experiences, burden, adherence and compliance to the intervention using a study specific questionnaire. Participant experiences will be captured during the trial via surveys and post-trial via semi-structured interviews. These will involve probing barriers and motivators to engagement and perceived positive and negatives about the meal box. This information will enable us to ensure that the meal box is safe to use, evaluate how easy it is for participants to use the meal box without undue fatigue or cognitive demand, and check if participants stick to the intended use of the meal box.
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Timepoint [1]
438601
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Adverse events may be reported at any time during the trial period, whilst participant experiences will be reported during the week-long trial and at the post-trial interview.
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Secondary outcome [2]
438602
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Change in the mealtime-related impact on quality of life in people living with ABI and their family members.
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Assessment method [2]
438602
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EQ-5D-5L. The EQ-5D-5L descriptive system comprises five dimensions of health MOBILITY, SELF-CARE, USUAL ACTIVITIES, PAIN / DISCOMFORT and ANXIETY / DEPRESSION. In addition, each dimension has five response levels: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems. The respondent is asked to indicate his/her health state by checking the box next to the most appropriate response level for each of the five dimensions ( EuroQol Research Foundation. EQ-5D-5L User Guide, 2019. Available from: https://euroqol.org/publications/user-guides).
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Timepoint [2]
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Once during the week prior to commencement with the meal box and once during the week following the week-long trial.
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Secondary outcome [3]
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Change in the mealtime-related impact on activities of daily living in people living with ABI and their family members.
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Assessment method [3]
438603
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Using a study-specific questionnaire.
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Timepoint [3]
438603
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Once during the week prior to commencement with the meal box and once during the week following the week-long trial.
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Secondary outcome [4]
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Change in nutritional intake.
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Assessment method [4]
438604
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Using a study-specific food frequency questionnaire.
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Timepoint [4]
438604
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Once during the week prior to commencement with the meal box and once during the week following the week-long trial.
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Eligibility
Key inclusion criteria
Individuals with ABI living in the community with their family
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Lack of access to functional food storage and cooking facilities within the home
Inability to follow instructions/recipes
Restrictive food allergy
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
23/09/2024
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Actual
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Date of last participant enrolment
Anticipated
28/10/2024
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Actual
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Date of last data collection
Anticipated
31/12/2024
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Actual
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Sample size
Target
15
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
317092
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University
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Name [1]
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Edith Cowan University
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Address [1]
317092
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Country [1]
317092
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Australia
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Primary sponsor type
University
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Name
Edith Cowan University
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Address
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Country
Australia
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Secondary sponsor category [1]
319348
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None
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Name [1]
319348
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Address [1]
319348
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Country [1]
319348
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315841
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Edith Cowan University Human Research Ethics Committee
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Ethics committee address [1]
315841
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http://www.ecu.edu.au/GPPS/ethics
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Ethics committee country [1]
315841
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Australia
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Date submitted for ethics approval [1]
315841
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05/04/2024
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Approval date [1]
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01/05/2024
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Ethics approval number [1]
315841
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REMS No: 2023-04908-REES
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Summary
Brief summary
Nutritional challenges due to motor, cognitive and behavioural issues can occur after an Acquired Brain Injury, leading to poor nutritional intake and reduced quality of life (QoL). We aim to evaluate a co-designed meal-box solution for improving nutrition and QoL in ABI. Fifteen ABI families will receive the meal-box comprising recipes and ingredients for five meals. Feasibility, acceptability, QoL and nutritional intake will be assessed pre and post, using qualitative and quantitative measures. Positive results could lead to rapid implementation within the ABI community through our industry partner, with potential to extend the novel approach to other neurological conditions, thereby addressing a critical need.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Joanna Rees
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Address
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Edith Cowan University, School of Medical and Health Sciences, 270 Joondalup Drive, Joondalup, Western Australia 6027
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Country
135970
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Australia
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Phone
135970
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+61 0403872227
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Fax
135970
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Email
135970
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[email protected]
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Contact person for public queries
Name
135971
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Joanna Rees
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Address
135971
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Edith Cowan University, School of Medical and Health Sciences, 270 Joondalup Drive, Joondalup, Western Australia 6027
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Country
135971
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Australia
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Phone
135971
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+61 0403872227
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Fax
135971
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Email
135971
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[email protected]
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Contact person for scientific queries
Name
135972
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Joanna Rees
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Address
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Edith Cowan University, School of Medical and Health Sciences, 270 Joondalup Drive, Joondalup, Western Australia 6027
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Country
135972
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Australia
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Phone
135972
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+61 0403872227
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Fax
135972
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Email
135972
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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