Background: In many hospital-based health care settings, there is a lack of systems in place to provide the early and intensive nutritional support required by upper gastrointestinal cancer patients. Our research team conducted a 3-arm parallel randomized controlled trial to test the provision of an early and intensive nutrition intervention to patients with upper gastrointestinal cancers using a telephone-based delivery approach versus a mobile app–based approach delivered using an iPad compared with a control group to address this issue.
Objective: This study aims to explore the overall acceptability of an early and intensive eHealth nutrition intervention delivered either via a synchronous telephone-based approach or an asynchronous mobile app–based approach.
Methods: Patients who were newly diagnosed with upper gastrointestinal cancer and who consented to participate in a nutrition intervention were recruited. Semi-structured qualitative interviews were conducted by telephone and transcribed verbatim. Data were analysed using deductive thematic analysis using the Theoretical Framework of Acceptability.
Results: A total of 20 participants were interviewed. Four major themes emerged from the qualitative synthesis: participants’ self-efficacy, low levels of burden, and intervention comprehension were required for intervention effectiveness and positive affect; participants sought a sense of support and security through relationship building and rapport with their dietitian; knowledge acquisition and learning-enabled empowerment through self-management; and convenience, flexibility, and bridging the gap to hard-to-reach individuals.
Conclusions: Features of eHealth models of nutrition care delivered via telephone and mobile app can be acceptable for patients with upper gastrointestinal cancer. Convenience, knowledge acquisition, improved self-management, and support were key benefits for the participants. Future interventions should focus on home-based interventions delivered with simple, easy-to-use technology. Providing participants with a choice of intervention delivery mode and allowing them to make individual choices that align to their individual values and capabilities may support improved outcomes.