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| Name | Class |
|---|---|
| Johns Hopkins University | OTHER |
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This pilot study tests the feasibility of dietary app-supported tele-counseling in the treatment of patients with stage 1-3a chronic kidney disease (CKD) and diabetes.
Patients with diabetes and stage 1-3a CKD receive instructions on downloading and using MyFitnessPal on their smartphone or computer to log meal data daily, weekly website educational materials, and weekly telephone visits with a dietician for 8 weeks. Patients receive a follow-up phone call from the dietitian and 5 and 11 months for further support and counseling, and are also invited to attend a local dietitian-led grocery tour. This pilot study examines the feasibility of dietary app-supported tele-counseling in the treatment of patients with stage 1-3a chronic kidney disease (CKD) and diabetes.
Main outcomes include sodium intake assessed by 24 hour urine collection as well as other dietary measures related to kidney disease (sodium/potassium ratio, Healthy Eating Index score, 24-hour urine phosphorus, estimated net endogenous acid production) and health measures (24-hour ambulatory blood pressure, weight, albumin/creatinine ratio)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Remote counseling | Experimental | This group of people will be asked to track dietary information on MyFitnessPal and receive remote dietary counseling with a dietitian. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Remote counseling | Behavioral | For an 8 week period, patients will be asked to enter dietary information into the MyFitnessPal mobile application or website. Dietitians will access this information and provide personalized motivational interview phone calls on a weekly basis. After the initial 8 weeks, patients will receive a dietitian follow-up phone call around 5 and 11 months later. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in 24-hour urine sodium | unadjusted and adjusted for creatinine excretion | baseline to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in 24-hour Ambulatory Systolic Blood Pressure | baseline to 12 months | |
| Change in urine sodium/potassium ratio | baseline to 12 months | |
| Change in Healthy Eating Index (HEI) score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alex Chang, MD | Geisinger Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geisinger Medical Center | Danville | Pennsylvania | 17822 | United States | ||
| Geisinger Wyoming Valley Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34649784 | Derived | Schrauben SJ, Inamdar A, Yule C, Kwiecien S, Krekel C, Collins C, Anderson C, Bailey-Davis L, Chang AR. Effects of Dietary App-Supported Tele-Counseling on Sodium Intake, Diet Quality, and Blood Pressure in Patients With Diabetes and Kidney Disease. J Ren Nutr. 2022 Jan;32(1):39-50. doi: 10.1053/j.jrn.2021.08.006. Epub 2021 Oct 11. |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D003920 | Diabetes Mellitus |
| D000419 | Albuminuria |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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|
Assessed by three 24-hour dietary recalls obtained by phone at each time point |
| baseline to 12 months |
| Change in 24-hour Urine Albumin Excretion | unadjusted and adjusted for creatinine excretion | baseline to 12 months |
| Change in weight | baseline to 12 months |
| Change in 24-hour urine phosphorus | unadjusted and adjusted for creatinine excretion | baseline to 12 months |
| Change in Net Endogenous Acid Production (NEAP) | NEAP (mEq/d) = -10.2 + 54.5 (protein [g/d]/potassium [mEq/d]) | baseline to 12 months |
| Wilkes-Barre |
| Pennsylvania |
| 18711 |
| United States |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D011507 | Proteinuria |
| D014555 | Urination Disorders |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |