RecruitingNot ApplicableNCT05468437

Telenutrition for Individuals With SCI

Telenutrition to Improve Cardiometabolic Health and Quality of Life Among Individuals With Spinal Cord Injury

Sponsor

Santa Clara Valley Health & Hospital System

Enrollment

96 participants

Start Date

Jun 13, 2022

Study Type

INTERVENTIONAL

Conditions

Obesity Cardiometabolic Syndrome Spinal Cord Injuries

Summary

This study will provide nutrition counseling via FaceTime on an iPad to persons with traumatic spinal cord injury (SCI) who are overweight or obese and are at least one-year post-injury. Nutrition counseling may help participants to develop eating behaviors that match the participants' needs and help improve heart health. The purpose of this project is to decrease the risk of complications like obesity, high cholesterol, or diabetes, and explore associations between bowel and bladder function and nutrition. This study will require 3 in person visits that are about 3 months apart. The total length of the study is about 6 months and includes 3 months of telenutrition counseling.

Eligibility

Min Age: 20 Years

Inclusion Criteria10

Individuals with traumatic SCI
At least 1-year post-injury
Age 20 years of age or older
BMI > 22 kg/m2 at enrollment
Proficiency in English or Spanish
Living at home or in a private home setting (i.e., not an extended care facility) in the state of California
Able / willing to come to SCVMC for in-person assessments
Primarily a wheelchair user (>40 hours per week)
Able to use, or learn how to use, an iPad
Possess adequate decision-making capacity to provide independent informed consent

Exclusion Criteria9

Medical instability (e.g., uncontrolled hypertension, pneumonia, severe pressure injury)
Current self-reported pregnancy
Other medical condition requiring a strict specialized diet (e.g., renal failure, diabetes)
Participation in another diet program (e.g., Jenny Craig, Weight Watchers, clinic-based program) and/or participated in another diet program within the past 6 months
Current or past diagnosis of an eating disorder (e.g., anorexia nervosa, bulimia nervosa, binge eating disorder)
Receiving enteral nutrition
Individuals without a primary care physician
HbA1c >7% (these individuals would need to be treated with metformin or other anti-diabetic medication and the intervention would have to be significantly altered for them)
Individuals who are in law enforcement custody

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Interventions

BEHAVIORALTelenutrition

Nutrition education and individualized nutrition counseling will be done with a Registered Dietitian via video-conferencing with iPad FaceTime, which is aimed to decrease the risk of complications like obesity, high cholesterol, or diabetes, and explore associations between bowel and bladder function and nutrition. The telenutrition counseling consists of 6 sessions that are scheduled approximately 2 weeks apart. The first session will last approximately 1 hour, while sessions 2-6 will last approximately 30mins. During these sessions, the Registered Dietitian will share nutrition education tailored towards people with SCI. You will be involved in developing personal nutrition goals and the dietitian will help you address barriers to meeting your goals and provide individualized feedback to improve and maintain your nutrition. Telenutrition appointments will maintain privacy and will not be recorded.