Dietary Education Intervention Impact on Dietary Protein Intake in PD

Study Overview
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Brief Summary
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This study is a prospective randomized controlled pilot trial/(a combined prospective and retrospective study). The investigators will use wechat intervening dietary protein intake in patients treated with peritoneal dialysis.

Detailed Description
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Malnutrition is highly prevalent in peritoneal dialysis (PD) patients, and protein malnutrition will adversely affect outcomes. The investigators develop a dietary education intervention for PD patients to improve fundamental food knowledge that will increase protein intake to target level of 1.2 g/kg of protein intake per day. In additional the dietary intervention will provide information about sodium, phosphorus, calcium intake. To more effectively deliver the intervention, the investigators explored a technology using social media in China called wechat. The purpose of this study is to test whether a dietary intervention can be more effective when delivered using wechat compared to a traditional patient education intervention delivered during routing clinical visits.

Official Title
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Dietary Education Intervention With Wechat Model Will Impact on Dietary Protein Intake in Patient Treated With Peritoneal Dialysis

Conditions
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Dietary Modification

Intervention / Treatment
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* Behavioral: wechat


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1. All patients followed at the PD center who successful completed training and have received treatment for at least 1 month. 2. The life expectancy will be more than one year. 3. All patients will provide written informed consent. Exclusion Criteria: 1.the patients will be severe ill status and unlikely to survive for 12 months.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention with wechat group<br>The wechat model will provide information of protein, calcium, phosphorus and sodium intake, which were suggested by the current KDIGO/ KDOQI guideline. | Behavioral: wechat<br>* The wechat model of dietary education every 1 month by cellphone<br>* Other names: wechat model;|
| No Intervention: Controlled group<br>Only conventional education every 3 months during routing clinical visit | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Normalized Protein Catabolic Rate (nPCR) | We use software (PD ADEQUEST 2.0) to conduct the Peritoneal Equilibration Test (PET) test. The result of PET test can offered the value of nPCR. nPCR can estimate daily protein intake of patients. Its units is g/(kg*d). | 12 months |