Abstract
Background
Dietary behavior change interventions for the self-management of chronic kidney disease
(CKD) have the potential to slow disease progression and reduce metabolic complications.
Telehealth-delivered dietary interventions may assist in the self-management of CKD,
although their acceptability by patients is unknown.
Objective
This study aims to describe the acceptability and experiences of a telehealth coaching
intervention that utilized telephone calls and tailored text messages to improve diet
quality in patients with stage 3 to 4 CKD.
Design
Semistructured interview study of adults with CKD.
Participants/setting
Adults with stage 3 to 4 CKD (n=21) aged 28 to 78 (mean 62) years, who completed a
12-week telehealth-delivered dietary intervention in Queensland, Australia, were interviewed
from March to July 2017.
Data analysis
Interviews were transcribed verbatim and analyzed thematically.
Results
Five themes were identified: valuing relationships (receiving tangible and perceptible support, building trust and rapport remotely,
motivated by accountability, readily responding to a personalized approach, reassured
by health professional expertise); appreciating convenience (integrating easily into lifestyle, talking comfortably in a familiar environment,
minimizing travel and wait time burden); empowered with actionable knowledge (comprehending diet-disease mechanisms, practical problem solving for sustainable
dietary behavior); increasing diet consciousness (learning from recurrent feedback, prompted by reiteration of messages); making sense of complexity (contextualizing and prioritizing comorbidities, gaining confidence to make dietary
decisions, setting and achieving realistic goals).
Conclusions
Among adults with stage 3 to 4 CKD, individualized telehealth coaching for improving
diet quality was convenient for patients, and they felt supported and empowered to
navigate recommendations and prioritize dietary behavior changes. Telehealth-delivered
dietary interventions appear to be well accepted by patients as a way of providing
regular, tailored contact with a health professional to support dietary management
in CKD.
Keywords
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Biography
M. M. Warner is accredited practising dietitian, Faculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia.
Biography
J. T. Kelly is accredited practising dietitian, Faculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia.
Biography
A. Tong is an associate professor, Sydney School of Public Health, The University of Sydney, Australia, and from the Centre for Kidney Research, The Children’s Hospital at Westmead, Westmead, Australia.
Biography
K. L. Campbell is an associate professor, Faculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia, and an associate professor, Department of Nutrition and Dietetics, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Article info
Publication history
Published online: April 09, 2019
Accepted:
January 31,
2019
Received:
June 20,
2018
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT This study was supported by a research support grant awarded by Kidney Health Australia via Australasian Kidney Trial Network (AKTN), and a Vice-Chancellors Research Award through Bond University.
Identification
Copyright
© 2019 by the Academy of Nutrition and Dietetics.
