Background: In the early stages of chronic kidney disease (CKD), encouraging health behaviors can help prevent the progression of kidney disease leading to eventual kidney failure. The studies of health education using computer technology have been greatly developed, especially web-based nutrition education.
Objective: To determine the effectiveness of a nutrition education website for CKD patients.
Method: The design of this quasi-experimental research was a group pre-test/post-test. The participants were pre-dialysis CKD patients who were enrolled on the developed website www.banraktai.com. The participants were required to complete an eating behavior questionnaire and knowledge test. They accessed the website for eight weeks, and at week 8, they completed the eating behavior questionnaire and knowledge test again. The main outcomes were the changes in scores of nutrition knowledge and eating behavior that were compared between the baseline and after the intervention using the paired t-test. The correlation between nutrition knowledge scores and eating behavior scores was determined using Spearman’s correlation coefficient.
Results: There were 44 participants that completed the study. The results showed that the participants had significant improvement in both knowledge scores and consumption behavior scores (p < 0.001 and p = 0.041, respectively). However, there was no correlation between the nutrition knowledge scores and the eating behavior scores.
Conclusions: Web-based nutrition education can improve knowledge scores but is not effective enough to encourage and motivate CKD patients to make eating behavior changes.
Direksri S, Chanthapasa K. Explanatory model of chronic kidney disease in perspective of patient. The 4th annual northeast pharmacy research conference of 2012 “Pharmacy Profession in Harmony” February 11-12; Faculty of Pharmaceutical Sciences, Khon Kaen University, Thailand 2012; pp. 72-6.
Jaipear A. Self-care of the patient with end stage chronic renal failure [thesis
Ongsuriyanondh S. Self-care behavior development among chronic renal disease patients, Chaoprayayomraj Hospital, Suphanburi Province. Journal of Public Health and Development 2008; 6(1): 32-8.
Wongjak C. Food consumption habit of patients with chronic renal failure undergoing hemodialysis [thesis
Huang MC, Chen ME, Hung HC, Chen HC, Chang WT, Lee CH, et al. Inadequate energy and excess protein intakes may be associated with worsening renal function in chronic kidney disease. Journal of Renal Nutrition 2008; 18(2): 187-94. https://doi.org/10.1053/j.jrn.2007.08.003
Wedman B. Learning technology for renal dialysis patients. Journal of Medical Education Technology 1990; 1: 29-30.
McMahon GT, Gomes HE, Hohne SH, Hu TM-J, Levine BA, Conlin PR. Web-based care management in patients with poorly controlled diabetes. Diabetes Care 2005; 28(7): 1624-9. https://doi.org/10.2337/diacare.28.7.1624
Aree P, Amaritakomol A, Urharmnuay M. Development of computer assisted instruction program on dietary control regarding ischemic heart disease prevention for high risk patients. Nursing Journal 2013; 40: 45-56.
Lamsaard J, Pongthananikorn S, Theeraroungchaisri A. Development of a chronic kidney disease knowledge website with electronic personal health records for patients. Thai Journal of Pharmaceutical Sciences 2016; 40(Supplement issue): 156-62.
Institute of Nutrition, Mahidol University. Nutrient calculation computer software INMUCAL-Nutrients V3 database NB1, Nakornpathom 2013.
Filipowicz R, Beddhu S. Optimal nutrition for predialysis chronic kidney disease. Advances in Chronic Kidney Disease 2013; 20(2): 175-80. https://doi.org/10.1053/j.ackd.2012.12.007
Carrero JJ, Xu H, Lindholm B. Diet and the progression of chronic kidney disease. In: Turner N, editor. Oxford Textbook of Clinical Nephrology. 4th Ed. New York: Bell & Bain 2015. pp. 793-9.
Supasyndh O. Food, nutrition and chronic kidney disease. Srinagarind Medical Journal 2007; 22: 90-8.
Rattanawarang W. Elderly’s internet usage for health information in Bangkok region. Journal of Behavioral Science for Development 2015; 7(1): 169-85.
Ingsathit A, Thakkinstian A, Chaiprasert A, Sangthawan P, Gojaseni P, Kiattisunthorn K, et al. Prevalence and risk factors of chronic kidney disease in the Thai adult population: Thai SEEK study. Nephrology Dialysis Transplantation 2010; 25(5): 1567-75. https://doi.org/10.1093/ndt/gfp669
Chittinandana A, Chailimpamontree W, Chaloeiphap P. Prevalence of chronic kidney disease in Thai adult population. Journal of the Medical Association of Thailand 2006; 89(2): 112-20.
