Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney Disease

Chi H. Chan; Marguerite Conley; Marina M. Reeves; Katrina L. Campbell; Jaimon T. Kelly

doi:10.3389/fnut.2021.627753

Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney Disease

Chi H. Chan^*
, Marguerite Conley
, Marina M. Reeves
, Katrina L. Campbell
, Jaimon T. Kelly

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

11 Citations (Scopus)

96 Downloads (Pure)

Abstract

Background: Improving diet quality in chronic kidney disease (CKD) is challenging due to a myriad of competing recommendations. Patient-centered goal setting can facilitate dietary behavior change; however, its role in improving diet quality in CKD has not been investigated.

Aim: The aim of the study is to evaluate the effects of goal setting on improving diet quality in stages 3–4 CKD.

Methods: Forty-one participants completed a 6-month dietitian-led telehealth (combined coaching calls and text messages) intervention as part of a larger RCT. Participants set one to two diet-related SMART goals and received weekly goal tracking text messages. Dietary intake was assessed using the Australian Eating Survey at baseline, 3, and 6 months, with diet quality determined using the Alternate Healthy Eating Index (AHEI).

Results: Significant improvements in AHEI (+6.9 points; 95% CI 1.2–12.7), vegetable (+1.1 serves; 95% CI 0.0–2.3) and fiber intake (+4.2 g; 95% CI 0.2–8.2) were observed at 3 months in participants setting a fruit and/or vegetable goal, compared with those who did not. However, no significant or meaningful changes were observed at 6 months. No other goal setting strategy appeared in effect on diet intake behavior or clinical outcomes in this group of CKD participants.

Conclusions: Patient-centered goal setting, particularly in relation to fruit and vegetable intake, as part of a telehealth coaching program, significantly improved diet quality (AHEI), vegetable and fiber intake over 3 months. More support may be required to achieve longer-term behavior change in stages 3–4 CKD patients.

Original language	English
Article number	627753
Journal	Frontiers in Nutrition
Volume	8
DOIs	https://doi.org/10.3389/fnut.2021.627753
Publication status	Published - 12 Mar 2021
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney DiseaseFinal published version, 689 KBLicence: CC BY

Cite this

@article{61264871463a4bf7b38bde1e5be3e8fe,

title = "Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney Disease",

abstract = "Background: Improving diet quality in chronic kidney disease (CKD) is challenging due to a myriad of competing recommendations. Patient-centered goal setting can facilitate dietary behavior change; however, its role in improving diet quality in CKD has not been investigated. Aim: The aim of the study is to evaluate the effects of goal setting on improving diet quality in stages 3–4 CKD. Methods: Forty-one participants completed a 6-month dietitian-led telehealth (combined coaching calls and text messages) intervention as part of a larger RCT. Participants set one to two diet-related SMART goals and received weekly goal tracking text messages. Dietary intake was assessed using the Australian Eating Survey at baseline, 3, and 6 months, with diet quality determined using the Alternate Healthy Eating Index (AHEI). Results: Significant improvements in AHEI (+6.9 points; 95\% CI 1.2–12.7), vegetable (+1.1 serves; 95\% CI 0.0–2.3) and fiber intake (+4.2 g; 95\% CI 0.2–8.2) were observed at 3 months in participants setting a fruit and/or vegetable goal, compared with those who did not. However, no significant or meaningful changes were observed at 6 months. No other goal setting strategy appeared in effect on diet intake behavior or clinical outcomes in this group of CKD participants. Conclusions: Patient-centered goal setting, particularly in relation to fruit and vegetable intake, as part of a telehealth coaching program, significantly improved diet quality (AHEI), vegetable and fiber intake over 3 months. More support may be required to achieve longer-term behavior change in stages 3–4 CKD patients.",

author = "Chan, \{Chi H.\} and Marguerite Conley and Reeves, \{Marina M.\} and Campbell, \{Katrina L.\} and Kelly, \{Jaimon T.\}",

note = "Funding Information: This study was supported by a research support grant awarded by Kidney Health Australia via Australasian Kidney Trial Network (AKTN) and a Vice-Chancellors Research Award through Bond University. Publisher Copyright: {\textcopyright} Copyright {\textcopyright} 2021 Chan, Conley, Reeves, Campbell and Kelly. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = mar,

day = "12",

doi = "10.3389/fnut.2021.627753",

language = "English",

volume = "8",

journal = "Frontiers in Nutrition",

issn = "2296-861X",

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T1 - Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney Disease

AU - Chan, Chi H.

