None listed
Conditions
Brief summary
This study aims to establish the feasibility, acceptability and fidelity of a high- and low-intensity self-efficacy-based dietary intervention for adults with CKD for a future large-scale clinical trial.
Interventions
Participants randomised to the high-intensity intervention group will receive usual care as well as attend the Kidney-HELP, which consists of: • Attending the pre-existing HELP program (2-hour weekly sessions for 7 weeks), HELP was developed from evidence-based clinical practice guidelines and is based on theoretical frameworks to promote behaviour change (Cognitive Behaviour Therapy and Social Cognitive Theory). The program is delivered by an accredited practicing dietitian and clinical psychologist. • 2 additional sessions covering kidney-specific content delivered by a dietitian, and • Kidney-HELP workbook. This Kidney-HELP workbook has been modified from the original HELP workbook to include kidney-specific information to improve participants' understanding of the diet-disease relationship. The workbook contains information on goal setting, self-monitoring, the Australian Guide to Healthy Eating & Heart Foundation dietary recommendations, strategies to follow a healthy dietary pattern, mindful eating and links to recipes. Participants will work through the Kidney-HELP workbook during the first 7 sessions of the program. The Kidney-HELP is outlined below: Week 1/Session 1: Getting Started Week 2/Session 2: Enjoying eating for health and wellbeing Week 3/Session 3: Planning for better health Week 4/Session 4: Supermarket savvy Week 5/Session 5: Mood and food Week 6/Session 6: Enjoying food Week 7/Session 7: Staying on track Week 8-9/Session 8: Salt group Week 10-11/Session 9: Eating out and recipe modification Participants will have the option to attend the group program either face-to-face or by telehealth. Attendance will be recorded at each session.
Sponsors
Study design
Eligibility
Inclusion criteria
a) Adults aged with CKD stages 3a-4 (15 – 59mL/min/1.732 for longer than 3 months) b) Under the care of a Metro North nephrologist, c) Able to provide informed consent.
Exclusion criteria
a) Non-English speaking or unable to read and write in English, b) Pregnancy, breastfeeding or planning to become pregnant in the next 6 months, c) Have a cognitive impairment that would prevent participation, d) Significant psychiatric or psychological disorder including the presence of an active eating disorder or purging behaviours. e) Malnourished (Subjective Global Assessment B or C) f) Receiving palliative, or g) Currently taking part in another clinical trial.