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

• Sponsor: Liu, Liu-Yin (Other)
• Overall Status: Not yet recruiting
• CT.gov ID: NCT05897502
• Collaborator: (none)
• Enrollment: 60
• Arms: 2
• Anticipated Duration (Months): 12.5

Study Details

Study Description

Brief Summary

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

Condition or Disease	Intervention/Treatment	Phase
End-Stage Kidney Disease; Hyperphosphatemia	Behavioral: multimedia education	N/A

Detailed Description

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 Design

• Study Type: Interventional
• Anticipated Enrollment: 60 participants
• Allocation: Non-Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: The research design explores the evaluation of intervention effectiveness through a parallel group and experimental research design. Intentionally select experimental and control groups. A single blinding design (participants). The experimental group used multi-media education, 20 minutes per session, total 8 courses. The control group received routine education. The Principal investigator explains the research purpose to eligible participant, and signs a consent form. The interviewer conducted data: basic information and nutritional status indicators (mini nutritional assessment scale, dietary knowledge, attitude, behavior scale, simple dietary intake frequency scale) of two groups of hemodialysis patients as the Baseline. After 8-week nutritional education by dialysis nursing staff. Post tests (dietary knowledge, attitude, behavior scale, mini nutritional assessment scale, simple dietary intake frequency scale) were conducted by interviewer at the 3rd, 4th, and 5th months.The research design explores the evaluation of intervention effectiveness through a parallel group and experimental research design. Intentionally select experimental and control groups. A single blinding design (participants). The experimental group used multi-media education, 20 minutes per session, total 8 courses. The control group received routine education. The Principal investigator explains the research purpose to eligible participant, and signs a consent form. The interviewer conducted data: basic information and nutritional status indicators (mini nutritional assessment scale, dietary knowledge, attitude, behavior scale, simple dietary intake frequency scale) of two groups of hemodialysis patients as the Baseline. After 8-week nutritional education by dialysis nursing staff. Post tests (dietary knowledge, attitude, behavior scale, mini nutritional assessment scale, simple dietary intake frequency scale) were conducted by interviewer at the 3rd, 4th, and 5th months.
• Masking: Single (Participant)
• Masking Description: The participant does not know who the intervention group is versus the control group
• Primary Purpose: Prevention
• Official Title: A 34-Week Single-Blind Trial of Explore the Effectors of The Transtheoretical Model on Nutritional Education in Patients on Hemodialysis
• Anticipated Study Start Date: Jun 15, 2023
• Anticipated Primary Completion Date: Jun 15, 2023
• Anticipated Study Completion Date: Jun 30, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: the theoretical model nutritional education instruction with multimedia	Behavioral: multimedia education; The experimental group use multimedia education, 20 minute nutrition education courses each time, a total of 8 courses. The control group use routine education.; Other Names: instruction with traditional paper
Placebo Comparator: control instruction with traditional paper	Behavioral: multimedia education; The experimental group use multimedia education, 20 minute nutrition education courses each time, a total of 8 courses. The control group use routine education.; Other Names: instruction with traditional paper

Outcome Measures

Primary Outcome Measures

1. Change from Baseline in Biochemical value (Albumine) at the third month [Baseline and the third month]

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

2. Change from Baseline in Biochemical value (Albumine) at the fourth month [Baseline and the fourth month]

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

3. Change from Baseline in Biochemical value (Albumine) at the sixth month [Baseline and the sixth month]

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

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

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

6. Change from Baseline in Biochemical value( normalized protein catabolic rate) at the sixth month [Baseline and the sitxth 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

7. Change from Baseline in Biochemical value(cholesterol )at the third month [Baseline and the third month]

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

8. Change from Baseline in Biochemical value(cholesterol )at the fourth month [Baseline and the fourth month]

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

9. Change from Baseline in Biochemical value(cholesterol )at the sixth month [Baseline and and the sixth month]

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

10. Change from Baseline in Biochemical value(creatine)at the third month [Baseline and 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

11. Change from Baseline in Biochemical value(creatine) at the fourth month [Baseline and 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

12. Change from Baseline in Biochemical value(creatine) at the sixth month [Baseline and 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

13. Change from Baseline in Biochemical value( Phosphate) at the third month [Baseline and 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

14. Change from Baseline in Biochemical value( Phosphate) at the fourth month [Baseline and 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

15. Change from Baseline in Biochemical value( Phosphate) at the sixth month [Baseline and 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

16. Change from Baseline in body measurement ( Hand grip strength ) at the third month [Baseline and 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

17. Change from Baseline in body measurement ( Hand grip strength ) at the fourth month [Baseline and 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

18. Change from Baseline in body measurement ( Hand grip strength ) at the sixth month [Baseline and 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

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

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

21. Change from Baseline in (Mini Nutritional Assessment-Short Form, MNA-SF) at the sixth month [Baseline and the six 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.

Secondary Outcome Measures

1. Change from Baseline in the diet of knowledge form at the third month [Baseline and 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

2. Change from Baseline in the diet of knowledge form at the fourth month [Baseline and the fourth 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

3. Change from Baseline in the diet of knowledge form at the sixth month [Baseline and the sixth 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

4. Change from Baseline in the diet of attitude form at the third month [Baseline and 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

5. Change from Baseline in the diet of attitude form at the fourth month [Baseline and the fourth 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

6. Change from Baseline in the diet of attitude form at the sixth month [Baseline and the sixth 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

7. Change from Baseline in the diet of behavior form at the third month [Baseline and 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

8. Change from Baseline in the diet of behavior form at the fourth month [Baseline and the fourth 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

9. Change from Baseline in the diet of behavior form at the sixth month [Baseline and the sixth 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

10. Change from Baseline in the high phosphorus food frequency questionnaire at the third month [Baseline and 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.

11. Change from Baseline in the high phosphorus food frequency questionnaire at the fourth month [Baseline and the fourth 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.

12. Change from Baseline in the high phosphorus food frequency questionnaire at the sixth month [Baseline and the sixth 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.

13. Change from Baseline in the six major food frequency questionnaire at the third month [Baseline and 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

14. Change from Baseline in the six major food frequency questionnaire at the fourth month [Baseline and the fourth 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

15. Change from Baseline in the six major food frequency questionnaire at the sixth month [Baseline and the sixth 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

Eligibility Criteria

Criteria

• Ages Eligible for Study: 51 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

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

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

• Liu, Liu-Yin

Investigators

• Principal Investigator: liu-yin Liu, The Nursing department of EDAHospital

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

• I will refer to the food composition analysis in the materials, and the part about phosphorus and protein will be the basis of the research.

Publications

None provided.

• Responsible Party: Liu, Liu-Yin, Nurse, E-DA Hospital
• ClinicalTrials.gov Identifier: NCT05897502
• Other Study ID Numbers: EMRP-112-047
• First Posted: Jun 9, 2023
• Last Update Posted: Jun 9, 2023
• Last Verified: Jun 1, 2023

• Individual Participant Data (IPD) Sharing Statement: No
• Plan to Share IPD: No
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Liu, Liu-Yin, Nurse, E-DA Hospital: hemodialysis,nutrition education,The Transtheoretical Model
• Additional relevant MeSH terms: Kidney Diseases; Kidney Failure, Chronic; Hyperphosphatemia

Study Results

No Results Posted as of Jun 9, 2023