Abstract
Background
The dietary self-management of CKD is complex and requires regular follow-up to support change.
Aim
To evaluate a six-month telehealth-delivered dietary coaching intervention in stage III-IV chronic kidney disease (CKD).
Methods
To help achieve a diet consistent with the Australian Dietary Guidelines, the intervention group (n=41) received fortnightly dietitian led coaching calls and tailored text messages for three months, then text messages only for another three months. The control group (n=39) received usual care for three months, then non-tailored text messages for three months. Outcomes included feasibility, acceptability, dietary change and clinical parameters.
Results
Retention rates of 93% and 98% were achieved in intervention and control groups, respectively. Ninety-six percent of scheduled intervention calls were completed. All intervention participants identified the tailored text messages as useful in supporting dietary change compared to 69% in the control group. Compared to the control group at three months, the intervention group decreased proportion of energy intake from discretionary foods (intervention effect: -5.3% [CI: -0.6, -9.9]), increased vegetable intake (1.4 serves [0.3, 2.1]), fibre intake (5.5g [2.7, 8.2]), and reduced body weight (-1.7kg [-3.1, -0.3]). At six months, only the intervention effect on discretionary foods remained significant (-4.3% [0.3, 8.2]). There was no significant intervention effect on fruit and sodium intake, waist circumference or blood pressure.
Conclusions
A dietary coaching program is feasible and acceptable for supporting dietary change in stage III-IV CKD. Three months of dietary telehealth coaching improved components of diet quality and decreased body weight, which was attenuated once the control group commenced a text message intervention. Research informing the ideal frequency and degree of telehealth tailoring required to support dietary self-management is warranted.
The dietary self-management of CKD is complex and requires regular follow-up to support change.
Aim
To evaluate a six-month telehealth-delivered dietary coaching intervention in stage III-IV chronic kidney disease (CKD).
Methods
To help achieve a diet consistent with the Australian Dietary Guidelines, the intervention group (n=41) received fortnightly dietitian led coaching calls and tailored text messages for three months, then text messages only for another three months. The control group (n=39) received usual care for three months, then non-tailored text messages for three months. Outcomes included feasibility, acceptability, dietary change and clinical parameters.
Results
Retention rates of 93% and 98% were achieved in intervention and control groups, respectively. Ninety-six percent of scheduled intervention calls were completed. All intervention participants identified the tailored text messages as useful in supporting dietary change compared to 69% in the control group. Compared to the control group at three months, the intervention group decreased proportion of energy intake from discretionary foods (intervention effect: -5.3% [CI: -0.6, -9.9]), increased vegetable intake (1.4 serves [0.3, 2.1]), fibre intake (5.5g [2.7, 8.2]), and reduced body weight (-1.7kg [-3.1, -0.3]). At six months, only the intervention effect on discretionary foods remained significant (-4.3% [0.3, 8.2]). There was no significant intervention effect on fruit and sodium intake, waist circumference or blood pressure.
Conclusions
A dietary coaching program is feasible and acceptable for supporting dietary change in stage III-IV CKD. Three months of dietary telehealth coaching improved components of diet quality and decreased body weight, which was attenuated once the control group commenced a text message intervention. Research informing the ideal frequency and degree of telehealth tailoring required to support dietary self-management is warranted.
| Original language | English |
|---|---|
| Pages (from-to) | 61 |
| Number of pages | 1 |
| Journal | Nephrology |
| Volume | 23 |
| Issue number | S3 |
| DOIs | |
| Publication status | Published - Sept 2018 |