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Trial registered on ANZCTR
Registration number
ACTRN12625000635460p
Ethics application status
Submitted, not yet approved
Date submitted
26/05/2025
Date registered
17/06/2025
Date last updated
17/06/2025
Date data sharing statement initially provided
17/06/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Brain Bites Huntington's Disease: A Mediterranean meal box for families
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Scientific title
Brain Bites HD: Feasibility and preliminary effects of a Mediterranean meal box for Huntington’s disease families.
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Secondary ID [1]
314528
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Not applicable
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Universal Trial Number (UTN)
U1111-1323-3234
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Trial acronym
Brain Bites HD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Huntington's Disease
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Condition category
Condition code
Neurological
333956
333956
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0
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Neurodegenerative diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A Mediterranean meal box intervention will be provided over one-week to individuals with symptomatic Huntington’s disease. Meal boxes will be delivered on a Sunday by a commercial provider operating in Victoria and New South Wales. Each box will contain ingredients and recipes to prepare four main meals as well as kitchen safety tips and cooking strategies tailored to the needs of people living with Huntington’s disease. Participants will be asked to prepare the four meals during the working week using the provided ingredients and recipes. Throughout the intervention, participants will be asked to take photos of their ingredient set-up before cooking, the meal produced, the mess created during the cook and post eating and any food that was not eaten. They will also be asked to rate the difficulty of cooking and taste of the meal and provide any additional feedback they wish.
Examples of Meals and Ingredients
Participants will be presented with Mediterranean-style meals such as (only examples):
Grilled salmon with quinoa salad and roasted vegetables
Chickpea and vegetable stew with wholegrain bread
Chicken and lentil tagine with seasonal greens
Greek-style salad with feta and olives served alongside a vegetable omelette
Key ingredients include olive oil, fresh vegetables (capsicum, tomato, leafy greens), legumes (chickpeas, lentils), wholegrains (quinoa, brown rice), lean meats or fish, fresh herbs and citrus.
Anticipated Preparation and Cooking Time
Each meal is expected to take less than 30 minutes to prepare and cook, ensuring they are practical and accessible for people living with Parkinson’s disease and their families.
Batch Cooking
The meals provided in the meal box will not be batch-cooked. Instead, they will be designed for fresh preparation each day using pre-portioned ingredients. This approach supports flexibility in meal preparation and helps maintain food safety standards.
Advice for Remaining Main Meals
Participants will not receive specific guidance for the remaining meals outside of the provided meal box recipes. They will be able to choose what to cook or eat for their other main meals, whether that involves preparing different meals at home or eating out.
Preparation of Kitchen Safety Tips and Cooking Strategies
Kitchen safety tips and cooking strategies for the meal box will be developed by the occupational therapist on the research team. These resources will be tailored to the needs of people living with Parkinson’s disease, ensuring a safe and supportive cooking experience.
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Intervention code [1]
331162
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Lifestyle
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Comparator / control treatment
No comparator group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Feasibility
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Assessment method [1]
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Consistent with our recent work, the primary outcome of this research is the feasibility of the Mediterranean meal box intervention for people with Huntington's disease (pwHD) and their families. Feasibility is examined as a composite outcome. • Process: Feasibility will be assessed through participant recruitment and completion rates, including the number of participants referred, eligible and enrolled. Data will be captured from study enrolment, screening and withdrawal records. • Resources: Participant adherence, retention, and attrition rates will be monitored alongside communication needs between participants and staff, as well as the monetary costs of delivering the intervention. Study specific tracking logs will be used to record participant engagement with cooking the prescribed meals. Time spent conversing with participants and undertaking study specific activities will be recorded by staff with study-specific tracking logs. • Management: A realist approach to trial delivery will be evaluated by examining staff time required for recruitment, engagement and participant support. Time spent recruiting and engaging with study participants as well as providing support will be recorded with study-specific logs and databases. • Scientific: Adverse events, serious adverse events, and clinical emergencies will be documented. Participant experience will be evaluated via a short semi-structured interview at the conclusion of the study, focusing on barriers and motivators related to the meal box intervention, perceived positives and negatives. Interviews will also be used to capture adverse events (e.g., cut fingers, burns) along with participant study logs. These interviews will provide detailed insights into how the meal box aligns with participant needs and identify opportunities for refinement to enhance usability, acceptability and long-term sustainability.
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Timepoint [1]
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Feasibility will be examined throughout the duration of the study. Participant recruitment rates will be determined at the end of the study/following recruitment of the final eligible participant. Adverse events will be calculated following the completion 0f the intervention period and semi-structured interview. Interviews will be completed within two weeks of completing the intervention period.
