Multiple Sclerosis Clinical Trial
Official title:
Nutritional Counselling for Patients at Kasr AlAiny Multiple Sclerosis Clinic: an Intervention Study
Eligible Multiple sclerosis patients attending Kasr AlAiny Multiple Sclerosis Clinic will be
randomly allocated to either the intervention or control group by randomized block design.
Patients in the 2 groups will be initially assessed. Those in the intervention group will
receive a counselling session then instructed on the subsequent follow up dates. Those in the
control group will not receive nutritional counselling during the study period but will be
instructed to attend for final assessment by the end of the study. Apart from counselling,
patients will receive the same care from the clinic medical staff. After the final assessment
the control group will be invited to receive the nutritional counselling material to gain its
suspected benefits.
The socioeconomic characteristics, quality of life, the disability status using the EDSS
(Expanded Disability Status Scale) and the nutritional status of the patients will be
assessed for both the intervention group and the control group. A booklet in Arabic language
which contains the instruction to be fulfilled will be delivered for each patient in the
intervention group at the first session.Also, a diet plan will be tailored for each patient
at the first visit. Myplate model will be adopted and the concept of food groups with healthy
choices from each group will be illustrated. Dietary records will be included to check the
adherence of the patients to the instructions. Each patient of the intervention group will
receive 4 sessions 4 weeks apart according to settled appointments to check the adherence of
the patient to the nutrition plan and to answer any question of the patients as the
following:
1. Session 1: the nutritional counselling based on the nutritional assessment will be
conducted. A booklet that contains the whole instructions and dietary records will be
provided to help remembering information and record their application of the plan.
2. Session 2: follow up and reemphasize the instruction.
3. Session 3: follow up and reemphasize the instruction.
4. Session 4: the final assessment. If the patient failed to attend the unit for session 2
and 3, the investigator will follow up him/her via a phone/mobile call instead. A
"WhatsApp" group will be created and all patients who have smart phones and "WhatsApp"
accounts will be added to the group. Messages will be sent to the patients through this
group to stimulate patient adherence to healthy diet.
After 3 month of the first visit all patients ( the intervention group and the control group)
will be assessed again for quality of life, disability status and nutritional status.
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