Trial Outcomes & Findings for The Dietetic Consultation: an Illuminative Evaluation (NCT NCT03509116)
NCT ID: NCT03509116
Last Updated: 2025-01-09
Results Overview
Themes and sub-themes related to the patient experience, dietitian experience and key stakeholder experience of the consultation. These were derived from qualitative thematic analysis of triangulated data from interviews, consultation observations and consultation documents derived from ALL study participants (n=39). Final themes included: 1. Building a therapeutic alliance 2. Navigating changes beyond the consultation 3. Dynamics of expectations, power and satisfaction 4. Influences and realities of professional practice. Please note that ALL study participants (n=39) from all 4 groups (Patient Group 1, Patient Group 2, Dietitians, and Key Stakeholders) contributed to all 4 final constructed themes noted above as all data were qualitatively triangulated. These 4 themes represent how the dietetic consultation was experienced from multiple perspectives, in different contexts and highlighted key areas of the dietetic encounter that mattered to participants.
COMPLETED
45 participants
Through study completion, an average of 2 months
2025-01-09
Participant Flow
Please note that 45 participants were enrolled but only 39 took part in research activities. 4 dietitians gave consent but did not complete the study activities due to changes in their clinical speciality, change in employment, maternity leave and lack of eligible patients within the study time frame. Also, 2 patients gave consent but didn't complete the study activities, 1 patient died before this was possible and 1 withdrew their consent to participate so no research activities were commenced.
Participant milestones
| Measure |
Patient Group 1
Consultation observation, documentary analysis
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
Qualitative interview, key stakeholders, documentary analysis
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
Consulting Dietitians
|
Key Stakeholders
Patient-nominated Key Stakeholders
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
10
|
11
|
13
|
5
|
|
Overall Study
COMPLETED
|
10
|
11
|
13
|
5
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
The Dietetic Consultation: an Illuminative Evaluation
Baseline characteristics by cohort
| Measure |
Patient Group 1
n=10 Participants
Consultation observation, documentary analysis
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
n=11 Participants
Qualitative interview, key stakeholders, documentary analysis
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
n=13 Participants
Consulting dietitians
|
Key Stakeholders
n=5 Participants
Key stakeholders (relatives/carers of the patient.
|
Total
n=39 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
13 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
15 Participants
n=21 Participants
|
|
Age, Categorical
>=65 years
|
10 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
3 Participants
n=4 Participants
|
24 Participants
n=21 Participants
|
|
Sex: Female, Male
Female
|
3 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
5 Participants
n=4 Participants
|
26 Participants
n=21 Participants
|
|
Sex: Female, Male
Male
|
7 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
13 Participants
n=21 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
1 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
3 Participants
n=21 Participants
|
|
Race (NIH/OMB)
White
|
10 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
17 Participants
n=21 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
13 Participants
n=5 Participants
|
5 Participants
n=4 Participants
|
18 Participants
n=21 Participants
|
|
Region of Enrollment
United Kingdom
|
10 participants
n=5 Participants
|
11 participants
n=7 Participants
|
13 participants
n=5 Participants
|
5 participants
n=4 Participants
|
39 participants
n=21 Participants
|
|
Clinical setting
Hospital
|
6 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
16 Participants
n=21 Participants
|
|
Clinical setting
Outpatient clinic
|
2 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
3 Participants
n=4 Participants
|
13 Participants
n=21 Participants
|
|
Clinical setting
Community
|
2 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
10 Participants
n=21 Participants
|
PRIMARY outcome
Timeframe: Through study completion, an average of 2 monthsThemes and sub-themes related to the patient experience, dietitian experience and key stakeholder experience of the consultation. These were derived from qualitative thematic analysis of triangulated data from interviews, consultation observations and consultation documents derived from ALL study participants (n=39). Final themes included: 1. Building a therapeutic alliance 2. Navigating changes beyond the consultation 3. Dynamics of expectations, power and satisfaction 4. Influences and realities of professional practice. Please note that ALL study participants (n=39) from all 4 groups (Patient Group 1, Patient Group 2, Dietitians, and Key Stakeholders) contributed to all 4 final constructed themes noted above as all data were qualitatively triangulated. These 4 themes represent how the dietetic consultation was experienced from multiple perspectives, in different contexts and highlighted key areas of the dietetic encounter that mattered to participants.
