Advertisement

Topics

Facilitating Improvements in Kidney Health Using a Smartphone App Counseling Program in Patients With Diabetes

2017-01-11 03:38:21 | BioPortfolio

Summary

This study will test the effectiveness of remotely delivered medical nutrition therapy (MNT), focused on increasing fruit/vegetable intake, and decreasing sodium and red/processed meat intake, in the treatment of patients with stage 1-2 chronic kidney disease (CKD) and diabetes.

Description

Participants with diabetes and early CKD (stage 1-2) will be invited to participate in a prospective matched cohort study design to evaluate the effectiveness of an intensive remote dietary counseling program on kidney health. A total of 40 diabetic patients with early CKD and Geisinger Health Plan (GHP) insurance will be recruited for the intensive dietary modification, which will consist of having the patients complete a weekly telephone visit with the dietician as well as enter dietary information on the MyFitnessPal mobile app or website for a total of 8 weeks. To increase generalizability of this study, the investigators will recruit 20 patients with smartphone/internet access and 20 patients who have internet but no smartphone access. During the following year, patients will receive a bi-annual phone call to review participants progress. The need for further intensive weekly counseling will be assessed by the dietician and provided if indicated. Each intervention patient will be matched by demographics and comorbidities to 5 control patients with diabetes, early CKD and GHP insurance, who have previously been seen by a nutritionist at Geisinger. Control patients will receive no specific intervention.

Aim 1 - The investigators will examine whether remotely delivered MNT can improve dietary quality over a 12-month period.

Aim 2 - The investigators will compare rates of eGFR (estimated glomerular filtration rate) decline in study participants over a 3-year period, compared to a matched cohort who receive standard care.

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Conditions

Chronic Kidney Disease

Intervention

MyFitnessPal, Control

Status

Not yet recruiting

Source

Geisinger Clinic

Results (where available)

View Results

Links

Published on BioPortfolio: 2017-01-11T03:38:21-0500

Clinical Trials [2321 Associated Clinical Trials listed on BioPortfolio]

Loop Diuretics in Chronic Kidney Disease

The purpose of this study is to verify the efficacy of diuretic therapy on blood pressure control and left ventricular mass in patients affected by chronic kidney disease

Low Phosphate Diets in Patients With Early Stages of Chronic Kidney Disease

The purpose of this study is to learn more about how the kidneys control the blood levels of phosphorus in patients with early chronic kidney disease. The ultimate goal is to use this inf...

Study of Protective Effects of Paricalcitol on Inner Layer of Vessels and Its Protective Effect on Inflammation

The study is about possible protective effects of paricalcitol (Zemplar) upon inflammation, blood pressure and kidney function. Kidney Inflammation occurs when white blood cells become abn...

Evaluation of the Risk of NSF Following ProHance Injection in Patients With Chronic Kidney Disease

The objective of this long term study is to prospectively compare the incidence of NSF in two cohorts (Cohort 1- patients with moderate chronic kidney disease eGFR 30-59 and Cohort 2- pati...

Evaluation of the Risk of NSF Following MultiHance Injection in Patients With Chronic Kidney Disease

The objective of this long-term study is to prospectively compare the incidence of NSF in two cohorts (Cohort 1 - patients with moderate chronic kidney disease eGFR 30 to 59 and Cohort 2 -...

PubMed Articles [31414 Associated PubMed Articles listed on BioPortfolio]

Effectiveness of an educational intervention (the Encourage Autonomous Self-Enrichment Program) in patients with chronic kidney disease: A randomized controlled trial.

Self-management is an important step toward preventing and impeding the progression of chronic kidney disease. However, patients with chronic kidney disease may have few or no subjective symptoms and ...

Association of Intensive Blood Pressure Control and Kidney Disease Progression in Nondiabetic Patients With Chronic Kidney Disease: A Systematic Review and Meta-analysis.

The optimal blood pressure (BP) target remains debated in nondiabetic patients with chronic kidney disease (CKD).

Announcement: National Kidney Month - March 2017.

Each year, March is designated National Kidney Month to raise awareness about the prevention and early detection of kidney disease. In the United States, kidney disease is the ninth leading cause of d...

Evidence-based treatment of chronic kidney disease.

Chronic kidney disease is prevalent among adults in the United States. To aid in diagnosis and treatment, the Kidney Disease: Improving Global Outcomes 2012 Clinical Practice Guideline for the Evaluat...

Managing hypertension in patients with chronic kidney disease - implications of the SPRINT study.

Optimal blood pressure control is a key measure in slowing the progression of kidney disease and reducing the cardiovascular risk in patients with chronic kidney disease, although the target BP remain...

Medical and Biotech [MESH] Definitions

Conditions in which the KIDNEYS perform below the normal level for more than three months. Chronic kidney insufficiency is classified by five stages according to the decline in GLOMERULAR FILTRATION RATE and the degree of kidney damage (as measured by the level of PROTEINURIA). The most severe form is the end-stage renal disease (CHRONIC KIDNEY FAILURE). (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002)

The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.

Abnormal enlargement or swelling of a KIDNEY due to dilation of the KIDNEY CALICES and the KIDNEY PELVIS. It is often associated with obstruction of the URETER or chronic kidney diseases that prevents normal drainage of urine into the URINARY BLADDER.

A severe irreversible decline in the ability of kidneys to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. Renal failure, either acute (KIDNEY FAILURE, ACUTE) or chronic (KIDNEY FAILURE, CHRONIC), requires HEMODIALYSIS.

A chronic inflammatory condition of the KIDNEY resulting in diffuse renal destruction, a grossly enlarged and nonfunctioning kidney associated with NEPHROLITHIASIS and KIDNEY STONES.

More From BioPortfolio on "Facilitating Improvements in Kidney Health Using a Smartphone App Counseling Program in Patients With Diabetes"

Quick Search
Advertisement
 

Relevant Topics

Public Health
Alternative Medicine Cleft Palate Complementary & Alternative Medicine Congenital Diseases Dentistry Ear Nose & Throat Food Safety Geriatrics Healthcare Hearing Medical Devices MRSA Muscular Dyst...

Nutrition
Within medicine, nutrition (the study of food and the effect of its components on the body) has many different roles. Appropriate nutrition can help prevent certain diseases, or treat others. In critically ill patients, artificial feeding by tubes need t...

Nephrology - kidney function
Nephrology is a specialty of medicine and pediatrics that concerns itself with the study of normal kidney function, kidney problems, the treatment of kidney problems and renal replacement therapy (dialysis and kidney transplantation). Systemic conditions...


Searches Linking to this Trial