EFFECTIVENESS OF A LINE APPLICATION TOGETHER WITH TELEPHONE-BASED CONSULTATION AND EDUCATION PROGRAM ON THE DIETARY KNOWLEDGE AND BEHAVIOR AMONG CAREGIVERS OF END-STAGE RENAL DISEASE PATIENTS ON HEMODIALYSIS
Keywords:Knowledge, Behavior, Nutrition, Line, Tele, ESRD, Caregivers
This study aimed to evaluate the effectiveness of a Line application-based consultation and education program combined with tele-counseling on improving nutritional knowledge and dietary behavior among 68 Caregivers of Caregivers of ESRD patients on hemodialysis in Chiang Mai Province, Thailand. Participants were purposively sampled and assigned to either a control group (n=34) or an intervention group (n=34) using a matched-pair technique. The intervention group underwent an 8-week educational program through the Line application and tele-counseling, while the control group received no intervention. Results demonstrated a significant improvement in both dietary knowledge and behavior scores in the intervention group compared to the control group (p < 0.05). Specifically, the post-test average scores for dietary knowledge in the experimental group increased from 14.76 (SD = 2.72) to 17.97 (SD = 1.59), while the control group's average scores were 14.85 (SD = 2.87). For dietary behavior, the post-test average scores in the experimental group improved from 1.21 (SD = 0.32) to 1.90 (SD = 0.48), compared to 1.29 (SD = 0.29) in the control group. The findings suggest that using the Line application, a popular communication platform in Thailand, in conjunction with tele-counseling can effectively enhance the nutritional knowledge and dietary behavior of Caregivers of ESRD patients. Healthcare professionals should consider implementing such interventions to improve the overall nutritional status and well-being of Caregivers of ESRD patients on hemodialysis.
Larpparisuth N, Cheungpasitporn W, Lumpaopong A. Global perspective on kidney transplantation: Thailand. Kidney360. 2021;2(7):1163.
Phonphok K, Weerachinchote K. Wcn23-0210 Effect Of Donor-Recipient Age Difference On The Transplant Outcome In Thai Kidney Transplant Recipients. Kidney International Reports. 2023;8(3):S383.
Pio TMT, Prihanto JB, Jahan Y, Hirose N, Kazawa K, Moriyama M. Assessing burden, anxiety, depression, and quality of life among caregivers of hemodialysis patients in indonesia: A cross-sectional study. International Journal of Environmental Research and Public Health. 2022;19(8):4544.
Shukri M, Mustofai MA, Md Yasin MAS, Tuan Hadi TS. Burden, quality of life, anxiety, and depressive symptoms among caregivers of hemodialysis patients: The role of social support. The International Journal of Psychiatry in Medicine. 2020;55(6):397-407.
Intas G, Rokana V, Stergiannis P, Chalari E, Anagnostopoulos F, editors. Burden and sleeping disorders of family caregivers of hemodialysis patients with chronic kidney disease-end stage: A cross-sectional study. GeNeDis 2018: Geriatrics; 2020: Springer.
Lim, H. S., Kim, H. S., Kim, J. K., Park, M., & Choi, S. J. (2019). Nutritional status and dietary management according to hemodialysis duration. Clinical nutrition research, 8(1), 28-35.
Rafati F, Mashayekhi F, Dastyar N. Caregiver burden and spiritual well-being in caregivers of hemodialysis patients. Journal of religion and health. 2020;59(6):3084-96.
Kalantar-Zadeh K, Gutekunst L, Mehrotra R, Kovesdy CP, Bross R, Shinaberger CS, et al. Understanding sources of dietary phosphorus in the treatment of patients with chronic kidney disease. Clinical Journal of the American Society of Nephrology. 2010;5(3):519-30.
Nagy E, Mahmoud M, El?kannishy G, Sayed?Ahmed N. Impact of malnutrition on health?related quality of life in patients on maintenance hemodialysis. Therapeutic Apheresis and Dialysis. 2021;25(4):467-74.
Visiedo L, Rey L, Rivas F, López F, Tortajada B, Giménez R, et al. The impact of nutritional status on health-related quality of life in hemodialysis patients. Scientific Reports. 2022;12(1):3029.
Diamantidis CJ, Zuckerman M, Fink W, Hu P, Yang S, Fink JC. Usability of a CKD educational website targeted to patients and their family members. Clinical Journal of the American Society of Nephrology. 2012;7(10):1553-60.
Kiziltan, G., Turker, P. F., Koseler Beyaz, E., Saka, M., & Sayin, C. B. (2022). Effects of Nutritional Knowledge of Informal Caregivers on Depression and Metabolic Outcomes of Hemodialysis Patients. Ecology of Food and Nutrition, 61(1), 110-123.
Nunes JAW. Education of patients with chronic kidney disease at the interface of primary care providers and nephrologists. Advances in chronic kidney disease. 2013;20(4):370-8.
Greer RC, Crews DC, Boulware LE. Challenges perceived by primary care providers to educating patients about chronic kidney disease. Journal of renal care. 2012;38(4):174-81.
Snoswell CL, Chelberg G, De Guzman KR, Haydon HH, Thomas EE, Caffery LJ, et al. The clinical effectiveness of telehealth: a systematic review of meta-analyses from 2010 to 2019. Journal of Telemedicine and Telecare. 2021:1357633X211022907.
Lewis RA, Lunney M, Chong C, Tonelli M. Identifying mobile applications aimed at self-management in people with chronic kidney disease. Canadian journal of kidney health and disease. 2019;6:2054358119834283.
Sousa H, Ribeiro O, Christensen AJ, Figueiredo D. Mapping Patients’ Perceived Facilitators and Barriers to In-Center Hemodialysis Attendance to the Health Belief Model: Insights from a Qualitative Study. International Journal of Behavioral Medicine. 2023;30(1):97-107.
Kim S, Ju MK, Son S, Jun S, Lee SY, Han CS. Development of video-based educational materials for kidney-transplant patients. PloS one. 2020;15(8):e0236750.
Havas K, Bonner A, Douglas C. Self?management support for people with chronic kidney disease: Patient perspectives. Journal of renal care. 2016;42(1):7-14.
Wungrath J, Khumai N, Sutan P. The Effect of Nutritional Education Using Line Application in Conjunction with Tele-Counseling on Nutritional Knowledge and Behavior Among the Elderly with Chronic Diseases. International Journal of Pharmaceutical Research. 2021;13(1).
Palmer SC, Ruospo M, Campbell KL, Larsen VG, Saglimbene V, Natale P, et al. Nutrition and dietary intake and their association with mortality and hospitalisation in adults with chronic kidney disease treated with haemodialysis: protocol for DIET-HD, a prospective multinational cohort study. BMJ open. 2015;5(3):e006897.
Desai AS. Home monitoring heart failure care does not improve patient outcomes: looking beyond telephone-based disease management. Circulation. 2012;125(6):828-36.
He, Q., Zhao, X., Wang, Y., Xie, Q., & Cheng, L. (2022). Effectiveness of smartphone application–based self?management interventions in patients with type 2 diabetes: A systematic review and meta?analysis of randomized controlled trials. Journal of advanced nursing, 78(2), 348-362.
Wungrath J, Siripipatthanakul S, Phayaphrom B. Healthcare Education Process Adopting the Line Application in Conjunction with Tele-Counseling to Improve Knowledge, Behavior and Satisfaction among Elderly with Diabetes Mellitus during the COVID-19 Pandemic. Psychology and Education Journal. 2021;58(5):6210.
Molavynejad, S., Miladinia, M., & Jahangiri, M. A randomized trial comparing video telecare education vs. in-person education on dietary regimen compliance in patients with type 2 diabetes mellitus: a support for clinical telehealth Providers. BMC Endocrine Disorders.2022;22(1), 1-10
Zhuo Y, Pan Y, Lin K, Yin G, Wu Y, Xu J, et al. Effectiveness of clinical pharmacist-led smartphone application on medication adherence, insulin injection technique and glycemic control for women with gestational diabetes receiving multiple daily insulin injection: A randomized clinical trial. Primary care diabetes. 2022;16(2):264-70.
Kelly JT, Warner MM, Conley M, Reidlinger DP, Hoffmann T, Craig J, et al. Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: a mixed-methods process evaluation. BMJ open. 2019;9(1):e024551.
George AA, Franken AL. Adolescent Self-Efficacy in Relation to Illness Perception and Treatment Compliance: An Inpatient Study. Southern African Journal of Social Work and Social Development. 2022;34:20 pages- pages.
Gustafson D, Wise M, Bhattacharya A, Pulvermacher A, Shanovich K, Phillips B, et al. The effects of combining Web-based eHealth with telephone nurse case management for pediatric asthma control: a randomized controlled trial. Journal of medical Internet research. 2012;14(4):e1964.