older people with chronic kidney disease (CKD) poor appetite older people chronic kidney disease self-management
Conditions
Interventions
a five session workshop using motivation interviewing
Experimental Behavioral
a program for promoting self- management of poor appetite in older people with chronic kidney disease
Sponsors
Chronic Kidney Disease prevention in the Northeast of Thailand (CKDNET)
Eligibility
Sex/Gender
All
Age
60 Years to 95 Years
Inclusion criteria
Inclusion criteria: 1) age 60 years or over 2) diagnosed with chronic kidney disease stage 4-5 (eGFR 1-29) with no renal replacement therapy 3) Receive treatment at the outpatient department Phimai Hospital, Phimai District, Nakhon Ratchasima Province 4) Experienced anorexia at least once in the past 1 month with an anorexia score of 4 or more. Anorexia score will be measured using a screening form for anorexia symptoms: numeric scale from 0 (no anorexia) to 10 (most anorexia). 5) Able to understand and communicate using Thai or local language 6) No symptoms of depression, which will be measure using the two-question (2Q) depression screening questionnaire, with a 'no' answer for both items. If there is 'yes' answer to either of the items. The researcher continued the assessment with a 9-question (9Q) depression screening form (Department of Mental Health, Ministry of Public Health, 2014) with a total score of less than 7 points. 7) No cognitive impairment, which will be assessed with the Abbreviated Mental Test (AMT) (Department of Medicine, Ministry of Public Health, 2014) with more than 7 correct answers. 8) No vision or hearing problems 9) Willing to participate in the research 10) Take no medication to stimulate appetite at present.
Exclusion criteria
Exclusion criteria: 1) Unable to participate in all activities during the program 2) Experience symptoms (such as feeling tired, palpitations, chest discomfort, shortness of breath) while participating in the program; and/ or have abnormal vital signs (the normal range of vital signs are as follows: pulse 60-100 beats per minute, respiratory rate 12-20 beats per minute, blood pressure 90-180 mmhg/ 60-120 mmhg . 3) Receive any form of renal replacement therapy ( hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD)) during the program. 4 ) Be referred to another hospital for treatment. 5) Appetite stimulant drugs used during the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| anorexia self- management behavior before and after the intervention Behavioral interview form for managing anorexia | — |
Secondary
| Measure | Time frame |
|---|---|
| knowledge of anorexia management before and after the intervention knowledge of anorexia management questionnaire,Motivation for managing anorexia before and after the intervention Motivation assessment form for managing anorexia,Anorexia symptom score before and after the intervention Anorexia symptom assessment form ,perception about eating before and after the intervention The additional concerns part of the Functional Assessment of Anorexia/Cachexia Treatment (FAACT) Thai version | — |
Countries
Thailand
Contacts
Public ContactLadawan Panpanit
Gerontological Nursing Research Cluster, Faculty of Nursing, Khon Kaen University
Outcome results
None listed