Targeted, structured text messaging to improve dietary and lifestyle behaviours for people on maintenance haemodialysis (KIDNEYTEXT): study protocol for a randomised controlled trial.

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  • Additional Information
    • Source:
      Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
    • Subject Terms:
      Renal Dialysis*/psychology; Health Promotion/*methods ; Patient Acceptance of Health Care/*statistics & numerical data ; Patient Satisfaction/*statistics & numerical data ; Text Messaging/*statistics & numerical data; Adult ; Cell Phone ; Feasibility Studies ; Female ; Humans ; Male ; Randomized Controlled Trials as Topic ; Risk Reduction Behavior
    • Abstract:
      Introduction: Managing nutrition is critical for reducing morbidity and mortality in patients on haemodialysis but adherence to the complex dietary restrictions remains problematic. Innovative interventions to enhance the delivery of nutritional care are needed. The aim of this phase II trial is to evaluate the feasibility and effectiveness of a targeted mobile phone text messaging system to improve dietary and lifestyle behaviours in patients on long-term haemodialysis.
      Methods and Analysis: Single-blinded randomised controlled trial with 6 months of follow-up in 130 patients on haemodialysis who will be randomised to either standard care or KIDNEYTEXT. The KIDNEYTEXT intervention group will receive three text messages per week for 6 months. The text messages provide customised dietary information and advice based on renal dietary guidelines and general healthy eating dietary guidelines, and motivation and support to improve behaviours. The primary outcome is feasibility including recruitment rate, drop-out rate, adherence to renal dietary recommendations, participant satisfaction and a process evaluation using semistructured interviews with a subset of purposively sampled participants. Secondary and exploratory outcomes include a range of clinical and behavioural outcomes and a healthcare utilisation cost analysis will be undertaken.
      Ethics and Dissemination: The study has been approved by the Western Sydney Local Health District Human Research Ethics Committee-Westmead. Results will be presented at scientific meetings and published in peer-reviewed publications.
      Trial Registration Number: ACTRN12617001084370; Pre-results.
      Competing Interests: Competing interests: KS has received speaker’s honoraria from Baxter Healthcare, Roche, Amgen and Boehringer Ingelheim and conference or meeting sponsorships from Shire, Roche, Boehringer Ingelheim, Amgen, Sanofi and Novartis.
      (© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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    • Contributed Indexing:
      Keywords: dialysis; dietary intervention; nutrition; telemedicine
    • Molecular Sequence:
      ANZCTR ACTRN12617001084370
    • Publication Date:
      Date Created: 20190508 Date Completed: 20200427 Latest Revision: 20200427
    • Publication Date:
      20231215
    • Accession Number:
      PMC6502028
    • Accession Number:
      10.1136/bmjopen-2018-023545
    • Accession Number:
      31061013