OBJECTIVE: To examine the effect of self-management dietary counselling (SMDC) on adherence to dietary management of hyperphosphatemia among haemodialysis patients. DESIGN: An eight-week cluster based randomised control trial. PARTICIPANTS: 122 stable adult patients were recruited from an HD unit in Sidon, Lebanon. Study groups were: full intervention (A) (n = 41), partial intervention (B) (n = 41) and control (C) (n = 40). INTERVENTION: Group (A) received SMDC, Group (B) received educational games only and Group (C) did not receive any research intervention. MAIN OUTCOME MEASURES: Serum phosphorus (P), Calcium Phosphate product (Ca × P) and two questionnaires: patient knowledge (PK) and dietary non-adherence (PDnA) to P reduced diet. RESULTS: Group A experienced a significant improvement in mean (± SD) P (6.54 ± 2.05 - 5.4 ± 1.97 mg/dl), Ca × P (58 ± 17 - 49 ± 12), PK scores (50 ± 17 - 69 ± 25%) and PDnA scores (21.4 ± 4.0 - 18.3 ± 2.0). Group B experienced a significant improvement in Ca × P (52 ± 14-45 ± 16). Group C did not experience any significant change post intervention. CONCLUSION: Our findings demonstrate the importance of patient-tailored counselling on serum P management.
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Karavetian et al. (2012) studied this question.
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