Outcome measures
| Measure |
Patient Group 1
n=10 Participants
Number of participants for whom data were gathered from dietetic consultation observations and documentary analysis.
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
n=11 Participants
Number of participants for whom data were gathered from qualitative interview, key stakeholders, and documentary analysis.
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
n=13 Participants
Number of participants who were consulting dietitians and for whom data were gathered from consultation observations and/or interviews and consultation documents.
|
Key Stakeholders
n=5 Participants
Number of participants who were Patient-nominated Key Stakeholders and for whom data were gathered from consultation observations or interviews and consultation documents.
|
|---|---|---|---|---|
|
Experience of the Dietetic Consultation (Number of Participants With Dietetic Consultation Experience That Relate to Each Theme)
1. Building a therapeutic alliance
|
10 Participants
|
11 Participants
|
13 Participants
|
5 Participants
|
|
Experience of the Dietetic Consultation (Number of Participants With Dietetic Consultation Experience That Relate to Each Theme)
2. Navigating changes beyond the consultation
|
10 Participants
|
11 Participants
|
13 Participants
|
5 Participants
|
|
Experience of the Dietetic Consultation (Number of Participants With Dietetic Consultation Experience That Relate to Each Theme)
3. Dynamics of expectations, power and satisfaction
|
10 Participants
|
11 Participants
|
13 Participants
|
5 Participants
|
|
Experience of the Dietetic Consultation (Number of Participants With Dietetic Consultation Experience That Relate to Each Theme)
4. Influences and realities of professional practice
|
10 Participants
|
11 Participants
|
13 Participants
|
5 Participants
|
OTHER_PRE_SPECIFIED outcome
Timeframe: At enrollment.The NHS AfC Banding for consulting dietitians included. NHS Band 5 = entry level dietitian, NHS Band 6 = more experienced and specialised dietitian, NHS Band 7 = more advanced level dietitian. Data were collected on the NHS Banding (determined by their employer) for each dietitian included to understand how their experiences differed by seniority. Data collected for dietitians only.
Outcome measures
| Measure |
Patient Group 1
n=13 Participants
Number of participants for whom data were gathered from dietetic consultation observations and documentary analysis.
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
Number of participants for whom data were gathered from qualitative interview, key stakeholders, and documentary analysis.
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
Number of participants who were consulting dietitians and for whom data were gathered from consultation observations and/or interviews and consultation documents.
|
Key Stakeholders
Number of participants who were Patient-nominated Key Stakeholders and for whom data were gathered from consultation observations or interviews and consultation documents.
|
|---|---|---|---|---|
|
Dietitian AfC Banding
Band 5
|
3 Participants
|
—
|
—
|
—
|
|
Dietitian AfC Banding
Band 6
|
6 Participants
|
—
|
—
|
—
|
|
Dietitian AfC Banding
Band 7
|
4 Participants
|
—
|
—
|
—
|
OTHER_PRE_SPECIFIED outcome
Timeframe: At enrollmentClinical speciality of consulting dietitians included. Data collected for dietitians only.
Outcome measures
| Measure |
Patient Group 1
n=13 Participants
Number of participants for whom data were gathered from dietetic consultation observations and documentary analysis.
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
Number of participants for whom data were gathered from qualitative interview, key stakeholders, and documentary analysis.
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
Number of participants who were consulting dietitians and for whom data were gathered from consultation observations and/or interviews and consultation documents.
|
Key Stakeholders
Number of participants who were Patient-nominated Key Stakeholders and for whom data were gathered from consultation observations or interviews and consultation documents.
|
|---|---|---|---|---|
|
Dietitian Speciality
Stroke / Elderly Care
|
3 Participants
|
—
|
—
|
—
|
|
Dietitian Speciality
Community
|
4 Participants
|
—
|
—
|
—
|
|
Dietitian Speciality
Oncology
|
2 Participants
|
—
|
—
|
—
|
|
Dietitian Speciality
General
|
2 Participants
|
—
|
—
|
—
|
|
Dietitian Speciality
Gastro
|
0 Participants
|
—
|
—
|
—
|
|
Dietitian Speciality
Renal
|
2 Participants
|
—
|
—
|
—
|
|
Dietitian Speciality
HIV
|
0 Participants
|
—
|
—
|
—
|
OTHER_PRE_SPECIFIED outcome
Timeframe: At enrollment.Type of nutritional support intervention the patient received during dietetic consultation. Data collected for patients only.
