A Randomised Trial of How Hospital Patients and Health Care Professionals Judge that Being Restricted to Taking Fluids of Different Consistencies Would Affect Their Quality of Life

ISRCTN ISRCTN60490134
DOI https://doi.org/10.1186/ISRCTN60490134
Secondary identifying numbers N/A
Submission date
08/08/2015
Registration date
16/08/2015
Last edited
03/06/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Swallowing problems (dysphagia) are common especially in older people, and are associated with numerous medical conditions including stroke, dementia and head and neck cancers. A common complication of dysphagia is inhaling fluid into the lungs, causing an infection. Thin consistency liquids, such as water, are the most likely consistency to be inhaled so the thickening of fluids with commercial thickeners is commonly advised to minimise this risk. However patients often dislike thickened fluids because of the unpleasant taste, the greater effort required to drink these fluids and poor thirst-quenching ability. This means that patients prescribed thickened fluids consume less fluid than patients who are able to drink thin fluids.
The aim of the study is to find out whether people who drink X would be prepared to live less in exchange for a better quality of life compared to people who drink Y.

Who can participate?
A mix of medically stable adults admitted to hospital and fit for interview and of healthcare professionals.

What does the study involve?
Participants will be randomly allocated to one of two groups: one group will be required to drink 250ml of a mildly thickened solution, and the other will be asked to drink 250ml of a moderately thickened solution. All participants will then be asked to imagine themselves having ten years to live, only being able to consume fluid in the form their group was given and whether they would be prepared to give up any years from the rest of their lives if it meant being able to live in full health.

What are the possible benefits and risks of participating?
There are no notable benefits or risks of participating.

Where is the study run from?
Galway University Hospital (Ireland)

When is the study starting and how long is it expected to run for?
July 2015 – August 2015

Who is funding the study?
Health Research Board Student Summer Scholarship and Galway University Hospitals (Ireland)

Who is the main contact?
Professor Shaun O’Keefe

Contact information

Prof Shaun O'Keeffe
Scientific

Unit 4, Merlin Park Hospital
Galway
-
Ireland

ORCiD logoORCID ID 0000-0002-7682-5004

Study information

Study designSingle-site randomised parallel trial
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Hospital
Study typeQuality of life
Scientific titleA Randomised Trial of the Effect of Different Fluid Consistencies on Quality of Life Estimates Using a Time Trade Off Approach By Hospital Patients and Health Care Professionals
Study objectivesThe primary hypothesis was that heath care utilities would be lower for those randomised to receive a sample of a more viscous fluid (moderately rather than mildly thick consistency).
Ethics approval(s)Galway University Hospital Clinical Research Ethics Committee, 20/05/2015, ref: CA 245
Health condition(s) or problem(s) studiedDysphagia
InterventionSubjects will be allocated, based on odd and even numbers in a list of random numbers, to drink 250 ml of either mildly (nectar-like) or moderately thick (honey-like) water. Time trade utilities will be elicited using a time trade-off approach using a 10 year life expectancy.
Intervention typeSupplement
Primary outcome measureIndividual subject utilities will be elicited in face to face interviews. The average (median as non-parametric analysis planned) utility in each of the randomised groups will be compared.
Secondary outcome measures1. Average utilities will be compared between patient and professional groups
2. The effect if any of age and gender on subject utilities will be examined
3. The amount of the sample of thickened fluid that each subject drank will be recorded as less than a third, between one and two thirds and more than two thirds
4. The relationship between the volume consumed and the subsequent utility rating of subjects will be analysed
Overall study start date01/07/2015
Completion date30/08/2015

Eligibility

Participant type(s)Mixed
Age groupAll
SexBoth
Target number of participants75 patients; 75 healthcare professionals
Key inclusion criteriaGroup 1: Consecutive patients admitted to the medical wards of a 600-bed university teaching hospital, who were judged by medical and nursing staff to be clinically stable and fit to be interviewed.
Group 2: A convenience sample of doctors, nurses and allied health professionals working on the medical wards of the hospital or on an associated rehabilitation unit.
Key exclusion criteria1. Patients with any of the following diagnoses present: dementia or delirium; stroke, Parkinson’s disease or parkinsonism, multiple sclerosis, dysphagia from any other condition, or receiving a texture modified diet for any reason
2. Those with limited command of English or with other major communication problems
Date of first enrolment01/08/2015
Date of final enrolment01/08/2015

Locations

Countries of recruitment

  • Ireland

Study participating centre

Galway University Hospitals
Newcastle Rd
Galway
-
Ireland

Sponsor information

Galway University Hospitals
Hospital/treatment centre

Newcastle Rd
Galway
Galway
Ireland

ROR logo "ROR" https://ror.org/04scgfz75

Funders

Funder type

Hospital/treatment centre

Health Research Board Student Summer Scholarship and Galway University Hospitals

No information available

Results and Publications

Intention to publish date01/10/2015
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planWe intend to submit for presentation in relevant conferences (such as those relating to geriatric medicine, nutrition or speech and language therapy) and for publication in a peer-reviewed journal.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 06/01/2016 03/06/2024 Yes No

Editorial Notes

03/06/2024: Publication reference added.