Explore the Effectors of The Transtheoretical Model on Nutritional Education in Patients on Hemodialysis

Liu, Liu-Yin43 enrolled

Overview

The purpose of this study is to assess the improvement degree of nutritional care program on the nutritional status and eating habits of hemodialysis patients

After being informed about the study and potential risks, all patients giving written Informed consent will undergo a 1-week screening period to determine eligibility For study entry. At week 0, eligible patients will be assigned to the intervention group and the control group by single-blind manner(participant) with convenience sampling. In the intervention group, the patients were trained in The Transtheoretical Model on nutritional education for 8 weeks. In the control group, the patients were trained in roution nutrition education.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

End-Stage Kidney Disease Hyperphosphatemia

Interventions

multimedia educationBEHAVIORAL

The experimental group use multimedia education, 20 minute nutrition education courses each time, a total of 8 courses. The control group use routine education.

Eligibility

Sex: ALLMin age: 51 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. the biochemical value ≥ 5.5 mg/dl or albumin value\<3.8g/dL 2. BMI\<23kg/m2 3. Unexpected weight loss. 4. Must be able to swallow tablets Exclusion Criteria: 1. Clinical diagnosis of Alzheimer's Disease 2. Malignant tumors, gastrointestinal cachexia, and catheterization

Locations (1)

Liu liu.yin

Kaohsiung City, Taiwan

Outcomes

Primary Outcomes

Change from Baseline in Biochemical value (Albumine) at the third month

Biochemical value (Albumine) is a validated to assess the nutritional status of hemodialysis, less than 3.8gm/dl is considered malnutrition

Time frame: Baseline and the third month

Change from Baseline in Biochemical value (Albumine) at the fourth month

Biochemical value (Albumine) is a validated to assess the nutritional status of hemodialysis, less than 3.8gm/dl is considered malnutrition

Time frame: Baseline and the fourth month

Change from Baseline in Biochemical value (Albumine) at the sixth month

Biochemical value (Albumine) is a validated to assess the nutritional status of hemodialysis, less than 3.8gm/dl is considered malnutrition

Time frame: Baseline and the sixth month

Change from Baseline in Biochemical value( normalized protein catabolic rate) at the third month

Biochemical value( normalized protein catabolic rate) is a validated to assess the nutritional status of hemodialysis, normal value greater than 1.2gm/day/k

Time frame: Baseline and the third month

Change from Baseline in Biochemical value( normalized protein catabolic rate) at the fourth month

Biochemical value( normalized protein catabolic rate) is a validated to assess the nutritional status of hemodialysis, normal value greater than 1.2gm/day/k

Time frame: Baseline and the fourth month

Change from Baseline in Biochemical value( normalized protein catabolic rate) at the sixth month

Biochemical value( normalized protein catabolic rate) is a validated to assess the nutritional status of hemodialysis, normal value greater than 1.2gm/day/k

Time frame: Baseline and the sitxth month

Data from ClinicalTrials.gov

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Change from Baseline in Biochemical value(cholesterol )at the third month

Biochemical value( cholesterol) is a validated to assess the nutritional status of hemodialysis, less than 100mg/dl is considered malnutrition

Time frame: Baseline and the third month

Change from Baseline in Biochemical value(cholesterol )at the fourth month

Biochemical value( cholesterol) is a validated to assess the nutritional status of hemodialysis, less than 100mg/dl is considered malnutrition

Time frame: Baseline and the fourth month

Change from Baseline in Biochemical value(cholesterol )at the sixth month

Biochemical value( cholesterol) is a validated to assess the nutritional status of hemodialysis, less than 100mg/dl is considered malnutrition

Time frame: Baseline and and the sixth month

Change from Baseline in Biochemical value(creatine)at the third month

Biochemical value(creatine) is a validated to assess the nutritional status of hemodialysis, less than 8-10 mg/dl before hemodialysis indicates malnutrition

Time frame: Baseline and the third month

Change from Baseline in Biochemical value(creatine) at the fourth month

Biochemical value(creatine) is a validated to assess the nutritional status of hemodialysis, less than 8-10 mg/dl before hemodialysis indicates malnutrition

Time frame: Baseline and the fourth month

Change from Baseline in Biochemical value(creatine) at the sixth month

Biochemical value(creatine) is a validated to assess the nutritional status of hemodialysis, less than 8-10 mg/dl before hemodialysis indicates malnutrition

Time frame: Baseline and the sixth month

Change from Baseline in Biochemical value( Phosphate) at the third month

Biochemical value(Phosphate) is a validated to assess the nutritional status of hemodialysis, normal value is 2.7-4.5 mg/dL

