Renal Insufficiency, Chronic
Conditions
Keywords
renal dialysis, hyperphosphatemia, educational programme
Brief summary
Background: In Chronic Kidney Disease patients, it is crucial to begin treatment as soon as possible in order to minimize the complication-related risks. Encouraging patients to adhere to their treatment plans is a great challenge for health care professionals. Objectives: The aim of this study is to evaluate the impact of a nutrition educational programme on the hyperphosphatemia using the transtheoretical model of eating behavior. Subjects and Methods: A prospective Interventional study is being conducted in a dialysis centre with 180 stage 5D Chronic Kidney Disease patients who exhibit phosphate serum levels \> 5.5 mg/dL. The educational intervention consists of lectures and group dynamics sessions performed during dialysis sessions. Anthropometric, clinical, demographic and laboratory parameters (serum phosphorus concentration will be evaluated and the transtheoretical model of eating behavior (TMFB) will be applied pre- and post-intervention.
Detailed description
Background: In Chronic Kidney Disease patients, it is crucial to begin treatment as soon as possible in order to minimize the complication-related risks. Encouraging patients to adhere to their treatment plans is a great challenge for health care professionals. Objectives: The aim of this study is to evaluate the impact of a nutrition educational programme on the hyperphosphatemia using the transtheoretical model of eating behavior. Subjects and Methods: A prospective Interventional study is being conducted in a dialysis centre with 180 stage 5D Chronic Kidney Disease patients who exhibit phosphate serum levels \> 5.5 mg/dL. The educational intervention consists of lectures and group dynamics sessions performed during dialysis sessions. Anthropometric (weight, height, body mass index), clinical, demographic (sex, age, time on dialysis programme, literacy/schooling) and laboratory parameters (phosphate serum levels) will be evaluated and the transtheoretical model of eating behavior (TMFB) will be applied pre- and post-intervention. Reduction of phosphate serum levels and positive/negative behavioral changes will be the evaluated outcomes. Statistical Analyses will be carried out in order to compare the effect of educational programme on phosphate serum levels and on the behaviour changes.
Interventions
Educational Programme consists of lectures and group dynamics about nutrition during hemodialysis sessions.
Sponsors
University of Sao Paulo
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* patients who freely consent to participate in this study * aged from 18 years or older * both genders * phosphate serum levels higher than 5.5 mg/dl (last 3 consecutive monthly measures)
Exclusion criteria
* patients who do not consent to participate in this study * pregnant * cognitive deficit * mental diseases * patients whose phosphate serum levels lower than 5.5 mg/dl or equal to 5.5 mg/dl
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction of PhosphateSerum Level | 3 months | Phosphate Serum Levels above or equal 5.5 mg/dl will be monitored in order to identify reduction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Positive or Negative Behavioral Change According to the Transtheoretical Model of Eating Behavior | 3 months | After intervention (3 months), it will be identified whether patients show Positive or Negative Behavioral change (according to the transtheoretical model of eating behavior) will be identified |
Countries
Brazil
Outcome results
None listed