Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation

Jaimon T. Kelly; Molly M. Warner; Marguerite Conley; Dianne P. Reidlinger; Tammy Hoffmann; Jonathan Craig; Allison Tong; Marina Reeves; David W. Johnson; Suetonia Palmer; Katrina L. Campbell

doi:10.1136/bmjopen-2018-024551

Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation

Jaimon T. Kelly^*
, Molly M. Warner
, Marguerite Conley
, Dianne P. Reidlinger
, Tammy Hoffmann
, Jonathan Craig
, Allison Tong
, Marina Reeves
, David W. Johnson
, Suetonia Palmer
, Katrina L. Campbell

^*Corresponding author for this work

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

44 Citations (Scopus)

259 Downloads (Pure)

Abstract

Objective: To evaluate the feasibility and acceptability of a personalised telehealth intervention to support dietary self-management in adults with stage 3-4 chronic kidney disease (CKD).

Design: Mixed-methods process evaluation embedded in a randomised controlled trial.

Participants: People with stage 3-4 CKD (estimated glomerular filtration rate [eGFR] 15-60 mL/min/1.73 m(2)).

Setting: Participants were recruited from three hospitals in Australia and completed the intervention in ambulatory community settings.

Intervention: The intervention group received one telephone call per fortnight and 2-8 tailored text messages for 3 months, and then 4-12 tailored text messages for 3 months without telephone calls. The control group received usual care for 3 months then non-tailored education-only text messages for 3 months.

Main outcome measures: Feasibility (recruitment, nonparticipation and retention rates, intervention fidelity and participant adherence) and acceptability (questionnaire and semistructured interviews).

Statistical analyses performed Descriptive statistics and qualitative content analysis.

Results: Overall, 80/230 (35%) eligible patients who were approached consented to participate (mean +/- SD age 61.5 +/- 12.6 years). Retention was 93% and 98% in the intervention and control groups, respectively, and 96% of all planned intervention calls were completed. All participants in the intervention arm identified the tailored text messages as useful in supporting dietary selfmanagement. In the control group, 27 (69%) reported the non-tailored text messages were useful in supporting change. Intervention group participants reported that the telehealth programme delivery methods were practical and able to be integrated into their lifestyle. Participants viewed the intervention as an acceptable, personalised alternative to face-face clinic consultations, and were satisfied with the frequency of contact.

Conclusions: This telehealth-delivered dietary coaching programme is an acceptable intervention which appears feasible for supporting dietary self-management in stage 3-4 CKD. A larger-scale randomised controlled trial is needed to evaluate the efficacy of the coaching programme on clinical and patient-reported outcomes.

Original language	English
Article number	e024551
Number of pages	12
Journal	BMJ Open
Volume	9
Issue number	1
DOIs	https://doi.org/10.1136/bmjopen-2018-024551 https://doi.org/10.1136/bmjopen-2018-024551
Publication status	Published - Jun 2019

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Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: a mixed-methods process evaluation Final published version, 563 KBLicence: CC BY-NC

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Kelly, J. T., Warner, M. M., Conley, M., Reidlinger, D. P., Hoffmann, T., Craig, J., Tong, A., Reeves, M., Johnson, D. W., Palmer, S., & Campbell, K. L. (2019). Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation. BMJ Open, 9(1), Article e024551. https://doi.org/10.1136/bmjopen-2018-024551, https://doi.org/10.1136/bmjopen-2018-024551

@article{86e0179e174c4b439cede5451a071400,

title = "Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation",

abstract = "Objective: To evaluate the feasibility and acceptability of a personalised telehealth intervention to support dietary self-management in adults with stage 3-4 chronic kidney disease (CKD).Design: Mixed-methods process evaluation embedded in a randomised controlled trial.Participants: People with stage 3-4 CKD (estimated glomerular filtration rate [eGFR] 15-60 mL/min/1.73 m(2)).Setting: Participants were recruited from three hospitals in Australia and completed the intervention in ambulatory community settings.Intervention: The intervention group received one telephone call per fortnight and 2-8 tailored text messages for 3 months, and then 4-12 tailored text messages for 3 months without telephone calls. The control group received usual care for 3 months then non-tailored education-only text messages for 3 months.Main outcome measures: Feasibility (recruitment, nonparticipation and retention rates, intervention fidelity and participant adherence) and acceptability (questionnaire and semistructured interviews).Statistical analyses performed Descriptive statistics and qualitative content analysis.Results: Overall, 80/230 (35\%) eligible patients who were approached consented to participate (mean +/- SD age 61.5 +/- 12.6 years). Retention was 93\% and 98\% in the intervention and control groups, respectively, and 96\% of all planned intervention calls were completed. All participants in the intervention arm identified the tailored text messages as useful in supporting dietary selfmanagement. In the control group, 27 (69\%) reported the non-tailored text messages were useful in supporting change. Intervention group participants reported that the telehealth programme delivery methods were practical and able to be integrated into their lifestyle. Participants viewed the intervention as an acceptable, personalised alternative to face-face clinic consultations, and were satisfied with the frequency of contact.Conclusions: This telehealth-delivered dietary coaching programme is an acceptable intervention which appears feasible for supporting dietary self-management in stage 3-4 CKD. A larger-scale randomised controlled trial is needed to evaluate the efficacy of the coaching programme on clinical and patient-reported outcomes.",

author = "Kelly, \{Jaimon T.\} and Warner, \{Molly M.\} and Marguerite Conley and Reidlinger, \{Dianne P.\} and Tammy Hoffmann and Jonathan Craig and Allison Tong and Marina Reeves and Johnson, \{David W.\} and Suetonia Palmer and Campbell, \{Katrina L.\}",

year = "2019",

month = jun,

doi = "10.1136/bmjopen-2018-024551",

language = "English",

volume = "9",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "1",

}

Kelly, JT, Warner, MM, Conley, M, Reidlinger, DP , Hoffmann, T, Craig, J, Tong, A, Reeves, M, Johnson, DW, Palmer, S & Campbell, KL 2019, 'Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation', BMJ Open, vol. 9, no. 1, e024551. https://doi.org/10.1136/bmjopen-2018-024551, https://doi.org/10.1136/bmjopen-2018-024551

