Implementation of a Nutritional Tool During Melphalan Autologous Transplant to Improve Caloric and Protein Intake

Study Overview
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Brief Summary
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The purpose of this pilot before and after interventional study is to determine if early intervention and provision of menus regarding appropriate diet choices for melphalan autologous transplant patients experiencing nausea and diarrhea will improve nutrition status and overall calorie and protein intake throughout the transplant process.

Official Title
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A Pilot Study of Implementation of a Nutritional Tool During Melphalan Autologous Transplant to Improve Caloric and Protein Intake

Conditions
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Melphalan Autologous Transplant

Intervention / Treatment
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* Other: Specialized menu
* Other: Standard of care menu
* Other: Self report dietary intake worksheet
* Other: Post study questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients undergoing melphalan autologous transplants will be included in this study All patients that will be included in this pilot before and after interventional study will be inpatient on floors 5900, 6900 or 8900 of Barnes-Jewish Hospital Per hospital protocol, all patients who will receive a melphalan autologous transplant will be admitted and remain inpatient for the duration of the transplant process. There will be no exclusion for dietary restrictions or food allergies as the foodservice provided to patients is room service, all food allergies are noted and suitable alternatives are provided as a standard of service. Once a patient has been determined to meet criteria for the study, they will be approached by a member of the research team between day -2 and day 0 of transplant for consent. Patients must consent for the study by day +1 of transplant to be enrolled. Exclusion Criteria: Patients <18 years of age Pregnant women Prisoners Patient unable to provide informed consent.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control Arm: Regular menu<br>Calorie count initiated on day +1 of transplant and ending upon count recovery Symptom worksheet initiated on day +1 of transplant and ending upon count recovery (absolute neutrophil count of 1000) Goals to monitor: calorie and protein intake, self-reported diarrhea and nausea Interventions provided for control group: standard of care, verbal or printed handouts, standard educations created by Barnes Jewish Hospital (BJH) oncology dietitians | Other: Standard of care menu<br>* -Standard registered dietitian support<br>Other: Self report dietary intake worksheet<br>* -Self report nausea and diarrhea<br>Other: Post study questionnaire<br>* -Completed upon count recovery and prior to discharge<br>|
| Experimental: Intervention Arm: Specialized Menu<br>Calorie count and tool provided on day +1 and ending upon count recovery Symptom worksheet initiated on day +1 of transplant and ending upon count recovery (absolute neutrophil count of 1000) Goals to monitor: calorie and protein intake, self-reported diarrhea and nausea Interventions provided for intervention group: standard of care provided by BJH oncology dietitians, tools including nausea and diarrhea menus and follow up by registered dietitian (RD) to provide additional counseling on menus as symptoms arise | Other: Specialized menu<br>* -Specialized menu that will guide participant food choices if the participant experiences nausea or diarrhea<br>Other: Self report dietary intake worksheet<br>* -Self report nausea and diarrhea<br>Other: Post study questionnaire<br>* -Completed upon count recovery and prior to discharge<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pre and post intervention mean total caloric intake |  | Through count recovery (10 days) | 
| Mean total protein intake |  | Through count recovery (10 days) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean daily caloric intake |  | Through count recovery (10 days) | 
| Mean daily protein intake |  | Through count recovery (10 days) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nutrition Tool, Melphalan Autologous Transplant