A Text Messaging Intervention for Dietary Behaviors for People Receiving Maintenance Hemodialysis: A Feasibility Study of KIDNEYTEXT

被引：26

作者：

Dawson, Jessica ^{[1
,6
,9
]}

Campbell, Katrina L. ^{[12
,13
]}

Craig, Jonathan C. ^{[14
]}

Tong, Allison ^{[2
,6
]}

Teixeira-Pinto, Armando ^{[2
,6
]}

Brown, Mark A. ^{[5
,10
]}

Howard, Kirsten ^{[2
]}

Howell, Martin ^{[2
]}

Khalid, Rabia ^{[1
]}

Sud, Kamal ^{[3
,7
,11
]}

Thiagalingam, Aravinda ^{[1
,8
]}

Chow, Clara K. ^{[1
,4
,8
]}

Lee, Vincent W. ^{[1
,6
,7
]}

机构：

[1] Univ Sydney, Westmead Clin Sch, Sydney, NSW, Australia

[2] Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW, Australia

[3] Univ Sydney, Nepean Clin Sch, Sydney, NSW, Australia

[4] Univ Sydney, Westmead Appl Res Ctr, Sydney, NSW, Australia

[5] Univ New South Wales, St George & Sutherland Clin Sch, Sydney, NSW, Australia

[6] Westmead Hosp, Childrens Hosp Westmead, Ctr Kidney Res, Westmead, NSW, Australia

[7] Westmead Hosp, Dept Renal Med, Westmead, NSW, Australia

[8] Westmead Hosp, Dept Cardiol, Westmead, NSW, Australia

[9] St George Hosp, Nutr & Dietet Dept, Kogarah, NSW, Australia

[10] St George Hosp, Dept Renal Med, Kogarah, NSW, Australia

[11] Nepean Hosp, Dept Renal Med, Kingswood, NSW, Australia

[12] Griffith Univ, Menzies Hlth Inst, Brisbane, Qld, Australia

[13] Metro North Hosp & Hlth Serv, Allied Hlth Serv, Brisbane, Qld, Australia

[14] Flinders Univ S Australia, Coll Med & Publ Hlth, Adelaide, SA, Australia

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 2021年 / 78卷 / 01期

关键词：

CLINICAL-TRIALS; SODIUM-INTAKE; DISEASE; DIETITIANS; GUIDELINES; OUTCOMES; ADULTS;

D O I：

10.1053/j.ajkd.2020.11.015

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Rationale & Objective: An important component of hemodialysis management involves delivery of complex dietary recommendations. The aim of this study was to determine the feasibility of a mobile phone text-message intervention to improve dietary behavior in people undergoing hemodialysis. Study Design: Six-month randomized feasibility study. Setting & Participants: Patients receiving maintenance hemodialysis across 2 health districts in Sydney, Australia. Interventions: Participants randomized to the intervention received 3 text messages per week in addition to standard dietary care for 6 months. The usual care group received standard dietary care. Outcomes: The primary outcomes were feasibility measured using recruitment and retention rates, acceptability of the intervention, and adherence to dietary recommendations. Secondary exploratory outcomes included information on certain clinical parameters related to dietary management of patients receiving maintenance hemodialysis. Results: 130 people were recruited; 48% of eligible patients (130 of 272) consented to participate, and 88% (115 of 130) completed the study. Semistructured interviews evaluating acceptability identified 5 themes: clear and comprehensive, engaging with consistent and relevant content, maintaining attention with timely reminders, sustaining interest through ongoing care, and generic messages inadequate to prompt dietary change. There was no difference in adherence to dietary recommendations across treatment groups (odds ratio, 1.21 [95% CI, 0.55-2.72]; P = 0.6). Secondary exploratory analyses suggested reductions in dietary intake of single nutrients (potassium, phosphorus, sodium, protein), interdialytic weight gain, and phosphate binder use among intervention participants compared with participants assigned to standard care. Limitations: Our feasibility study was of short duration. Adherence was based on self-reported data. Generalizability to populations receiving maintenance hemodialysis outside of an urban, Australian setting is unknown. Conclusions: A simple mobile phone text-messaging intervention was feasible and acceptable to patients. Further investigation of the impact on patient-reported and clinical outcomes is warranted.

引用

页码：85 / +

页数：12

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