Personal digital assistant-based self-monitoring adherence rates in 2 dialysis dietary intervention pilot studies: BalanceWise-HD and BalanceWise-PD.
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Date
2011-10-24
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Abstract
OBJECTIVE 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