Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney Disease Article Swipe
Chi Hou Chan
,
Marguerite Conley
,
Marina M. Reeves
,
Katrina L. Campbell
,
Jaimon T. Kelly
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3389/fnut.2021.627753
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3389/fnut.2021.627753
Background: Improving diet quality in chronic kidney disease (CKD) is challenging due to a myriad of competing recommendations. Patient-centered goal setting can facilitate dietary behavior change; however, its role in improving diet quality in CKD has not been investigated. Aim: The aim of the study is to evaluate the effects of goal setting on improving diet quality in stages 3–4 CKD. Methods: Forty-one participants completed a 6-month dietitian-led telehealth (combined coaching calls and text messages) intervention as part of a larger RCT. Participants set one to two diet-related SMART goals and received weekly goal tracking text messages. Dietary intake was assessed using the Australian Eating Survey at baseline, 3, and 6 months, with diet quality determined using the Alternate Healthy Eating Index (AHEI). Results: Significant improvements in AHEI (+6.9 points; 95% CI 1.2–12.7), vegetable (+1.1 serves; 95% CI 0.0–2.3) and fiber intake (+4.2 g; 95% CI 0.2–8.2) were observed at 3 months in participants setting a fruit and/or vegetable goal, compared with those who did not. However, no significant or meaningful changes were observed at 6 months. No other goal setting strategy appeared in effect on diet intake behavior or clinical outcomes in this group of CKD participants. Conclusions: Patient-centered goal setting, particularly in relation to fruit and vegetable intake, as part of a telehealth coaching program, significantly improved diet quality (AHEI), vegetable and fiber intake over 3 months. More support may be required to achieve longer-term behavior change in stages 3–4 CKD patients.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fnut.2021.627753
- https://www.frontiersin.org/articles/10.3389/fnut.2021.627753/pdf
- OA Status
- gold
- Cited By
- 13
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3139294081
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3139294081Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fnut.2021.627753Digital Object Identifier
- Title
-
Evaluating the Impact of Goal Setting on Improving Diet Quality in Chronic Kidney DiseaseWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-03-12Full publication date if available
- Authors
-
Chi Hou Chan, Marguerite Conley, Marina M. Reeves, Katrina L. Campbell, Jaimon T. KellyList of authors in order
- Landing page
-
https://doi.org/10.3389/fnut.2021.627753Publisher landing page
- PDF URL
-
https://www.frontiersin.org/articles/10.3389/fnut.2021.627753/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.frontiersin.org/articles/10.3389/fnut.2021.627753/pdfDirect OA link when available
- Concepts
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Medicine, Coaching, Telehealth, Kidney disease, Physical therapy, Goal setting, Healthy eating, Disease, Quality of life (healthcare), Physical activity, Internal medicine, Health care, Telemedicine, Psychology, Nursing, Economic growth, Psychotherapist, Social psychology, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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13Total citation count in OpenAlex
- Citations by year (recent)
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2024: 6, 2023: 4, 2022: 2, 2021: 1Per-year citation counts (last 5 years)
- References (count)
-
39Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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