Televideo Exercise and Nutrition Program for Kidney Transplant Recipients

University of Kansas Medical Center10 enrolled

Overview

The improvement in morbidity and mortality observed with kidney transplantation is often curtailed by post-transplant weight gain, which is common among kidney transplant recipients (KTR). Post-transplant weight gain is associated with serious health issues such as cardiovascular disease, new onset diabetes after transplantation, and graft failure. Although these adverse effects of post-transplant weight gain are well recognized, interventions that target the modifiable risk factors of diet and physical activity to address post-transplantation weight gain are lacking. The purpose of this study is to test the feasibility of an in-home, televideo health coaching to increase the healthy behaviors of KTRs who are 6 months post-transplantation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Kidney Transplant Recipient Diet Modification Physical Activity

Interventions

Televideo Lifestyle CoachingBEHAVIORAL

Six month total intervention: Three months of weekly 1-hour televideo healthy lifestyle coaching sessions involving 30 minutes of structured physical activity and 30 minutes of nutrition education and daily healthy lifestyle habit tracking. This is followed by 3 months of healthy lifestyle habit tracking only.

Enhanced Usual CareBEHAVIORAL

Six months of healthy lifestyle habit tracking with access to written diet and physical activity materials.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 18 years or older * Between 6 and 12 months post kidney transplantation * Kidney allograft only * Functioning allograft (not on dialysis) * BMI ≥ 22 kg/m2 * Available to participate in assessments over 6 months * Ability to speak and understand English * Able to report data weekly by at least one of three alternative methods: telephone, email, or fax * Access to wireless internet Exclusion Criteria: * Multi-organ transplant recipient * Uncontrolled diabetes (Hemoglobin A1c≥8%) * Currently pregnant or planning on becoming pregnant during the study * Participation in a formal weight management, nutrition, or physical activity program * Diagnosis of a major psychiatric illness * Major dietary restrictions * Inability to perform moderate to vigorous physical activity * Unwillingness to be randomized * Receiving supplemental nutrition

Outcomes

Primary Outcomes

Recruitment of participants

Achievement of 10 participants in 1 months

Time frame: 1 month

Attendance to group sessions

Maintain 80% attendance or better to program sessions

Time frame: 3 months

Participant retention in study assessments

85% or greater participant retention in study assessments

Time frame: 6 months

Secondary Outcomes

Change in diet quality assessed by Healthy Eating Index Scores

Changes in dietary quality will be determined by calculating Healthy Eating Index- 2010 scores from 3 day food records. A total HEI-2010 score will be calculated, which is comprised of a summative score across 12 subscales, with higher scores indicative of a better diet quality (maximum score 100).

Time frame: Change from baseline to month 6

Change in weight

Weight in kilograms will be measured with a digital scale