protocolSection identificationModule nctId: NCT06351007, orgStudyIdInfo id: NMM-4650-23-24-1, briefTitle: Educational Program on Dietary Adherence and Nutritional Knowledge in Chronic Kidney Disease Patients (EPAK), acronym: EPAK, statusModule overallStatus: RECRUITING, startDateStruct date: 2023-09-19, primaryCompletionDateStruct date: 2024-07, completionDateStruct date: 2024-07, studyFirstPostDateStruct date: 2024-04-08, lastUpdatePostDateStruct date: 2024-04-08, sponsorCollaboratorsModule leadSponsor name: Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, class: OTHER, descriptionModule briefSummary: A fundamental strategy to improve adherence to nutritional treatment in patients with chronic kidney disease is the implementation of educational programs. The aim of this study is to evaluate the effect of a multidisciplinary educational program on dietary adherence, nutritional knowledge, nutritional status, metabolic control and quality of life in patients with chronic kidney disease, predialysis, peritoneal dialysis and hemodialysis.A randomized clinical trial will be carried out, in which patients who meet the inclusion criteria will be randomly assigned to three possible groups: predialysis educational intervention, dialysis educational intervention and control group. At the initial visit, the nutritional status will be evaluated by means of anthropometric parameters, screening and dynamometry, the biochemical parameters of interest will be extracted from the clinical record, nutritional knowledge and quality of life will be evaluated, and the diet will be explained. In the second visit, adherence to the diet will be evaluated and the food registry will be carried out. In the intervention groups, the educational program will begin with a duration of five months. Patients will come twice a month to the hospital to participate in the educational sessions and attend group psychology sessions. After completion of the educational program, the same measurements as at the beginning of the study will be carried out in the three groups., conditionsModule conditions: Chronic Kidney Disease, conditions: Predialysis, conditions: Peritoneal Dialysis, conditions: Hemodialysis, conditions: Educational Activities, conditions: Adherence, conditions: Nutritional Status, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: TREATMENT, maskingInfo masking: NONE, enrollmentInfo count: 63, type: ESTIMATED, armsInterventionsModule interventions name: Nutritional education and psychological intervention, interventions name: Standard care, outcomesModule primaryOutcomes measure: Patients´ dietary attitude, primaryOutcomes measure: Dietary adherence, primaryOutcomes measure: Nutritional knowledge, secondaryOutcomes measure: Muscle status, secondaryOutcomes measure: Muscle functionality, secondaryOutcomes measure: Nutritional status of predialysis patients, secondaryOutcomes measure: Nutritional status of dialysis patients, secondaryOutcomes measure: Patients´ quality of life, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, status: RECRUITING, city: Mexico City, zip: 14080, country: Mexico, contacts name: Ximena Atilano Carsi, PhD, role: CONTACT, phone: 00 52 55 56 17 65 42, email: ximena.atilanoc@incmnsz.mx, geoPoint lat: 19.42847, lon: -99.12766, hasResults: False