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The goal of this observational (cross-sectional) study is to better understand nutrition literacy in survivor-caregiver dyads and its impact on nutrition related outcomes and quality of life. We're interested in finding out how much they know about nutrition and how this might relate to their overall health, body composition, functional status, and overall well-being. We will target post-treatment head and neck cancer survivors and a paired informal caregiver.
The main questions we aim to answer are:
Participants will:
Answer questions about their knowledge of nutrition. Have their nutritional health status checked. Use a non-invasive device to measure skin carotenoid content to validate self-reports of fruit and vegetable intake.
Have a simple and painless test to measure their body composition - like how much muscle and fat they have.
Do some physical tests like grip strength and walking to measure their physical ability.
Answer questions about their general well-being and lifestyle, like exercise and diet.
(For the survivor) Share details about their cancer, its treatment, and their overall well-being.
(For the caregiver) Answer questions about their role in taking care of the survivor, and their involvement in care routine such as food shopping and cooking.
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| Measure | Description | Time Frame |
|---|---|---|
| Nutrition Literacy | Measured by the self-administered Nutrition Literacy Assessment Instrument (NLit). | at a single time point between 6 months and 5 years post-treatment |
| Nutrition Status | Measured by the Mini Nutrition Assessment (MNA) | at a single time point between 6 months and 5 years post-treatment |
| Skin Carotenoid | Using the Veggie Meter® | at a single time point between 6 months and 5 years post-treatment |
| Body composition | Measured by BIA - InBody© 270, USA | at a single time point between 6 months and 5 years post-treatment |
| Functional status | Handgrip strength will be measured and recorded 3 times using the Jamar hand dynamometer on the dominant hand; Functional performance status will also be assessed using a short physical performance battery consisting of three functional tests assessing performance. | at a single time point between 6 months and 5 years post-treatment |
| Sociodemographics. | Age, biological sex, race, ethnicity, years of education, annual household income, employment status, pack-years smoking, alcohol consumption (current, former, never) will be self-reported. | at a single time point between 6 months and 5 years post-treatment |
| Fruit & Vegetable Intake | Using the Eating at America's Table Study's (EATS) All-Day screener designed, and validated by the National Cancer Institute |
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Inclusion Criteria:
Exclusion Criteria:
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post-treatment head and neck cancer survivors and a paired informal caregiver
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Kansas Medical Center | Recruiting | Kansas City | Kansas | 66160 | United States |
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| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| D000084802 | Caregiver Burden |
| D001519 | Behavior |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
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| at a single time point between 6 months and 5 years post-treatment |
| Exercise | Assessed using a modified Godin Leisure-Time Exercise Questionnaire | at a single time point between 6 months and 5 years post-treatment |
| Food Security | Self-reported food security will be assessed using the USDA's U.S. Household Food Security Survey Module: Six-Item Short Form | At a single time point between 6 months and 5 years post-treatment |
| Caregiving characteristics | Caregiver only: Caregivers will be asked to self-report their residence (in or out of survivor's home), years spent caregiving, hours per week spent caregiving, relationship to survivor, and role in food procurement and preparation | between 6 months and 5 years post-treatment |
| Quality of life | Caregiver: Overall quality of life will be assessed using the Caregiver FACT-General, which is structured and scored similarly to the FACT-HN but adapted for use in cancer caregivers. Cancer survivor: Overall quality of life will be assess using the Functional Assessment of Cancer Therapy - Head and Neck (FACT-HN) quality of life questionnaire. | between 6 months and 5 years post-treatment |
| Clinical characteristics | Tumor site, cancer stage, treatment modality, and HPV-status of the tumor will be collected through EMR review | between 6 months and 5 years post-treatment |