The evaluation of individualised telehealth intensive coaching to promote healthy eating and lifestyle in chronic kidney disease (entice-ckd): a pilot randomised controlled trial

J. Kelly, M. Conley, D. Reidlinger, T. Hoffmann, M. Reeves, A. Tong, J. Craig, D. Johnson, S. Palmer, K. Campbell

Research output: Contribution to journalMeeting AbstractResearchpeer-review

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.
Original languageEnglish
Pages (from-to)61
Number of pages1
JournalNephrology
Volume23
Issue numberS3
DOIs
Publication statusPublished - Sep 2018

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