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Practical Resources for Cancer Nutrition Care: A Qualitative Exploration of Stakeholder Perceptions of a New Toolkit
Henriette G Ryding1, Elizabeth A Johnston2, Roshan R Rigby3
1School of Allied Health, Sport, and Social Work, Griffith University, Gold Coast, Queensland, Australia.
Background:
Dietary intake, including both quantity and quality, plays a critical role in supporting nutrition outcomes and the long-term health and well-being of cancer survivors. Although primary care dietitians are well placed to support these outcomes, many report a desire to upskill or expand their scope of practice due to limited access to evidence-based resources that support cancer-related nutrition care.
Objective:
To explore stakeholder perspectives of the usefulness, relevance, and potential application of 2 prototype resources (Toolkit and Checklist) co-designed to support dietitians in providing care to cancer survivors within primary care settings.
Design:
This qualitative study used the think-aloud method. Individual interviews were conducted while participants reviewed the Toolkit and Checklist prototypes. This work formed the final phase of a broader co-design project.
Participants/Setting:
Eligible participants were clinicians involved in cancer care, and adults with lived experience of cancer as survivors or carers. Twenty stakeholders from across Australia participated in online interviews conducted during August through September 2025. Participants included primary care dietitians (n = 14), carers (n = 7), cancer survivors (n = 3), and other health practitioners (n = 2). Six participants represented more than 1 group.
Analysis Performed:
Verbatim interview transcripts were analyzed inductively using thematic analysis supported by the Framework Method. Themes and subthemes were iteratively developed and refined through team discussion.
Results:
Themes included building confidence in cancer nutrition care through accessible, evidence-based knowledge; enhancing consultation structure and efficiency through time-saving and trustworthy guidance; and sustaining and expanding future use of the co-designed resources through ongoing updates, digital integration, and broader educational or clinical applications.
Conclusions:
The co-designed Toolkit and Checklist were perceived as relevant, credible, and feasible supports for equipping primary care dietitians to deliver optimum cancer nutrition care. Future research should evaluate real-world implementation of the resources through a trusted website, workflow integration, and influence on practitioner confidence and patient outcomes.
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