This study is not yet accepting patients

Addressing the Nutritional Needs of Cancer Survivors With Nutrition Insecurity

a study on Hematopoietic and Lymphatic System Neoplasm Solid Neoplasm Neoplasms

Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at UCSF
Dates
study started
completion around
Principal Investigator
by Sorbarikor Piawah, MD (ucsf)
Headshot of Sorbarikor Piawah
Sorbarikor Piawah

Description

Summary

This clinical trial studies whether the use of a grocery delivery service (Instacart) and nutrition navigation improves food insecurity in cancer survivors. The American Cancer Society recommends a normal body mass index, regular physical activity, and a healthy diet for cancer patients. Following these guidelines may help prevent deaths among cancer patients, but few cancer patients follow them. One reason for not following the guidelines could be due to the lack of consistent access to sufficient quantities of affordable, nutritious food for an active, healthy life (food insecurity). Instacart provides users access to foods that fall under the nutrition plan for cancer survivors that can be purchased and delivered to the user's home from many different grocery stores. Nutrition navigation provides support to cancer survivors via weekly check ins to help with following nutrition guidelines and assist with ordering groceries on the Instacart platform. Using a grocery delivery service, such as Instacart, and nutrition navigation may help improve food insecurity in cancer survivors.

Details

PRIMARY OBJECTIVE:

  1. To determine the intervention's feasibility and acceptability.

SECONDARY OBJECTIVES:

  1. To estimate the effect of the intervention on adherence to American Cancer society nutrition guidelines.

II. To estimate the effect of the intervention on self-reported food insecurity.

III. To evaluate the feasibility of patient navigation calls. IV. To evaluate the feasibility of Instacart vouchers.

EXPLORATORY OBJECTIVE:

  1. To evaluate the feasibility of the intervention through an end-of-study semi-structured interview.

OUTLINE:

Patients receive a booklet on nutrition and physical activity for cancer survivors and 1 Instacart grocery delivery voucher to use over 4 weeks on study. Patients also receive nutrition navigation phone calls for assistance with following nutrition guidelines and ordering groceries on Instacart once a week (QW) for 4 weeks.

After completion of study intervention, patients are followed up at 28 days.

Keywords

Hematopoietic and Lymphatic System Neoplasm, Malignant Solid Neoplasm, Nutrition, Neoplasms, Nutritional Intervention, Instacart Voucher, Telephone-Based Intervention

Eligibility

You can join if…

Open to people ages 18 years and up

  • Age > 18 years
  • Diagnosis of a malignant cancer (except non-melanoma skin cancer).
  • Not on active treatment at the time of screening and not expected to receive active anticancer therapy (e.g., surgery, radiation, chemotherapy, immunotherapy, targeted therapies) during the study period. Hormonal therapies are allowed for patients with breast or prostate cancer
  • At least 6 weeks since a major surgery and fully recovered.
  • Owns a mobile phone and is willing and able to receive and send text messages.
  • Able to speak/read English.
  • Based on the United States Department of Agriculture (USDA) United States (U.S.) Household Food Security Survey, identify as experiencing food insecurity and/or belong to a population that the National Institutes of Health (NIH) has identified as being at risk for health disparities:
    • Identify as a racial or ethnic minoritized group, as defined by the NIH (American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Pacific Islander, Latino or Hispanic)
    • Identify with a sexual or gender minoritized group.
    • Annual household income < 200% of the federal poverty definition and/or education < bachelor's degree.
    • Live in a rural and/or a persistent poverty area (based on zip code).

You CAN'T join if...

  • Contraindication to any study-related procedure or assessment.
  • Planned major surgery or cancer-directed therapy during the study period.
  • Living outside of the US or Canada during screening and/or the study period (outside the geographic areas that Instacart covers).

Locations

  • Zuckerberg San Francisco General
    San Francisco California 94110 United States
  • University of California, San Francisco
    San Francisco California 94143 United States

Lead Scientist at University of California Health

  • Sorbarikor Piawah, MD (ucsf)
    Dr. Sorbarikor Piawah is a gastrointestinal oncologist with a particular interest in colorectal cancer. She also treats patients with sarcoma, a group of rare cancers that affect the bones and connective tissues. Piawah has a background in public health research, particularly in health care disparities among racial and ethnic minorities and low-income patients with cancer.

Details

Status
not yet accepting patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
ID
NCT06602999
Study Type
Interventional
Participants
Expecting 30 study participants
Last Updated