10.6084/m9.figshare.5772264.v1
Carmen Tzanno Branco Martins
Carmen Tzanno Branco
Martins
Bárbara Margareth Menardi Biavo
Bárbara Margareth Menardi
Biavo
Clarissa Baia Bargas Uezima
Clarissa Baia Bargas
Uezima
Jacqueline Alves Pereira dos Santos
Jacqueline Alves Pereira dos
Santos
Camila Machado de Barros
Camila Machado de
Barros
Elzo Ribeiro Júnior
Elzo
Ribeiro Júnior
Paul Clesca Troconis
Paul Clesca
Troconis
Cristoforo Scavone
Cristoforo
Scavone
Marcus Vinicius de Souza João Luiz
Marcus Vinicius de Souza João
Luiz
EPIC Trial: education programme impact on serum phosphorous control in CKD 5D patients on hemodialysis
SciELO journals
2018
education
hyperphosphatemia
renal dialysis
2018-01-10 05:53:20
Dataset
https://scielo.figshare.com/articles/dataset/EPIC_Trial_education_programme_impact_on_serum_phosphorous_control_in_CKD_5D_patients_on_hemodialysis/5772264
<div><p>Abstract Introduction: In stage 5D chronic kidney disease (CKD 5D) patients, the encouragement of treatment adherence by health professionals is a significant clinical challenge. Objectives: This study evaluates the impact of a nutritional education programme on hyperphosphatemia, utilizing the transtheoretical model of behavior change (TMBC). Subjects and Methods: A prospective interventional study comprising 179 CKD 5D patients with hypophosphatemia. The 4-month educational programme took place during dialysis sessions. Demographic and laboratory data were evaluated, whilst the TMBC was utilized both pre- and post-intervention. Results: 132 patients showed a positive change and significant reduction in phosphate levels, whilst 47 patients showed a negative change and little reduction in phosphate levels. Positive changes were identified at different levels of literacy. 117/179 participants had ongoing treatment with sevelamer throughout the trial period. 61 patients with intact parathyroid hormone (iPTH) < 300pg/ml showed phosphate level reductions, whilst 118 patients with iPTH > 300 pg/ml also showed a decrease in phosphate levels. Conclusions: Nutritional education programmes can achieve excellent results when appropriately applied. An education programme may be effective across different literacy levels.</p></div>