Owens Caroline E, Keaver Laura, Chandiramani Divina, McCann James, Cohen Mary Kathryn, Chandra Joya, Presley Carolyn J, Bauman Jessica R, Pai Lori, Daugherty Sue, Smith Jade, Spees Colleen, Zhang Fang Fang
Tufts University, Boston, USA.
Atlantic Technological University, Sligo, Ireland.
J Cancer Surviv. 2025 Jul 11. doi: 10.1007/s11764-025-01857-7.
To understand the perceptions and experiences of participants in NutriCare, a randomized controlled trial of medically tailored meals and nutrition counseling using medical nutrition therapy informed by motivational interviewing for patients with lung cancer.
Descriptive analysis of exit surveys and thematic analysis of semi-structured interviews with 21 intervention arm (NutriCare) trial participants.
Most exit survey respondents reported overall satisfaction with the intervention, particularly with the nutrition counseling. In comparison, satisfaction with the medically tailored meals was more variable. Six main themes emerged from qualitative analysis: (1) convenience of medically tailored meals, (2) support navigating cancer and treatment impacts, (3) preference for fresher and more flavorful foods, (4) desire for increased food choice and meal flexibility, (5) dietitians' role in providing nutrition expertise and social support, and (6) enhanced motivation and knowledge promoting behavior change.
Overall, participants valued the convenience of the NutriCare intervention, emphasizing the logistic ease of home-delivered meals and remote nutrition counseling during cancer treatment. Many participants felt the intervention supported their nutritional needs and overall well-being. Our findings underscore the perceived benefits of nutrition education and counseling in tandem with direct provision of food and point to a need for further research on tailoring FIM interventions for diverse patients with lung cancer.
Food is Medicine interventions, like NutriCare, show promise in supporting the nutrition and well-being of vulnerable patients with lung cancer, with additional benefits when combined with personalized nutrition counseling.
了解参与NutriCare研究的受试者的认知和体验。NutriCare是一项针对肺癌患者的随机对照试验，采用基于动机性访谈的医学营养疗法提供医学定制餐食和营养咨询服务。
对21名干预组（NutriCare）试验参与者的退出调查进行描述性分析，并对其半结构化访谈进行主题分析。
大多数退出调查的受访者表示对干预措施总体满意，尤其是对营养咨询服务。相比之下，对医学定制餐食的满意度则更具差异性。定性分析得出六个主要主题：（1）医学定制餐食的便利性；（2）应对癌症及治疗影响的支持；（3）对更新鲜、更美味食物的偏好；（4）增加食物选择和膳食灵活性的愿望；（5）营养师在提供营养专业知识和社会支持方面的作用；（6）增强促进行为改变的动机和知识。
总体而言，参与者重视NutriCare干预措施的便利性，强调了癌症治疗期间家庭送餐和远程营养咨询在后勤方面的便捷性。许多参与者认为该干预措施满足了他们的营养需求并促进了整体健康。我们的研究结果强调了营养教育和咨询与直接提供食物相结合的显著益处，并指出需要进一步研究为不同的肺癌患者量身定制食物即药物（FIM）干预措施。
像NutriCare这样的食物即药物干预措施，在支持脆弱的肺癌患者的营养和健康方面显示出前景，与个性化营养咨询相结合时会带来更多益处。