Domrongkitchaiporn S, Sritara P, Kitiyakara C, Stitchantrakul W, Krittaphol V, Lolekha P. Risk factors for development of decreased kidney function in a Southeast Asian population: A 12-year cohort study. Journal of the American Society of Nephrology 2005; 16(3): 791-9. https://doi.org/10.1681/ASN.2004030208
Wlodarek D, Glabska D, Rojek-Trebicka J. Assessment of diet in chronic kidney disease female predialysis patients. Annals of Agricultural and Environmental Medicine 2014; 21(4): 829-34. https://doi.org/10.5604/12321966.1129942
Iseki K. Body mass index and the risk of chronic renal failure: the Asian experience. Contributions to Nephrology 2006; 151: 42-56. https://doi.org/10.1159/000095318
Shankar A, Leng C, Chia KS, Koh D, Tai S, Saw SM, et al. Association between body mass index and chronic kidney disease in men and women: population-based study of Malay adults in Singapore. Nephrology Dialysis Transplantation 2008; 23(6): 1910-8. https://doi.org/10.1093/ndt/gfm878
Nomura I, Kato J, Kitamura K. Association between body mass index and chronic kidney disease: A population-based, cross-sectional study of a Japanese community. Vascular Health and Risk Management 2009; 5: 315-20.
Campbell KL, Ash S, Davies PSW, Bauer JD. Randomized controlled trial of nutritional counseling on body composition and dietary intake in severe CKD. American Journal of Kidney Diseases 2008; 51(5): 748-58. https://doi.org/10.1053/j.ajkd.2007.12.015
Rattanaruang R, Prapaipanich W, Janepanish P, Lekhyananda S. Effects of a food intake focused on protein promoting program in end-stage renal diseasepatients undergoing hemodialysis. Ramathibodi Nursing Journal 2014; 20(3): 341-55.
Nebel I-T, Blüher M, Starcke U, Müller UA, Haak T, Paschke R. Evaluation of a computer based interactive diabetes education program designed to train the estimation of the energy or carbohydrate contents of foods. Patient Education and Counseling 2002; 46(1): 55-9. https://doi.org/10.1016/S0738-3991(01)00159-8
Chuwong J, Soponsuksatid J. Effects of health education on self – care behaviors of chronic renal failure with hemodialysis patients. Journal of Health Science Research 2011; 5(2): 41-50.
Dori S. Web-based kidney education: supporting patient self-management. Seminars in Dialysis 2013; 26(2): 154-8. https://doi.org/10.1111/sdi.12057
Chan MC, Kelly J, Batterham M, Tapsell L. A high prevalence of abnormal nutrition parameters found in predialysis end-stage kidney disease: is it a result of uremia or poor eating habits? Journal of Renal Nutrition 2014; 24(5): 292-302. https://doi.org/10.1053/j.jrn.2014.03.008
Kopple JD, Greene T, Chumlea WC, Hollinger D, Maroni BJ, Merrill D, et al. Relationship between nutritional status and the glomerular filtration rate: results from the MDRD study. Kidney International 2000; 57(4): 1688-703. https://doi.org/10.1046/j.1523-1755.2000.00014.x
González-Parra E, Gracia-Iguacel C, Egido J, Ortiz A. Phosphorus and nutrition in chronic kidney disease. International Journal of Nephrology 2012; 2012: 597605. https://doi.org/10.1155/2012/597605
Nordin BEC. Calcium and osteoporosis. Nutrition 1997; 13(7-8): 664-86. https://doi.org/10.1016/S0899-9007(97)83011-0
Pongchaiyakul C, Kosulwat V, Charoenkiatkul S, Chailurkit O, Rojroongwasinkul N, Rajatanavin R. The association of dietary calcium, bone mineral density and biochemical bone turnover markers in rural Thai women. Journal of the Medical Association of Thailand 2008; 91(3): 295-302.
Pongchaiyakul C, Charoenkiatkul S, Kosulwat V, Rojroongwasinkul N, Rajatanavin J. Dietary calcium intake among rural Thais in northeastern Thailand. Journal of the Medical Association of Thailand 2008; 91(2): 153-8.
Campbell KL, As S, Davies PSW, Bauer JD. Randomized controlled trial of nutritional counseling on body composition and dietary intake in severe CKD. American Journal of Kidney Diseases 2008; 51(5): 748-58. https://doi.org/10.1053/j.ajkd.2007.12.015
Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL. A self-regulation program for maintenance of weight loss. New England Journal of Medicine 2006; 355(15): 1563-71. https://doi.org/10.1056/NEJMoa061883
McMullan M. Patients using the internet to obtain health information: how this affects patient-health professional relationship. Patient Education and Counseling 2006; 63(1-2). https://doi.org/10.1016/j.pec.2005.10.006
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