Jaimon T Kelly|Molly Warner|Marguerite Conley|Dianne Reidlinger|Tammy Hoffmann|Jonathan C. Craig|Allison Tong|Marina M. Reeves|David W. Johnson|Suetonia C. Palmer|Katrina L. Campbell
Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: a mixed-methods process evaluation
Bond University|Bond University|Bond University|Bond University|Flinders University|University of Sydney|Sydney Local Health District|Kidney Research UK|Children's Hospital at Westmead|University of Sydney|Sydney Local Health District|University of Queensland|Translational Research Institute|Kidney Research UK|University of Queensland|University of Otago|Bond University
objective evaluate feasibility acceptability personalised telehealth intervention support dietary selfmanagement adults stage 34 chronic kidney disease ckd design mixedmethods process evaluation embedded randomised controlled trial participants people stage 34 ckd estimated glomerular filtration rate egfr1560 mlmin173 2 setting participants recruited three hospitals australia completed intervention ambulatory community settings intervention intervention group received one telephone call per fortnight 28 tailored text messages 3 months 412 tailored text messages 3 months without telephone calls control group received usual care 3 months nontailored educationonly text messages 3 months main outcome measures feasibility recruitment nonparticipation retention rates intervention fidelity participant adherence acceptability questionnaire semistructured interviews statistical analyses performed descriptive statistics qualitative content analysis results overall 80230 35 eligible patients approached consented participate meansd age 615126 years retention 93 98 intervention control groups respectively 96 planned intervention calls completed participants intervention arm identified tailored text messages useful supporting dietary selfmanagement control group 27 69 reported nontailored text messages useful supporting change intervention group participants reported telehealth programme delivery methods practical able integrated lifestyle participants viewed intervention acceptable personalised alternative faceface clinic consultations satisfied frequency contact conclusions telehealthdelivered dietary coaching programme acceptable intervention appears feasible supporting dietary selfmanagement stage 34 ckd largerscale randomised controlled trial needed evaluate efficacy coaching programme clinical patientreported outcomes trial registration number actrn12616001212448 results