Outcome measures
| Measure |
Patient Group 1
n=10 Participants
Number of participants for whom data were gathered from dietetic consultation observations and documentary analysis.
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
n=11 Participants
Number of participants for whom data were gathered from qualitative interview, key stakeholders, and documentary analysis.
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
Number of participants who were consulting dietitians and for whom data were gathered from consultation observations and/or interviews and consultation documents.
|
Key Stakeholders
Number of participants who were Patient-nominated Key Stakeholders and for whom data were gathered from consultation observations or interviews and consultation documents.
|
|---|---|---|---|---|
|
Type of Intervention
ONS only (Oral nutritional supplements only)
|
0 Participants
|
2 Participants
|
—
|
—
|
|
Type of Intervention
FB only (Food-based intervention only)
|
0 Participants
|
0 Participants
|
—
|
—
|
|
Type of Intervention
COMB intervention (ONS + FB)
|
10 Participants
|
9 Participants
|
—
|
—
|
OTHER_PRE_SPECIFIED outcome
Timeframe: At enrollment.New (i.e. new episode of dietetic care) or review/follow-up (had previous consultation in current episode of care) re the dietetic consultation. Data collected for patients only.
Outcome measures
| Measure |
Patient Group 1
n=10 Participants
Number of participants for whom data were gathered from dietetic consultation observations and documentary analysis.
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
n=11 Participants
Number of participants for whom data were gathered from qualitative interview, key stakeholders, and documentary analysis.
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
Number of participants who were consulting dietitians and for whom data were gathered from consultation observations and/or interviews and consultation documents.
|
Key Stakeholders
Number of participants who were Patient-nominated Key Stakeholders and for whom data were gathered from consultation observations or interviews and consultation documents.
|
|---|---|---|---|---|
|
Consultation Type
New
|
2 Participants
|
2 Participants
|
—
|
—
|
|
Consultation Type
Review/Follow-up
|
8 Participants
|
9 Participants
|
—
|
—
|
OTHER_PRE_SPECIFIED outcome
Timeframe: At enrollment.Whether the patient had family support or not at the time of study enrollment. Data collected for patients only.
Outcome measures
| Measure |
Patient Group 1
n=10 Participants
Number of participants for whom data were gathered from dietetic consultation observations and documentary analysis.
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
n=11 Participants
Number of participants for whom data were gathered from qualitative interview, key stakeholders, and documentary analysis.
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
Number of participants who were consulting dietitians and for whom data were gathered from consultation observations and/or interviews and consultation documents.
|
Key Stakeholders
Number of participants who were Patient-nominated Key Stakeholders and for whom data were gathered from consultation observations or interviews and consultation documents.
|
|---|---|---|---|---|
|
Family Support
Yes
|
7 Participants
|
9 Participants
|
—
|
—
|
|
Family Support
No
|
3 Participants
|
2 Participants
|
—
|
—
|
OTHER_PRE_SPECIFIED outcome
Timeframe: At enrollment.Relationship of key stakeholder to patient. Data collected for key stakeholders only.
Outcome measures
| Measure |
Patient Group 1
n=5 Participants
Number of participants for whom data were gathered from dietetic consultation observations and documentary analysis.
Observations, documents: Consultation observations, documentary analysis
|
Patient Group 2
Number of participants for whom data were gathered from qualitative interview, key stakeholders, and documentary analysis.
Interviews, key stakeholders, documents: Qualitative interviews, key stakeholders, documentary analysis
|
Dietitians
Number of participants who were consulting dietitians and for whom data were gathered from consultation observations and/or interviews and consultation documents.
|
Key Stakeholders
Number of participants who were Patient-nominated Key Stakeholders and for whom data were gathered from consultation observations or interviews and consultation documents.
|
|---|---|---|---|---|
|
Relationship to Patient
Spouse
|
3 Participants
|
—
|
—
|
—
|
|
Relationship to Patient
Other relative
|
2 Participants
|
—
|
—
|
—
|
Adverse Events
Patient Group 1
Patient Group 2
Dietitians
Key Stakeholders
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr Alastair Duncan
Guy's & St Thomas' NHS Foundation Trust
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place