Browsing by Author "Stark, Susan"
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- ItemPersonal digital assistant-based self-monitoring adherence rates in 2 dialysis dietary intervention pilot studies: BalanceWise-HD and BalanceWise-PD.(2011-10-24) Stark, Susan; Snetselaar, Linda; Piraino, Beth; Stone, Roslyn A; Kim, Sunghee; Hall, Beth; Burke, Lora E; Sevick, Mary AnnOBJECTIVE 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 METHODS 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 RESULTS 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 CONCLUSION These HD and PD patients demonstrated excellent rates of self monitoring Additional research with a larger sample is required to confirm these findings
- ItemA preliminary study of PDA-based dietary self-monitoring in hemodialysis patients.(2005-07-11) Sevick, Mary Ann; Piraino, Beth; Sereika, Susan; Starrett, Terry; Bender, Catherine; Bernardini, Judith; Stark, Susan; Burke, Lora EOBJECTIVE The purpose of this study was to pilot test an intervention to enhance the adherence of study participants to the hemodialysis dietary regimen DESIGN A single case study design was used to examine the potential effectiveness of the intervention over a 4 month period of time SETTING A dialysis center in southwestern Pennsylvania PATIENTS Of the five individuals entered into the study one was male and four were female four were black and one was white Participants were 63 to 70 years of age and had been receiving dialysis for a median of 36 months range 18 to 84 months INTERVENTION The intervention included counseling to enhance self efficacy by a renal dietitian paired with personal digital assistant based dietary self monitoring Participants met twice per week with interventionists during the first 6 weeks weekly during the second 6 week period and biweekly in the final 4 week period MAIN OUTCOME MEASURES Monthly laboratory data regarding serum albumin potassium and phosphorus levels Kt V and data on average monthly interdialytic weight gain were abstracted from the participants medical records C reactive protein level was determined at baseline and at 4 months RESULTS Four of five study participants had an increase in serum albumin level from baseline to their final measurement and one participant maintained a stable albumin level Four of five participants also experienced a small increase in serum phosphorus level Mixed results were obtained with regard to serum potassium and average monthly interdialytic weight gain CONCLUSIONS Because of the small sample and single case study design caution must be used in drawing firm conclusions from this study Data suggest that the intervention may result in improved dietary intake and improved serum albumin levels With increased dietary intake serum phosphorus levels may increase Additional research is needed to determine the potential efficacy and cost effectiveness of this intervention for improving dietary adherence
- ItemSelf-monitoring dietary intake: current and future practices.(2005-07-11) Burke, Lora E; Warziski, Melanie; Starrett, Terry; Choo, Jina; Music, Edvin; Sereika, Susan; Stark, Susan; Sevick, Mary AnnThis article reviews the literature on the use of paper diaries for self monitoring food intake identifies the strengths and limitations of paper and pencil diaries and their new counterpart the electronic diary or personal digital assistant PDA and reports how participants were trained to use a PDA with dietary software in two pilot studies one with hemodialysis patients and the other with participants in a weight loss study The report of the pilot studies focuses on the practical issues encountered in training participants in the use of a PDA and addresses the pros and cons of different dietary software programs Six hemodialysis patients were trained in the first study and seven participants attempting to lose or maintain their weight were trained in the second pilot study The training focused on how to use a PDA and how to navigate the dietary software to self monitor food intake The goals of using the PDA were to improve adherence to the therapeutic diets and to self monitoring Lessons learned from the pilot studies are shared