TY - JOUR
T1 - A coaching program to improve dietary intake of patients with ckd entice-ckd
AU - Kelly, Jaimon T.
AU - Conley, Marguerite
AU - Hoffmann, Tammy
AU - Craig, Jonathan C.
AU - Tong, Allison
AU - Reidlinger, Dianne P.
AU - Reeves, Marina M.
AU - Howard, Kirsten
AU - Krishnasamy, Rathika
AU - Kurtkoti, Jagadeesh
AU - Palmer, Suetonia C.
AU - Johnson, David W.
AU - Campbell, Katrina L.
PY - 2020/3/6
Y1 - 2020/3/6
N2 - Background and objectives The dietary self-management of CKD is challenging. Telehealth interventions may provide an effective delivery method to facilitate sustained dietary change. Design, setting, participants, & measurements This pilot, randomized, controlled trial evaluated secondary and exploratory outcomes after a dietitian-led telehealth coaching intervention to improve diet quality in people with stage 3–4 CKD. The intervention group received phone calls every 2 weeks for 3 months (with concurrent, tailored text messages for 3 months), followed by 3 months of tailored text messages without telephone coaching, to encourage a diet consistent with CKD guidelines. The control group received usual care for 3 months, followed by nontailored, educational text messages for 3 months. Results Eighty participants (64% male), aged 62612 years, were randomized to the intervention or control group. Telehealth coaching was safe, with no adverse events or changes to serum biochemistry at any time point. At 3 months, the telehealth intervention, compared with the control, had no detectable effect on overall diet quality on the Alternative Health Eating Index (3.2 points, 95% confidence interval, 21.3 to 7.7), nor at 6 months (0.5 points, 95% confidence interval, 24.6 to 5.5). There was no change in clinic BP at any time point in any group. There were significant improvements in several exploratory diet and clinical outcomes, including core food group consumption, vegetable servings, fiber intake, and body weight. Conclusions Telehealth coaching was safe, but appeared to have no effect on the Alternative Healthy Eating Index or clinic BP. There were clinically significant changes in several exploratory diet and clinical outcomes, which require further investigation. Clinical Trial registry name and registration number: Evaluation of Individualized Telehealth Intensive Coaching to Promote Healthy Eating and Lifestyle in CKD (ENTICE-CKD), ACTRN12616001212448.
AB - Background and objectives The dietary self-management of CKD is challenging. Telehealth interventions may provide an effective delivery method to facilitate sustained dietary change. Design, setting, participants, & measurements This pilot, randomized, controlled trial evaluated secondary and exploratory outcomes after a dietitian-led telehealth coaching intervention to improve diet quality in people with stage 3–4 CKD. The intervention group received phone calls every 2 weeks for 3 months (with concurrent, tailored text messages for 3 months), followed by 3 months of tailored text messages without telephone coaching, to encourage a diet consistent with CKD guidelines. The control group received usual care for 3 months, followed by nontailored, educational text messages for 3 months. Results Eighty participants (64% male), aged 62612 years, were randomized to the intervention or control group. Telehealth coaching was safe, with no adverse events or changes to serum biochemistry at any time point. At 3 months, the telehealth intervention, compared with the control, had no detectable effect on overall diet quality on the Alternative Health Eating Index (3.2 points, 95% confidence interval, 21.3 to 7.7), nor at 6 months (0.5 points, 95% confidence interval, 24.6 to 5.5). There was no change in clinic BP at any time point in any group. There were significant improvements in several exploratory diet and clinical outcomes, including core food group consumption, vegetable servings, fiber intake, and body weight. Conclusions Telehealth coaching was safe, but appeared to have no effect on the Alternative Healthy Eating Index or clinic BP. There were clinically significant changes in several exploratory diet and clinical outcomes, which require further investigation. Clinical Trial registry name and registration number: Evaluation of Individualized Telehealth Intensive Coaching to Promote Healthy Eating and Lifestyle in CKD (ENTICE-CKD), ACTRN12616001212448.
KW - chronic kidney disease
KW - dietary pattern
KW - chronic renal insufficiency
KW - self-management
KW - nutritionists
KW - telehealth
KW - telemedicine
UR - http://www.scopus.com/inward/record.url?scp=85081944685&partnerID=8YFLogxK
U2 - 10.2215/CJN.12341019
DO - 10.2215/CJN.12341019
M3 - Article
C2 - 32111701
AN - SCOPUS:85081944685
SN - 1555-9041
VL - 15
SP - 330
EP - 340
JO - Clinical Journal of the American Society of Nephrology
JF - Clinical Journal of the American Society of Nephrology
IS - 3
ER -