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A Coaching Program to Improve Dietary Intake of Patients with CKD: ENTICE-CKD.

Authors
  • Kelly, Jaimon T1, 2
  • Conley, Marguerite3
  • Hoffmann, Tammy4
  • Craig, Jonathan C5
  • Tong, Allison6, 7
  • Reidlinger, Dianne P8
  • Reeves, Marina M9
  • Howard, Kirsten6
  • Krishnasamy, Rathika10, 11
  • Kurtkoti, Jagadeesh12, 13
  • Palmer, Suetonia C14
  • Johnson, David W11, 15, 16
  • Campbell, Katrina L8, 13
  • 1 Faculty of Health Science and Medicine and [email protected]
  • 2 Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia. , (Australia)
  • 3 Department of Nutrition and Dietetics and.
  • 4 Centre for Research in Evidence Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia. , (Australia)
  • 5 College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia. , (Australia)
  • 6 School of Public Health, The University of Sydney, Sydney, New South Wales, Australia. , (Australia)
  • 7 Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia. , (Australia)
  • 8 Faculty of Health Science and Medicine and.
  • 9 School of Public Health, Faculty of Medicine and.
  • 10 Department of Nephrology, Sunshine Coast University Hospital, Birtinya, Queensland, Australia. , (Australia)
  • 11 Centre for Kidney Disease Research, University of Queensland, Brisbane, Queensland, Australia. , (Australia)
  • 12 Department of Renal Medicine, Gold Coast University Hospital, Southport, Queensland, Australia. , (Australia)
  • 13 School of Medicine and.
  • 14 Department of Medicine, University of Otago Christchurch, Christchurch, New Zealand; and. , (New Zealand)
  • 15 Department of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia. , (Australia)
  • 16 Translational Research Institute, Brisbane, Queensland, Australia. , (Australia)
Type
Published Article
Journal
Clinical Journal of the American Society of Nephrology
Publisher
American Society of Nephrology
Publication Date
Mar 06, 2020
Volume
15
Issue
3
Pages
330–340
Identifiers
DOI: 10.2215/CJN.12341019
PMID: 32111701
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The dietary self-management of CKD is challenging. Telehealth interventions may provide an effective delivery method to facilitate sustained dietary change. 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. Eighty participants (64% male), aged 62±12 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, -1.3 to 7.7), nor at 6 months (0.5 points, 95% confidence interval, -4.6 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. 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. Evaluation of Individualized Telehealth Intensive Coaching to Promote Healthy Eating and Lifestyle in CKD (ENTICE-CKD), ACTRN12616001212448. Copyright © 2020 by the American Society of Nephrology.

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