Time frame: Baseline and the third month

Change from Baseline in Biochemical value( Phosphate) at the fourth month

Biochemical value(Phosphate) is a validated to assess the nutritional status of hemodialysis, normal value is 2.7-4.5 mg/dL

Time frame: Baseline and the fourth month

Change from Baseline in Biochemical value( Phosphate) at the sixth month

Biochemical value(Phosphate) is a validated to assess the nutritional status of hemodialysis, normal value is 2.7-4.5 mg/dL

Time frame: Baseline and the sixth month

Change from Baseline in body measurement ( Hand grip strength ) at the third month

Hand grip strength is a validated to assess the nutritional status of hemodialysis, male ≤ 30 kilograms, female ≤ 20 kilograms, indicating a risk of frailty

Time frame: Baseline and the third month

Change from Baseline in body measurement ( Hand grip strength ) at the fourth month

Hand grip strength is a validated to assess the nutritional status of hemodialysis, male ≤ 30 kilograms, female ≤ 20 kilograms, indicating a risk of frailty

Time frame: Baseline and the fourth month

Change from Baseline in body measurement ( Hand grip strength ) at the sixth month

Hand grip strength is a validated to assess the nutritional status of hemodialysis, male ≤ 30 kilograms, female ≤ 20 kilograms, indicating a risk of frailty

Time frame: Baseline and the sixth month

Change from Baseline in (Mini Nutritional Assessment-Short Form, MNA-SF) at the third month

(Mini Nutritional Assessment-Short Form, MNA-SF) is a validated self-reported instrument to assess the nutritional status of hemodialysis,Out of 14 points. ≤11 points malnutrition risk. ≤7 points malnutrition.

Time frame: Baseline and the third month

Change from Baseline in (Mini Nutritional Assessment-Short Form, MNA-SF) at the fourth month

Time frame: Baseline and the fourth month

Change from Baseline in (Mini Nutritional Assessment-Short Form, MNA-SF) at the sixth month

Time frame: Baseline and the six month

Secondary Outcomes

Change from Baseline in the diet of knowledge form at the third month

The diet of knowledge form is a validated self-reported instrument to assess the eating habits of hemodialysis patients,The full score is 10 points. The higher the score, the positive performance on healthy diet knowledge

Time frame: Baseline and the third month

Change from Baseline in the diet of knowledge form at the fourth month

Time frame: Baseline and the fourth month

Change from Baseline in the diet of knowledge form at the sixth month

Time frame: Baseline and the sixth month

Change from Baseline in the diet of attitude form at the third month

The diet of attitude form is a validated self-reported instrument to assess the eating habits of hemodialysis patients,The full score is 20 points. A higher score indicates a positive attitude towards healthy eating

Time frame: Baseline and the third month

Change from Baseline in the diet of attitude form at the fourth month

Time frame: Baseline and the fourth month

Change from Baseline in the diet of attitude form at the sixth month

Time frame: Baseline and the sixth month

Change from Baseline in the diet of behavior form at the third month

The diet of behavior form is a validated self-reported instrument to assess the eating habits of hemodialysis patients,The full score is 20 points. A higher score indicates a positive performance on healthy eating behavior

Time frame: Baseline and the third month

Change from Baseline in the diet of behavior form at the fourth month

Time frame: Baseline and the fourth month

Change from Baseline in the diet of behavior form at the sixth month

Time frame: Baseline and the sixth month

Change from Baseline in the high phosphorus food frequency questionnaire at the third month

The high phosphorus food frequency questionnaire is a validated self-reported instrument to assess the eating habits of hemodialysis patients,The full score is 42. The higher the score, the negative the frequency of food intake with high phosphorus.

Time frame: Baseline and the third month

Change from Baseline in the high phosphorus food frequency questionnaire at the fourth month

Time frame: Baseline and the fourth month

Change from Baseline in the high phosphorus food frequency questionnaire at the sixth month

Time frame: Baseline and the sixth month

Change from Baseline in the six major food frequency questionnaire at the third month

The six major food frequency questionnaire is a validated self-reported instrument to assess the eating habits of hemodialysis patients,Full score is 12 points. A higher score indicates a balanced performance on the six major food intake frequencies

Time frame: Baseline and the third month

Change from Baseline in the six major food frequency questionnaire at the fourth month

Time frame: Baseline and the fourth month

Change from Baseline in the six major food frequency questionnaire at the sixth month

Time frame: Baseline and the sixth month