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Research on using mindful eating for individuals with CKD stages 1-3 shows significant improvements in weight, BMI, and nutrient levels. Transdisciplinary team effort enhances study outcomes and participant feedback.
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February 27, 2019 Self-Management (SM) of Dietary Intake Using Mindful Eating for Persons with Stage 1-3 CKD Gayle M. Timmerman PhD, CNS, FNAP, FAAN Research reported here was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number P30NR015335. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Intervention: (6 weekly 2-hr small group sessions) • SM skills: food label reading, problem solving, content on dietary recommendations • Mindful eating: practice & meditations focused on body cues (hunger, fullness)
Outcomes(n=19) • Positive participant feedback (100%) • 90.5% retention rate • Significant improvements in: • Mean weight • Mean BMI • Cis-beta-carotene levels
Transdisciplinary Team • Michele R. Forman, PhD (Co-I Nutrition) • Richard Lewis MD (Nephrology) • Deborah Samoson, MSN, FNP (Nephrology) • Holli Temple, PharmD (Pharmacy) • Research Assistants: Muna Tahir (Nutrition) & Marlene Tovar (Nursing)
Content Analysis of IRB Amendments • 21 changes made based on team input • 9 changes in protocol • 8 changes in measures • 4 changes in recruitment/retention plans
Examples of Improvements • Added $15/intervention session to offset travel expenses. • Invited significant others to attend sessions. • Added K+ as clinical safety measure with protocol for lab values with health threat. • Added plasma carotenoid measure – biomarker for fruit & veggies
Conclusions – Transdisciplinary Teams: • Essential to success of study, especially recruitment and refining processed to ↓ burden and ↑ safety. • Required additional effort. • Provided diverse perspectives that improved: • Research design • Study protocols • Study measures • Acceptability of study