None listed
Conditions
Brief summary
Chronic Kidney Disease (CKD) is increasingly being recognised as a global public health problem with increasing incidence and prevalence, contributing to significant morbidity and mortality. Dietary intervention is a pivotal aspect of care for people with all stages of CKD and can significantly improve the morbidity and mortality of these patients. However, it is a complex diet that is frequently met with resistance from patients. Improving patient engagement and education regarding diet and lifestyle is vital to improve patient outcomes and reduce the burden on the healthcare system. Using mobile phone technology, such as text messaging, offers a novel way of engaging with patients on dialysis. This randomised controlled trial aims to determine the feasibility and clinical impact of using text messages to improve nutrition-related behaviours in the haemodialysis population. The primary aim of this study is to assess of the feasibility of using a mobile phone text message intervention to improve dietary adherence in a haemodialysis population.
Interventions
Brief name: KIDNEYTEXT Intervention plus usual care
Materials and mode of delivery: Mobile phone text messages containing dietary and lifestyle advice will be sent to intervention participants. Text message content will include information pertaining to renal-specific dietary needs (potassium, phosphorus, sodium, and fluid), general healthy eating, physical activity promotion, medication reminders and symptom identification.
Procedure: Mobile phone text messages will be sent three times a wee
Brief name: KIDNEYTEXT Intervention plus usual care Materials and mode of delivery: Mobile phone text messages containing dietary and lifestyle advice will be sent to intervention participants. Text message content will include information pertaining to renal-specific dietary needs (potassium, phosphorus, sodium, and fluid), general healthy eating, physical activity promotion, medication reminders and symptom identification. Procedure: Mobile phone text messages will be sent three times a week to intervention group participants. Text messages are aimed at supporting a dietary pattern that reduces dietary electrolytes and fluid, whilst adhering to Australian Dietary Guidelines. Using a patient-centred approach, intervention delivery is based on empirical evidence that supports a focus on self-management and underpinned by behaviour change theory. Mode of delivery and number of contacts: Phase 1, Week 0-13: Three mobile phone text messages per week will be sent. These messages will be semi-individualised to a participants’ dietary intake and electrolyte biochemistry (serum potassium, serum phosphate) and fluid status (interdialytic weight gains). Phase 2, week 14-26: Three mobile phone text messages per week will be sent. These messages will be focused on providing general healthy eating, activity promotion, medication reminders and symptom identification. Messages will be practical in nature, less than 160 characters in length and will be generic for varying age and sex. Who and Location: Mobile phone text messages will be sent automatically using an automatic software program that has been developed for use in clinical trials at Westmead Hospital. Text messages will be sent at random times of the day on specified days of the week. Fidelity: Prior to study commencement, a bank of 190 messages will be developed based on scientific literature and multidisciplinary expert review and consumer feedback.
Sponsors
Associate Professor Vincent Lee
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
a) Patients receiving maintenance haemodialysis (e.g. for at least 3 months) who are able to provide informed consent b) Patients who are able to read and understand English c) Patients who possess a mobile phone to utilise text message technology
Exclusion criteria
a) Patients receiving maintenance haemodialysis who are acutely unwell (e.g. septic) b) Patients with a life expectancy of less than 12 months c) Patients who are not expected to be on haemodialysis for the forthcoming 6 months (e.g. change of dialysis modality or transplantation) d) Women who are pregnant or breastfeeding e) Significant cognitive impairment (e.g. diagnosed dementia) or intellectual disability
Outcome results
None listed