TY - JOUR

T1 - Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation

AU - Kelly, Jaimon T.

AU - Warner, Molly M.

AU - Conley, Marguerite

AU - Reidlinger, Dianne P.

AU - Hoffmann, Tammy

AU - Craig, Jonathan

AU - Tong, Allison

AU - Reeves, Marina

AU - Johnson, David W.

AU - Palmer, Suetonia

AU - Campbell, Katrina L.

PY - 2019/6

Y1 - 2019/6

N2 - Objective: To evaluate the feasibility and acceptability of a personalised telehealth intervention to support dietary self-management in adults with stage 3-4 chronic kidney disease (CKD).Design: Mixed-methods process evaluation embedded in a randomised controlled trial.Participants: People with stage 3-4 CKD (estimated glomerular filtration rate [eGFR] 15-60 mL/min/1.73 m(2)).Setting: Participants were recruited from three hospitals in Australia and completed the intervention in ambulatory community settings.Intervention: The intervention group received one telephone call per fortnight and 2-8 tailored text messages for 3 months, and then 4-12 tailored text messages for 3 months without telephone calls. The control group received usual care for 3 months then non-tailored education-only text messages for 3 months.Main outcome measures: Feasibility (recruitment, nonparticipation and retention rates, intervention fidelity and participant adherence) and acceptability (questionnaire and semistructured interviews).Statistical analyses performed Descriptive statistics and qualitative content analysis.Results: Overall, 80/230 (35%) eligible patients who were approached consented to participate (mean +/- SD age 61.5 +/- 12.6 years). Retention was 93% and 98% in the intervention and control groups, respectively, and 96% of all planned intervention calls were completed. All participants in the intervention arm identified the tailored text messages as useful in supporting dietary selfmanagement. In the control group, 27 (69%) reported the non-tailored text messages were useful in supporting change. Intervention group participants reported that the telehealth programme delivery methods were practical and able to be integrated into their lifestyle. Participants viewed the intervention as an acceptable, personalised alternative to face-face clinic consultations, and were satisfied with the frequency of contact.Conclusions: This telehealth-delivered dietary coaching programme is an acceptable intervention which appears feasible for supporting dietary self-management in stage 3-4 CKD. A larger-scale randomised controlled trial is needed to evaluate the efficacy of the coaching programme on clinical and patient-reported outcomes.

AB - Objective: To evaluate the feasibility and acceptability of a personalised telehealth intervention to support dietary self-management in adults with stage 3-4 chronic kidney disease (CKD).Design: Mixed-methods process evaluation embedded in a randomised controlled trial.Participants: People with stage 3-4 CKD (estimated glomerular filtration rate [eGFR] 15-60 mL/min/1.73 m(2)).Setting: Participants were recruited from three hospitals in Australia and completed the intervention in ambulatory community settings.Intervention: The intervention group received one telephone call per fortnight and 2-8 tailored text messages for 3 months, and then 4-12 tailored text messages for 3 months without telephone calls. The control group received usual care for 3 months then non-tailored education-only text messages for 3 months.Main outcome measures: Feasibility (recruitment, nonparticipation and retention rates, intervention fidelity and participant adherence) and acceptability (questionnaire and semistructured interviews).Statistical analyses performed Descriptive statistics and qualitative content analysis.Results: Overall, 80/230 (35%) eligible patients who were approached consented to participate (mean +/- SD age 61.5 +/- 12.6 years). Retention was 93% and 98% in the intervention and control groups, respectively, and 96% of all planned intervention calls were completed. All participants in the intervention arm identified the tailored text messages as useful in supporting dietary selfmanagement. In the control group, 27 (69%) reported the non-tailored text messages were useful in supporting change. Intervention group participants reported that the telehealth programme delivery methods were practical and able to be integrated into their lifestyle. Participants viewed the intervention as an acceptable, personalised alternative to face-face clinic consultations, and were satisfied with the frequency of contact.Conclusions: This telehealth-delivered dietary coaching programme is an acceptable intervention which appears feasible for supporting dietary self-management in stage 3-4 CKD. A larger-scale randomised controlled trial is needed to evaluate the efficacy of the coaching programme on clinical and patient-reported outcomes.

UR - https://www.scopus.com/pages/publications/85060945428

U2 - 10.1136/bmjopen-2018-024551

DO - 10.1136/bmjopen-2018-024551

M3 - Article

C2 - 30700482

AN - SCOPUS:85060945428

SN - 2044-6055

VL - 9

JO - BMJ Open

JF - BMJ Open

IS - 1

M1 - e024551

ER -

Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation

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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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Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: A mixed-methods process evaluation

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

Research by Master of Nutrition and Dietetic Practice Students

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