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A preliminary study of PDA-based dietary self-monitoring in hemodialysis patients

Sevick, MA and Piraino, B and Sereika, S and Starrett, T and Bender, C and Bernardini, J and Stark, S and Burke, LE (2005) A preliminary study of PDA-based dietary self-monitoring in hemodialysis patients. Journal of Renal Nutrition, 15 (3). 304 - 311. ISSN 1051-2276

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Abstract

Objective: The purpose of this study was to pilot test an intervention to enhance the adherence of study participants to the hemodialysis dietary regimen. Design: A single case study design was used to examine the potential effectiveness of the intervention over a 4-month period of time. Setting: A dialysis center in southwestern Pennsylvania. Patients: Of the five individuals entered into the study, one was male and four were female, four were black, and one was white. Participants were 63 to 70 years of age, and had been receiving dialysis for a median of 36 months (range, 18 to 84 months). Intervention: The intervention included counseling to enhance self-efficacy, by a renal dietitian, paired with personal digital assistant-based dietary self-monitoring. Participants met twice per week with interventionists during the first 6 weeks, weekly during the second 6-week period, and biweekly in the final 4-week period. Main outcome measures: Monthly laboratory data regarding serum albumin, potassium, and phosphorus levels; Kt/V; and data on average monthly interdialytic weight gain were abstracted from the participants' medical records. C-reactive protein level was determined at baseline and at 4 months. Results: Four of five study participants had an increase in serum albumin level from baseline to their final measurement, and one participant maintained a stable albumin level. Four of five participants also experienced a small increase in serum phosphorus level. Mixed results were obtained with regard to serum potassium and average monthly interdialytic weight gain. Conclusions: Because of the small sample and single case study design, caution must be used in drawing firm conclusions from this study. Data suggest that the intervention may result in improved dietary intake and improved serum albumin levels. With increased dietary intake, serum phosphorus levels may increase. Additional research is needed to determine the potential efficacy and cost-effectiveness of this intervention for improving dietary adherence. © 2005 by the National Kidney Foundation, Inc.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Sevick, MA
Piraino, B
Sereika, Sssereika@pitt.eduSSEREIKA
Starrett, T
Bender, C
Bernardini, J
Stark, S
Burke, LElbu100@pitt.eduLBU100
Date: 1 July 2005
Date Type: Publication
Journal or Publication Title: Journal of Renal Nutrition
Volume: 15
Number: 3
Page Range: 304 - 311
DOI or Unique Handle: 10.1016/j.jrn.2005.04.003
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 1051-2276
MeSH Headings: Aged; Behavior; Computers, Handheld; Diet; Diet Records; Female; Humans; Life Style; Male; Middle Aged; Patient Compliance; Phosphorus--blood; Pilot Projects; Renal Dialysis; Self Care; Serum Albumin--analysis
PubMed ID: 16007560
Date Deposited: 20 Sep 2012 21:13
Last Modified: 03 Feb 2019 02:55
URI: http://d-scholarship.pitt.edu/id/eprint/14296

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