Personal digital assistant-based self-monitoring adherence rates in 2 dialysis dietary intervention pilot studies: BalanceWise-HD and BalanceWise-PD

Susan Stark; Linda Snetselaar; Beth Piraino; Roslyn A Stone; Sunghee Kim; Beth Hall; Lora E Burke; Mary Ann Sevick

doi:10.1053/j.jrn.2010.10.026

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Personal digital assistant-based self-monitoring adherence rates in 2 dialysis dietary intervention pilot studies: BalanceWise-HD and BalanceWise-PD

Journal article

Peer reviewed

Personal digital assistant-based self-monitoring adherence rates in 2 dialysis dietary intervention pilot studies: BalanceWise-HD and BalanceWise-PD

Susan Stark, Linda Snetselaar, Beth Piraino, Roslyn A Stone, Sunghee Kim, Beth Hall, Lora E Burke and Mary Ann Sevick

Journal of renal nutrition, Vol.21(6), pp.492-498

11/2011

DOI: 10.1053/j.jrn.2010.10.026

PMCID: PMC3625925

PMID: 21420316

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https://www.ncbi.nlm.nih.gov/pmc/articles/3625925View

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Abstract

The dialysis dietary regimen is complicated, and computer-based dietary self-monitoring may be useful for helping dialysis patients manage their dietary regimen. In this report, we describe dietary self-monitoring rates among study participants randomized to the intervention arms of 2 pilot studies. Both studies tested similar interventions involving dietary counseling paired with personal digital assistant-based self-monitoring. One study was performed in hemodialysis (HD) and one in peritoneal dialysis (PD) patients. HD intervention participants entered an average of 244.9 meals (median = 288; interquartile range [IQR]: 186 to 342) over the 16-week intervention, 2.2 meals per day (median = 2.6; IQR: 1.7 to 3.1), and 73% of expected meals (median = 86; IQR: 55 to 102), assuming intake of 3 meals per day. At least some meals were entered in 87% of the observed weeks (median = 100%; IQR: 81 to 100). PD intervention participants entered an average of 212.1 meals (median = 203; IQR: 110 to 312) over the 16-week intervention, 1.9 meals per day (median = 1.8; IQR: 1 to 2.8), and 63% of expected meals (median = 60; IQR: 33 to 93), assuming 3 meals per day. At least some meals were entered in 80% of the observed weeks (median = 94; IQR: 50 to 100). These HD and PD patients demonstrated excellent rates of self-monitoring. Additional research with a larger sample is required to confirm these findings.

Computers, Handheld

Humans

Middle Aged

Feeding Behavior

Male

Energy Intake

Pilot Projects

Diet

Peritoneal Dialysis

Adult

Female

Aged

Patient Compliance

Self Care

Renal Dialysis

Details

Title: Subtitle: Personal digital assistant-based self-monitoring adherence rates in 2 dialysis dietary intervention pilot studies: BalanceWise-HD and BalanceWise-PD
Creators: Susan Stark - Center for Research on Health Care, Department of Medicine, University of Pittsburgh, Pennsylvania. starsa2@upmc.edu
Linda Snetselaar
Beth Piraino
Roslyn A Stone
Sunghee Kim
Beth Hall
Lora E Burke
Mary Ann Sevick
Resource Type: Journal article
Publication Details: Journal of renal nutrition, Vol.21(6), pp.492-498
DOI: 10.1053/j.jrn.2010.10.026
PMID: 21420316
PMCID: PMC3625925
NLM abbreviation: J Ren Nutr
ISSN: 1051-2276
eISSN: 1532-8503
Publisher: United States
Grant note: R21 DK067181 / NIDDK NIH HHS GCRC-M01- RR000056. / NCRR NIH HHS DK-R21DK067181 / NIDDK NIH HHS UL1 RR024153 / NCRR NIH HHS M01 RR000056 / NCRR NIH HHS K24 NR012226 / NINR NIH HHS CTSA-UL1-RR024153 / NCRR NIH HHS
Language: English
Date published: 11/2011
Academic Unit: Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
Record Identifier: 9983995103002771

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