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Dietitian-led education program to improve phosphate control in a single-center hemodialysis population.
J Ren Nutr. 2009 Jul; 19(4):314-20.JR

Abstract

OBJECTIVE

We sought to analyze the effect of a structured, dietitian-led education program on patients' general knowledge of phosphate and phosphate binders, and its impact on serum phosphate concentrations in a single-center hemodialysis population.

DESIGN

We compared subjects before and after intervention.

SETTING

This study involved two dialysis units operated by a single center.

PATIENTS

One hundred and fifteen hemodialysis patients consented to participate in this study (54% male; mean age, 61.1 years; 32% Asian). Patients acted as their own controls. One hundred and eight patients completed the study.

INTERVENTION

All patients completed a questionnaire to assess their knowledge of phosphate and phosphate-binder therapy. Small group teaching sessions were then delivered to patients by a single dietitian, with the aid of a hospital interpreter as required. Patients also received information booklets or audio cassettes translated into Urdu. A second identical questionnaire was completed a month later.

MAIN OUTCOME MEASURES

Outcome measures involved pre-education and posteducation knowledge scores, monthly measurements of serum phosphate, calcium, and mean Kt/V, and parathyroid hormone concentrations every 3 months during the 5 month run-in period and subsequent 5-month study period.

RESULTS

The education program significantly improved patients' general knowledge of phosphate and of phosphate-binders (P < .001), especially in patients with a low pretest score and those of South Asian origin. This result was associated with a significant reduction in serum phosphate in patients with hyperphosphatemia (P = .032).

CONCLUSIONS

These findings suggest that a combination of educational initiatives is effective in enhancing patients' knowledge of phosphate and phosphate-binders, and consequently in improving serum phosphate levels in patients with hyperphosphatemia.

Authors+Show Affiliations

Department of Renal Medicine, Bradford Teaching Hospitals National Health Service Trust, St. Luke's Hospital, Bradford, United Kingdom. veena.reddy@sth.nhs.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19539185

Citation

Reddy, Veena, et al. "Dietitian-led Education Program to Improve Phosphate Control in a Single-center Hemodialysis Population." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 19, no. 4, 2009, pp. 314-20.
Reddy V, Symes F, Sethi N, et al. Dietitian-led education program to improve phosphate control in a single-center hemodialysis population. J Ren Nutr. 2009;19(4):314-20.
Reddy, V., Symes, F., Sethi, N., Scally, A. J., Scott, J., Mumtaz, R., & Stoves, J. (2009). Dietitian-led education program to improve phosphate control in a single-center hemodialysis population. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 19(4), 314-20. https://doi.org/10.1053/j.jrn.2008.11.001
Reddy V, et al. Dietitian-led Education Program to Improve Phosphate Control in a Single-center Hemodialysis Population. J Ren Nutr. 2009;19(4):314-20. PubMed PMID: 19539185.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietitian-led education program to improve phosphate control in a single-center hemodialysis population. AU - Reddy,Veena, AU - Symes,Fiona, AU - Sethi,Neeraj, AU - Scally,Andrew J, AU - Scott,Judith, AU - Mumtaz,Ramla, AU - Stoves,John, PY - 2008/02/14/received PY - 2009/6/23/entrez PY - 2009/6/23/pubmed PY - 2009/8/28/medline SP - 314 EP - 20 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 19 IS - 4 N2 - OBJECTIVE: We sought to analyze the effect of a structured, dietitian-led education program on patients' general knowledge of phosphate and phosphate binders, and its impact on serum phosphate concentrations in a single-center hemodialysis population. DESIGN: We compared subjects before and after intervention. SETTING: This study involved two dialysis units operated by a single center. PATIENTS: One hundred and fifteen hemodialysis patients consented to participate in this study (54% male; mean age, 61.1 years; 32% Asian). Patients acted as their own controls. One hundred and eight patients completed the study. INTERVENTION: All patients completed a questionnaire to assess their knowledge of phosphate and phosphate-binder therapy. Small group teaching sessions were then delivered to patients by a single dietitian, with the aid of a hospital interpreter as required. Patients also received information booklets or audio cassettes translated into Urdu. A second identical questionnaire was completed a month later. MAIN OUTCOME MEASURES: Outcome measures involved pre-education and posteducation knowledge scores, monthly measurements of serum phosphate, calcium, and mean Kt/V, and parathyroid hormone concentrations every 3 months during the 5 month run-in period and subsequent 5-month study period. RESULTS: The education program significantly improved patients' general knowledge of phosphate and of phosphate-binders (P < .001), especially in patients with a low pretest score and those of South Asian origin. This result was associated with a significant reduction in serum phosphate in patients with hyperphosphatemia (P = .032). CONCLUSIONS: These findings suggest that a combination of educational initiatives is effective in enhancing patients' knowledge of phosphate and phosphate-binders, and consequently in improving serum phosphate levels in patients with hyperphosphatemia. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/19539185/Dietitian_led_education_program_to_improve_phosphate_control_in_a_single_center_hemodialysis_population_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(08)00458-5 DB - PRIME DP - Unbound Medicine ER -