AU - Conley, Marguerite

AU - Reeves, Marina M.

AU - Campbell, Katrina L.

AU - Kelly, Jaimon T.

N1 - Funding Information: This study was supported by a research support grant awarded by Kidney Health Australia via Australasian Kidney Trial Network (AKTN) and a Vice-Chancellors Research Award through Bond University. Publisher Copyright: © Copyright © 2021 Chan, Conley, Reeves, Campbell and Kelly. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/3/12

Y1 - 2021/3/12

N2 - Background: Improving diet quality in chronic kidney disease (CKD) is challenging due to a myriad of competing recommendations. Patient-centered goal setting can facilitate dietary behavior change; however, its role in improving diet quality in CKD has not been investigated. Aim: The aim of the study is to evaluate the effects of goal setting on improving diet quality in stages 3–4 CKD. Methods: Forty-one participants completed a 6-month dietitian-led telehealth (combined coaching calls and text messages) intervention as part of a larger RCT. Participants set one to two diet-related SMART goals and received weekly goal tracking text messages. Dietary intake was assessed using the Australian Eating Survey at baseline, 3, and 6 months, with diet quality determined using the Alternate Healthy Eating Index (AHEI). Results: Significant improvements in AHEI (+6.9 points; 95% CI 1.2–12.7), vegetable (+1.1 serves; 95% CI 0.0–2.3) and fiber intake (+4.2 g; 95% CI 0.2–8.2) were observed at 3 months in participants setting a fruit and/or vegetable goal, compared with those who did not. However, no significant or meaningful changes were observed at 6 months. No other goal setting strategy appeared in effect on diet intake behavior or clinical outcomes in this group of CKD participants. Conclusions: Patient-centered goal setting, particularly in relation to fruit and vegetable intake, as part of a telehealth coaching program, significantly improved diet quality (AHEI), vegetable and fiber intake over 3 months. More support may be required to achieve longer-term behavior change in stages 3–4 CKD patients.

AB - Background: Improving diet quality in chronic kidney disease (CKD) is challenging due to a myriad of competing recommendations. Patient-centered goal setting can facilitate dietary behavior change; however, its role in improving diet quality in CKD has not been investigated. Aim: The aim of the study is to evaluate the effects of goal setting on improving diet quality in stages 3–4 CKD. Methods: Forty-one participants completed a 6-month dietitian-led telehealth (combined coaching calls and text messages) intervention as part of a larger RCT. Participants set one to two diet-related SMART goals and received weekly goal tracking text messages. Dietary intake was assessed using the Australian Eating Survey at baseline, 3, and 6 months, with diet quality determined using the Alternate Healthy Eating Index (AHEI). Results: Significant improvements in AHEI (+6.9 points; 95% CI 1.2–12.7), vegetable (+1.1 serves; 95% CI 0.0–2.3) and fiber intake (+4.2 g; 95% CI 0.2–8.2) were observed at 3 months in participants setting a fruit and/or vegetable goal, compared with those who did not. However, no significant or meaningful changes were observed at 6 months. No other goal setting strategy appeared in effect on diet intake behavior or clinical outcomes in this group of CKD participants. Conclusions: Patient-centered goal setting, particularly in relation to fruit and vegetable intake, as part of a telehealth coaching program, significantly improved diet quality (AHEI), vegetable and fiber intake over 3 months. More support may be required to achieve longer-term behavior change in stages 3–4 CKD patients.

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DO - 10.3389/fnut.2021.627753

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AN - SCOPUS:85103332617

SN - 2296-861X

VL - 8

JO - Frontiers in Nutrition

JF - Frontiers in Nutrition

M1 - 627753

ER -

Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney Disease

Abstract

UN SDGs

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Research by Master of Nutrition and Dietetic Practice Students

Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice

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Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney Disease

Abstract

UN SDGs

Access to Document

Other files and links

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Research by Master of Nutrition and Dietetic Practice Students

Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice

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