Dietary intake and Ileal Pouch Anal Anastomosis (IPAA)

• Research type

  Research Study

• Full title

  Dietary intake and Pouch: The Psychosocial experience of eating for patients with an Ileal Pouch Anal Anastomosis (IPAA);

• IRAS ID

  250059

• Contact name

  Lesley Dibley

• Contact email

  L.B.Dibley@greenwich.ac.uk

• Sponsor organisation

  Imperial College London

• Duration of Study in the UK

  2 years, 4 months, 4 days

• Research summary

  Background
  Formation of an ileoanal pouch, avoiding a permanent ileostomy, is preferred by many patients with Ulcerative Colitis. The pouch is formed internally from healthy small bowel once the diseased large bowel has been removed. Disease-related quality of life usually improves after surgery, but dietary issues and consequences such as frequency and urgency (needing the toilet often, and quickly) can be problematic and may disrupt social activities.

  Study design
  This exploratory qualitative study investigates the psychosocial experience of eating for patients with an internal pouch, collecting data via: Phase 1) patient one-time focus groups; Phase 2) patient longitudinal interviews; and Phase 3) clinician interviews.

  Aims / Objectives

  Phase 1:
  • identify factors (eg – fear of symptoms, toilet issues, social insecurities) which may influence the experience of eating for patients with a pouch
  • explore patients perceptions of the dietary support they receive from healthcare professionals
  • gain insight into food tolerances for patients in different time periods following pouch surgery

  Phase 2:
  • understand perceptions and experience of eating for patients with a functioning pouch at three consecutive time points:
  1. 0-3 months after temporary stoma closure
  2. 5-8 months after stoma closure
  3. 9-12 months after stoma closure

  Phase 3:
  • determine how clinicians and healthcare teams introduce and manage the topic of dietary intake for patients with a pouch

  Data collection: In phases 1 and 3, focus groups and clinician interviews will be informed by topic guides based on current evidence; phase 1 data will inform the topic guide for Phase 2 interviews. All will be recorded on a digital audio device, transcribed professionally, and returned for analysis.

  Data analysis: The PhD student, supervisor, and patient and public involvement team will contribute to thematic analysis. Individual analysis followed by team discussion enhances reliability and robustness, and adds credibility to the findings.

• REC name

  Wales REC 6

• REC reference

  18/WA/0422

• Date of REC Opinion

  25 Jan 2019

• REC opinion

  Further Information Favourable Opinion