Effects of Dietary App-Supported Tele-Counseling on Sodium Intake, Diet Quality, and Blood Pressure in Patients With Diabetes and Kidney Disease

Schrauben, Sarah J.; Inamdar, Apurva; Yule, Christina; Kwiecien, Sara; Krekel, Caitlin; Collins, Charlotte; Anderson, Cheryl A.M.; Bailey‐Davis, Lisa; Chang, Alexander R.

doi:10.1053/j.jrn.2021.08.006

Cited by 22 publications

(19 citation statements)

References 44 publications

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“…Telephone-based nutrition education is limited because it only involves communication through audio information using a microphone and speaker. In a previous study [ 24 ], telephone-based telenutrition education did not improve dietary self-management, such as salt intake. In contrast, in this study, videoconferencing-based telenutrition education improved energy and salt intake in people with T2DM.…”

Section: Discussionmentioning

confidence: 95%

Telenutrition Education Is Effective for Glycemic Management in People with Type 2 Diabetes Mellitus: A Non-Inferiority Randomized Controlled Trial in Japan

Mori,

Taniguchi,

Tamaki

et al. 2024

Nutrients

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This study examined the non-inferior efficacy of telenutrition education compared with face-to-face nutrition education in managing glycemic control in people with type 2 diabetes mellitus (T2DM). Participants had T2DM and a glycated hemoglobin (HbA1c) ranged 6.5–9.5%. Thirty participants were randomly assigned to either the telenutrition or face-to-face nutrition education group. During the 32-week intervention period, the participants received four sessions on nutrition education from a registered dietitian at the hospital. The telenutrition group received remote education via a videoconferencing platform. Face-to-face nutrition education was conducted using paper-based instructions. The main outcome measure was the non-inferiority of HbA1c levels in the telenutrition group compared to the face-to-face nutrition group. The non-inferiority of telenutrition education was considered valid if the intergroup difference in the mean values of the change in HbA1c had a bilateral 95% confidence interval (CI) upper limit below 0.40%. The intergroup difference in the mean HbA1c change from baseline to the fourth nutrition education session was −0.11 (95% CI −0.54–0.32) for both groups. The upper limit of the bilateral 95% CI was 0.32%, which was below the 0.40% non-inferiority margin (non-inferiority test; p = 0.011). Telenutrition education was not inferior to face-to-face nutrition education for glycemic management in people with T2DM.

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Section: Discussionmentioning

confidence: 95%

Telenutrition Education Is Effective for Glycemic Management in People with Type 2 Diabetes Mellitus: A Non-Inferiority Randomized Controlled Trial in Japan

Mori,

Taniguchi,

Tamaki

et al. 2024

Nutrients

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“…This is similar to the findings of an intervention study that used telehealth to deliver MI to patients which found a significant reduction in salt intake by 638 mg/day from a baseline of 2,919 mg/day ( P < .001). 57…”

Section: Discussionmentioning

confidence: 99%

“…56 MI through telephone counselling was also found to significantly reduce SDP and DBP at 12 months from baseline by 5.7 mm Hg and 4.1mmhg respectively. 57 A systematic review and meta-analysis on the effect of motivational interview and blood pressure control found a statistically significantly greater reduction in systolic blood pressure (P = 0.001) in intervention programmes incorporating MI compared with no intervention or minimal intervention. The study also found programmes incorporating MI having statistically significantly greater reduction in systolic blood pressure (P = 0.040) compared to programmes with lower intensity interventions.…”

Section: Discussionmentioning

confidence: 99%

Effect of motivational interviewing on lifestyle modification among patients with hypertension attending the family medicine clinics of Irrua Specialist Teaching Hospital, Irrua, Nigeria – A randomized controlled trial (MILMAPH Study)

