Dietitian Online - Internet-based Dietetic Treatment Within Health Care Services

NCT04245384 | Unknown

• 1 other identifier: UmUDiOn
• Study Type: interventional
• Target: 400
• Locations: 0 countries
• Sites: N/A

Brief Summary

The project aims to investigate the effect of internet-based dietetic treatment (IDT) on patients, dietitians, and society. The project will show:

• If IDT is equivalent to traditional dietetic treatment with physical meetings
• Patients' attitudes to, and experiences of, meeting a dietician through video calls
• How the dietician's work environment and working methods are affected by IDT
• If there are subgroups of patients where IDT is more or less appropriate
• Health economic and environmental consequences of IDT The major shortage of dietitians leaves patients with non-communicable diseases (NCD) without qualified dietary treatment. In a pilot study, the investigators have shown that IDT has great potential to streamline healthcare and increase accessibility. In the project Dietitian online, the investigators will conduct an RCT with 400 NCD-patients allocated to either IDT or standard dietetic treatment to see if IDT affect treatment outcome and whether IDT is appropriate for everyone. Even though internet-based treatment (IT) increases rapidly in society, there is little knowledge about the patients' experiences and how healthcare personnel incorporates IT in their daily work. The investigators will conduct qualitative studies to meet this knowledge gap. General assumptions are that IT is beneficial for society, both economically and environmentally, but very few studies have been done. The project will incorporate a full health-economic evaluation, including environmental impact.

Conditions

Overweight and Obesity

Keywords

dietetics; telemedicine; dietitian

Outcome Measures

Primary Outcomes (1)

• Change in dietary intake

  Dietary intake will be assessed using the Swedish National Food Administrations Food Index (minimum value 0, maximum value 12, higher score indicates a healthier diet). Intake of fruit and vegetables in grams, as well as intake of discretionary calories (sweets, snacks, fast food, sugary drinks, pastries), will also be assessed.

  Change from baseline to three, six and twelve months after first treatment session

Secondary Outcomes (3)

• Change in participant alliance to dietitian

  Change from baseline to three and six months after first treatment session

• Change in participant activation

  Change from baseline to six months after first treatment session

• Change in participant motivation

  Change from baseline to three. six and twelve months after first treatment session

Other Outcomes (3)

• Change in body weight

  Change from baseline to three, six and twelve months after first treatment session

• Change in physical activity

  Change from baseline to three, six and twelve months after first treatment session

• Change in health-related quality of life

  Change from baseline to six months after first treatment session

Study Arms (2)

Internet-based treatment

EXPERIMENTAL

Internet-based dietetic treatment with video calls, no physical meetings

Other: Internet-based dietetic treatment with video calls

Standard treatment

ACTIVE COMPARATOR

Dietetic treatment with physical meetings

Other: Traditional dietetic treatment

Interventions

Internet-based dietetic treatment with video calls OTHER

The dietitian meets the patient through video calls, no physical meetings

Internet-based treatment

Traditional dietetic treatment OTHER

The dietitian meets the patient through physical meetings

Standard treatment

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• seeking/being referred to a dietitian for the treatment of obesity (BMI≥25) or obesity in combination with:
• type 2 diabetes (HbA1c\>48mmol/mol) and/or
• elevated blood lipids (total cholesterol \>4,5 mmol/l and/or LDL \>2,5 mmol/l and/or triglycerides \>2,0 mmol/l) and/or
• high blood pressure (\>140/90 hg)

You may not qualify if:

• other diagnoses requiring/might require nutritional treatment (eg cancer, COPD)
• dementia
• severe impairment of sight, hearing, or other disability where internet-based dietetic treatment is deemed difficult
• pregnancy
• need for interpreter

Sponsors & Collaborators

• Umeå University: lead
• Västerbotten County Council, Sweden: collaborator
• Forte: collaborator

Related Links

• Official website for the project (only in Swedish)

MeSH Terms

Conditions

Overweight; Obesity

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Petra M Rydén, PhD

  Umea university

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Petra M Rydén, PhD

CONTACT

+46907869557; petra.ryden@umu.se

Sarah Persson, BSc

CONTACT

+46907868069; sarah.persson@umu.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 21, 2020
• First Posted: January 28, 2020
• Study Start: March 1, 2023
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2024
• Last Updated: November 4, 2022

Record last verified: 2022-11