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Secondary outcome [1]
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Cooking and eating behaviours evaluation
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Assessment method [1]
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Semi-structured interviews with pwHD and their family members will be conducted pre- and post-intervention to explore the impact of the meal box. Pre-intervention interviews will assess baseline cooking and eating habits, including typical meals prepared, meal frequency and dietary choices and examine how these have changed with HD. Questions will address barriers to cooking (e.g., motor or cognitive challenges), barriers to eating (e.g., swallowing or tremor-related difficulties), primary caregiver involvement and the personal significance of cooking. Post-intervention interviews will evaluate changes in cooking behaviours, including the number of days participants cook independently using the meal box and its influence on meal variety and dietary quality. Feedback will also be gathered on meal box usability, caregiver involvement, enjoyment of cooking and willingness to continue meal preparation. These interviews will provide valuable insights into the feasibility, acceptability, and areas for improvement in the intervention. The semi-structured interview and its qualitative data are considered one outcome.
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Timepoint [1]
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Cooking and eating behaviours will be evaluated before and after the intervention period utilising a semi-structured interview.
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Secondary outcome [2]
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Quality of life
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Assessment method [2]
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Quality of life (QoL) will be assessed using the EQ-5D-L (EuroQol Group, 1990), a validated tool for evaluating QoL in individuals with chronic conditions. The EQ-5D-L assesses five domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Responses are rated on a 5-point scale (1: no problems, 5: extreme problems). The EQ-5D-L will comprehensively evaluate changes in QoL from the intervention, providing insights into how the Mediterranean meal box influences overall well-being in pwHD.
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Timepoint [2]
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Quality of life will be evaluated before and after the intervention period with the EQ-5D-L.
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Eligibility
Key inclusion criteria
Forty HD families will be identified through existing research databases, Huntington's Australia and local clinicians and will be screened for study eligibility. Families will be required to have at least one member of the household with a neurologist-confirmed diagnosis of HD and experiencing symptoms of the disease. The person living with HD must be prepared and have the physical and cognitive capacity (clinician supported) to undertake cooking independently or with support throughout the duration of the intervention.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria will include lack of access to functional food storage and cooking facilities within the home, the requirement for texture-modified foods due to later-stage HD and restrictive food allergies.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Data analyses will be conducted using R software (version 4.3.0, 2023). Data normality will be assessed using the Shapiro–Wilks test, and parametric or nonparametric methods will be applied accordingly. Descriptive statistics, including percentages, means, and ranges, will summarise process, resource, and management feasibility outcomes. Safety, tolerability, and compliance measures will be evaluated throughout the study. Thematic analysis will be used to analyse data captured from semi-structured interviews.
Patient-reported QoL data will be analysed using the Friedman test. Significant differences will be further examined with post hoc pairwise comparisons using the Wilcoxon signed-rank test, with adjustments for multiple comparisons. Statistical significance will be set at p < .05. Qualitative data from semi-structured interviews will be analysed using thematic analysis.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
18/08/2025
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Actual
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Date of last participant enrolment
Anticipated
27/10/2025
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Actual
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Date of last data collection
Anticipated
3/11/2025
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Funding & Sponsors
Funding source category [1]
319079
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Charities/Societies/Foundations
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Name [1]
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Perpetual Limited
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Centre for Precision Health (Edith Cowan University)
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
321541
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Country [1]
321541
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
317676
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Edith Cowan University Human Research Ethics Committee
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Ethics committee address [1]
317676
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http://www.ecu.edu.au/GPPS/ethics
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Ethics committee country [1]
317676
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Australia
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Date submitted for ethics approval [1]
317676
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23/05/2025
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Approval date [1]
317676
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Ethics approval number [1]
317676
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Summary
Brief summary
This study aims to assess the feasibility of a mediterranean meal box for people living with Huntington's disease and their family. We hypothesise the meal box will be safe and feasible for this community. We also expect it to improve cooking behaviours and quality of life.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Travis Cruickshank
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Address
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Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, Western Australia
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Country
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Australia
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Phone
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+61 08 6304 3416
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Travis Cruickshank
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Address
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Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, Western Australia
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Country
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Australia
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Phone
141783
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+61 08 6304 3416
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Travis Cruickshank
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Address
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Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, Western Australia
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Country
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Australia
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Phone
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+61 08 6304 3416
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Fax
141784
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Email
141784
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
The research is informing the development of a commercial product.
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF