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Learning Objective 1: understand the lifestyle modification counseling program.
Learning Objective 2: understand the effect of lifestyle modification counseling program on patients with chronic kidney disease at the early stage.
Methods:
This was an experimental study. Patients with CKD at pre-dialysis stage from outpatient clinics were recruited. Subjects were randomly assigned to a control or an experimental group. The experimental group received a lifestyle modification counseling program with a structured one-on-one counseling by a case manager every three months. The control group received routine care. The effect of the program was evaluated at baseline, 3, 6, 9 and 12 months. Health promoting lifestyle, quality of life, and body compositions were examined. Generalized estimating Equation (GEE) model was applied to explore the effect of the program.
Results: Thirty nine patients in the experimental group and thirty seven in the control group completed the program. Subjects in the experimental group showed significantly improvement in the scores on the subscales of healthy lifestyle profile (HPLP-II), health responsibility (p = 0.03) and nutrition (p = 0.04). There was no statistical difference on QOL scores and body compositions between two groups.
Conclusion: These results support the benefits of lifestyle modification counseling program which promoting healthy behaviors such as health responsibility and adequate nutrition.