Evidence map›Paper›PMID 30700482›Full record

Trial reportBMJ open2019

Feasibility and acceptability of telehealth coaching to promote healthy eating in chronic kidney disease: a mixed-methods process evaluation.

Jaimon T Kelly, Molly M Warner, Marguerite Conley, Dianne P Reidlinger, Tammy Hoffmann, Jonathan Craig, Allison Tong, Marina Reeves, David W Johnson, Suetonia Palmer and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07669142 (THE EFFECT OF TELE-NURSING PRACTICES ON QUALITY OF LIFE AND CLINICAL OUTCOMES IN PATIENTS WITH PREDIALYSIS CHRONIC KIDNEY DISEASE), which is not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
7.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07669142 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

The effect of tele-nursing practices on quality of life and clinical outcomes in patients with predialysis chronic kidney disease

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2026 to 2027Enrolled66ConditionsTelenurse, CKD Stage 3/4ArmsStructured Telenursing Education, Counseling, and Follow-up Program
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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  11. A Pilot Clinical Trial of a Nutrition Education Program on Quality of Life in CKD.Clinical journal of the American Society of Nephrology : CJASN · 2025
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Jaimon T KellyFaculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia.
Molly M WarnerFaculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia.
Marguerite ConleyDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Dianne P ReidlingerFaculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia.
Tammy HoffmannCentre for Research in Evidence Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
Jonathan CraigCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Allison TongSydney School of Public Health, The University of Sydney, Adelaide, South Australia, Australia.
Marina ReevesCancer Prevention Research Centre, School of Public Health, The University of Queensland, Herston, Queensland, Australia.
David W JohnsonDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Suetonia PalmerDepartment of Medicine, University of Otago Christchurch, Christchurch, New Zealand.
Katrina L CampbellFaculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia.
Bond University · AUThe University of Sydney · AUPrincess Alexandra Hospital · AUThe University of Queensland · AUTranslational Research Institute · AUUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the feasibility and acceptability of a personalised telehealth intervention to support dietary self-management in adults with stage 3-4 chronic kidney disease (CKD).

designMixed-methods process evaluation embedded in a randomised controlled trial.

participantsPeople with stage 3-4 CKD (estimated glomerular filtration rate [eGFR]15-60 mL/min/1.73 m

settingParticipants were recruited from three hospitals in Australia and completed the intervention in ambulatory community settings.

interventionThe intervention group received one telephone call per fortnight and 2-8 tailored text messages for 3 months, and then 4-12 tailored text messages for 3 months without telephone calls. The control group received usual care for 3 months then non-tailored education-only text messages for 3 months.

main outcome measuresFeasibility (recruitment, non-participation and retention rates, intervention fidelity and participant adherence) and acceptability (questionnaire and semistructured interviews). STATISTICAL ANALYSES PERFORMED: Descriptive statistics and qualitative content analysis.

resultsOverall, 80/230 (35%) eligible patients who were approached consented to participate (mean±SD age 61.5±12.6 years). Retention was 93% and 98% in the intervention and control groups, respectively, and 96% of all planned intervention calls were completed. All participants in the intervention arm identified the tailored text messages as useful in supporting dietary self-management. In the control group, 27 (69%) reported the non-tailored text messages were useful in supporting change. Intervention group participants reported that the telehealth programme delivery methods were practical and able to be integrated into their lifestyle. Participants viewed the intervention as an acceptable, personalised alternative to face-face clinic consultations, and were satisfied with the frequency of contact.

conclusionsThis telehealth-delivered dietary coaching programme is an acceptable intervention which appears feasible for supporting dietary self-management in stage 3-4 CKD. A larger-scale randomised controlled trial is needed to evaluate the efficacy of the coaching programme on clinical and patient-reported outcomes. TRIAL REGISTRATION NUMBER: ACTRN12616001212448; Results.

Indexed as

Diet, HealthyPatient Acceptance of Health CareTelemedicineTelephoneText MessagingAgedAustraliaFeasibility StudiesFemaleGlomerular Filtration RateHumansMaleMiddle AgedProcess Assessment, Health CareRenal Insufficiency, ChronicSelf-Managementchronic kidney diseasedietprocess evaluationtelehealth

Identifiers

PMID30700482
PMCPMC6352771
OpenAlexW2912814268

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.