Oseni,

Oku,

Monye

et al. 2024

Preprint

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Background Lifestyle modification has been shown to improve blood pressure (BP) control, but its practice is poor among patients with hypertension. Thus, measures that would help patients with hypertension achieve positive lifestyle modification would improve BP control. The study aimed to determine the effect of motivational interviewing on lifestyle modification and blood pressure control among patients with hypertension attending the Family Medicine Clinics of Irrua Specialist Teaching Hospital (ISTH), Irrua, Nigeria. Methods The study was a randomised control trial (PACTR202301917477205) of 250 hypertensive adults between 18 and 65 years presenting to the Family Medicine Clinics of ISTH randomised into intervention and control groups. Those in the intervention group were given monthly motivational interviewing (MI) on lifestyle modification in addition to standard care for the management of hypertension while those in the control group got standard care only for 6 months. Both groups were assessed at baseline and 6 months. Data was analysed with Stata version 17 (StataCorp LLC) with level of significance at 0.05. Primary outcome was lifestyle modification while secondary outcome was BP control both at 6 months. Results The age of the participants ranged from 24 to 65 years with a mean age of 51.5 ± 10.0 years. The blood pressure control at baseline was 24%. At the end of the six-month study, there was a statistically significant improvement in the lifestyle pattern of the intervention group compared to control except smoking in which the difference was not statistically significant (p=0.150). Blood pressure control significantly improved from 24% at baseline to 48% post-intervention (p=0.014). Conclusion The study found a significant positive association between motivational interviewing and lifestyle modification. The study also found a significant improvement in blood pressure control following motivational interviewing. There is a need to incorporate motivational interviewing into the management of hypertension for better outcomes.

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“…Kelly's study on coaching to promote healthy eating in patients by phone and text message was an available intervention that appears feasible for supporting dietary self-management in stage 3-4 CKD [23]. Blood pressure [24] and diet quality [25] of early patients were effectively improved after shortterm, intensive and remote dietary APP intervention, decreased acid production and potentially mitigated CKD progression [26]. These ndings demonstrate that app intervention can improve patients' self-care and medication adherence by providing appropriate lifestyle, nutrition and medication guidance.…”

Section: Discussionmentioning

confidence: 99%

Impact of Mobile Application and Outpatient Follow-up on Renal Endpoints and Physiological Indices in Patients with Chronic Kidney Disease: A Retrospective Cohort Study in Southwest China

Shi

Peng

et al. 2023

Preprint

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Background Chronic kidney disease (CKD) is a significant public health concern, and patient self-management is an effective approach to manage the condition. However, there is little evidence on the effectiveness of mobile app for self-management interventions among Chinese CKD patients. This study aimed to investigate whether using a mobile application combined with traditional outpatient follow-up can improve health outcomes of CKD patients. Methods This retrospective cohort study recruited CKD patients with stage 1–5 who were not receiving renal replacement therapy from a CKD management center. Two groups were established: the APP + outpatient follow-up group and the traditional outpatient follow-up group. Baseline data was collected from January 2015 to December 2019, followed by a three-year long-term follow-up until December 2022. Laboratory data, all-cause mortality, and renal replacement treatment were then collected and compared between the two groups. Results 5326 patients were included in the study, including 2492 in the APP + outpatient group and 2834 in the traditional outpatient group. After IPTW virtualization matching, the final matched the APP + outpatient group consisted of 2489 cases (IQR, 33–55) and 2850 (IQR, 33–55) in the traditional outpatient group. By the end of the study, it was observed that the laboratory data of Phosphorus, Sodium, Triglyceride, Hemoglobin showed significant improvements, Furthermore the APP + outpatient group demonstrated superior results compared to the traditional outpatient group (P < .05). And it was observed that there were 34 deaths (1.4%) in the APP + outpatient group and 46 deaths (1.6%) in the traditional outpatient group(P = .49). After matching for renal replacement therapy outcomes, the two groups were found to be comparable (95% CI [0.72–1.08], P = .23), with no significant difference. However, it was noted that the traditional outpatient group had a lower incidence of using temporary catheters during initial hemodialysis (95% CI [8.4%-29.8%], P < .001). Conclusion The development and application of an app combined with outpatient follow-up management can improve patient health outcomes. However, to ensure optimal preparation for kidney replacement therapy, patients in CKD stages 4–5 may require more frequent traditional outpatient follow-ups, and further develop an information-based decision-making support tool for renal replacement therapy.

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Effects of Dietary App-Supported Tele-Counseling on Sodium Intake, Diet Quality, and Blood Pressure in Patients With Diabetes and Kidney Disease

Cited by 22 publications

References 44 publications

Telenutrition Education Is Effective for Glycemic Management in People with Type 2 Diabetes Mellitus: A Non-Inferiority Randomized Controlled Trial in Japan

Telenutrition Education Is Effective for Glycemic Management in People with Type 2 Diabetes Mellitus: A Non-Inferiority Randomized Controlled Trial in Japan

Effect of motivational interviewing on lifestyle modification among patients with hypertension attending the family medicine clinics of Irrua Specialist Teaching Hospital, Irrua, Nigeria – A randomized controlled trial (MILMAPH Study)

Impact of Mobile Application and Outpatient Follow-up on Renal Endpoints and Physiological Indices in Patients with Chronic Kidney Disease: A Retrospective Cohort Study in Southwest China

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