Exploring Life Experience and Lifestyle Intervention Program Among Patients With Chronic Kidney Disease: A Longitudinal Study

Study Overview
=================
Brief Summary
-----------------
The lifestyle consulting program through one year follow-up could effective increase the scores of health responsibility and nutrition according to the past three-year study. Behavior change is a dynamic and complex process. Using a long-term follow up approach will be able to understand the trajectory of behavior change. The purpose of this study is to explore life experience and lifestyle intervention program for patients with chronic kidney disease using mixed methods with a longitudinal approach. The first year of this study will include a qualitative study with in depth interview of the subjects who attend previous study in the research team and have the scores of health promoting lifestyle among the highest 27% and lowest 27%. The life experience will be explored. The quantitative study will be an experimental design. Qualified subjects will be randomly assigned to intervention or control group. The intervention protocol is based on trans-theoretical model. Each subject will be followed every six months. The second and third year of studies will continue to use the qualitative and quantitative approach to understand the life experience and meaning among patients with chronic kidney diseases. The trajectory of life experience and life style changes will be explored. The method may strengthen the effectiveness of lifestyle program and may provide comprehensive understanding of the trajectory of behavior changes among patient with chronic kidney disease.

Official Title
-----------------
Exploring Life Experience and Lifestyle Intervention Program Among Patients

Conditions
-----------------
Chronic Kidney Disease

Intervention / Treatment
-----------------
* Behavioral: Lifestyle Intervention Program


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Clinical diagnosis of Early Stages of Chronic Kidney Disease (GFR≧30ml/min/1.73㎡) Must be able to commmunicate in Chinese or Taiwanese Muse be voluntarily to attend Patient who does not exercise regularly Patient whose blood pressure higher than 140/90 mmHg Patient who is overweight or BMI>25kg/㎡ Exclusion Criteria: Patient who limited to exercise

Ages Eligible for Study
-----------------
Minimum Age: 20 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Lifestyle Intervention Program<br> | Behavioral: Lifestyle Intervention Program<br> <br> |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body weight |  | six months | 
| Waist to hip ratio |  | six months | 
| Overall knowledge of renal protection | The 20 item Renal Protection Knowledge Checklist was developed by researchers will use to measure three dimensions of knowledge: renal function protection, use of Chinese herbs and diet. | six months | 
| Health promotion lifestyle | Health promotion was measured by 52 item health promotion lifestyle profileⅡ ( HPLP-II). | six months | 
| Quality of Life | The study will use WHOQOL-BREF to measure the outcome. | six months | 
| Physical activity | The study will use International Physical Activity Questionnaire (IPAQ) Taiwan version to measure the outcome. | six months | 
| General Health Perceptions | The study will use General Health Perceptions Subscale of SF-36 Health Status Scale to measure the outcome. | six months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Life experience, Life style, Health behavior, Mixed method