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Recruitment was due to be extended (March 20) due to slow initial recruitment however was terminated early due to corresponding arrival of COVID-19 to UK. (16 recruited to cultural and linguistic phase and 42 to observational cohort)
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| Name | Class |
|---|---|
| Macmillan Cancer Support | OTHER |
| University of Kansas | OTHER |
| Bishop Grosseteste University | UNKNOWN |
| Newcastle University |
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An exploration of the impact of nutrition literacy on ability of cancer patients and their support networks to get, understand and use nutrition information during cancer treatment.
The study is composed of two component projects:
Project A: Validation of a NLit tool for UK population.
NLit tool is a measurement tool developed at Kansas University to measure nutrition health literacy. It assesses the following functional literacy skills: numeracy & literacy and the following nutrition knowledge fields: macronutrients, food labels, portion sizes, food groups and consumer skills.
This project has two phases:
Phase A: Nominal consensus groups x 2 - consumer adaptation and tool review for UK use and pilot testing of electronic tool.
Phase B: Testing adapted tool in a group of cancer patients for statistical validation.
Project B: Planned survey of people with cancer and their families to explore experiences of access to nutrition information
This survey is a combination of validated and unvalidated questions built on models of nutrition health literacy. With validated fields being used to evaluate and understand responses to unvalidated questions.
It explores access to nutrition information, self-efficacy, confidence, health care infrastructure and support with nutrition information, population demographics, food security, sources of nutrition information, perceived practical skills and knowledge base.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nominal consensus group | Other | NLit-UK linguistic and cultural adaptation (NLit-UK) 2 x nominal consensus groups evidence review and topic expert engagement | ||
| Observational cohort (validity and reliability testing) | Other | Nutrition Literacy Measurement Tool validation (NLit-UK). Target sample 366 on treatment cancer patients confirmatory binary analysis for validity and reliability. |
| Measure | Description | Time Frame |
|---|---|---|
| Nutrition health literacy - UK | Measured by UK modified NLit developed during study cultural and linguistic modification of (Gibbs et al., 2018 - original validation) - 64 item questionnaire Scoring interpretation from study: NLit-UK (63item) and NLit-UK short (42-item) NLit-UK (63-item): Scoring interpretation is ≤44 correct is "likelihood of poor nutrition literacy"; 45-57 is "possibility of poor nutrition literacy"; and scores ≥58 is "likelihood of good nutrition literacy NLit-UK short (42-item): Scoring interpretation is ≤28 correct is "likelihood of poor nutrition literacy"; 29-37 is "possibility of poor nutrition literacy"; and scores ≥39 is "likelihood of good nutrition literacy | Jun 19 - Mar 2020 |
| NVS-UK health literacy | Validated tool - 6 part question (Rowlands et al, 2013) Scoring interpretation: low health literacy (≤1), intermediate health literacy (2-3), adequate health literacy (≥4). | Jun 19 - Mar 2020 |
| Measure | Description | Time Frame |
|---|---|---|
| Prior Knowledge | Did you receive any nutrition advice as part of your care for any of these conditions?" (Yes or No). | Jun 19 - Mar 2020 |
| Educational status (modified HINTS4 Cyc1) | What is the highest grade or level of schooling you completed? GCSE D or less/ GCSE C or above/ Unsure |
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NLit-UK development
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Laura J Miller, MBiol, PgDip | Nottingham University Hospitals NHS Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nottingham University Hospitals NHS Trust | Nottingham | Nottinghamshire | NG5 1PB | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25952941 | Background | Gibbs HD, Ellerbeck EF, Befort C, Gajewski B, Kennett AR, Yu Q, Christifano D, Sullivan DK. Measuring Nutrition Literacy in Breast Cancer Patients: Development of a Novel Instrument. J Cancer Educ. 2016 Sep;31(3):493-9. doi: 10.1007/s13187-015-0851-y. | |
| 29246567 | Background | Gibbs HD, Ellerbeck EF, Gajewski B, Zhang C, Sullivan DK. The Nutrition Literacy Assessment Instrument is a Valid and Reliable Measure of Nutrition Literacy in Adults with Chronic Disease. J Nutr Educ Behav. 2018 Mar;50(3):247-257.e1. doi: 10.1016/j.jneb.2017.10.008. Epub 2017 Dec 12. |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D019337 | Hematologic Neoplasms |
| D000067010 | Literacy |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D003142 | Communication |
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| OTHER |
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| Jun 19 - Mar 2020 |
| Economic status (modified HINTS 2) | At the end of the month, how much money are you able to put aside? (Nothing, £100 or less, £101-250, £251-500, £501-1000, more than £1000, do not want to say). | Jun 19 - Mar 2020 |
| How important did you consider nutrition was in helping you through your treatment? | Response sets: Didn't know enough to consider / Not important ; Moderately Important; Very or extremely important | Jun 19 - Mar 2020 |
| 28890794 | Background | Gibbs HD, Harvey S, Owens S, Boyle D, Sullivan DK. Engaging Experts and Patients to Refine the Nutrition Literacy Assessment Instrument. BMC Nutr. 2017;3:71. doi: 10.1186/s40795-017-0190-y. Epub 2017 Aug 22. |
| 41808418 | Derived | Miller LJ, Postavaru GI, Rowlands G, Prior M, Webb Z, Wragg A, Gibbs HD. Cultural and Linguistic Adaptation and Validation of a Nutrition Literacy Instrument for Use in People With Cancer in the United Kingdom. J Hum Nutr Diet. 2026 Apr;39(2):e70218. doi: 10.1111/jhn.70218. |
| D001519 |
| Behavior |