DR ORAL 4 - THE IMPACT OF PATIENT-CENTERED GROUP NUTRITION EDUCATION AMONG HAEMODIALYSIS PATIENTS Lim Zetong

 Lim Z.1, Ling A.1, Lim C.H.1, Yee C.F. 1, Khan A.B.2

 

 1Dietetics Department, The National Kidney Foundation Singapore

 2Medical Services Department, The National Kidney Foundation Singapore

 

Objective

A patient-centered group nutrition education (PC-GNE) approach may promote positive learning behaviour apart from being more cost- and time- effective as compared to individualized counselling. This study assesses the impact of PC-GNE on knowledge and behavioural changes among haemodialysis patients.

 

Methodology

This study recruited haemodialysis patients with suboptimal protein-related biochemical markers (nPCR <1.0 or Albumin <35g/dL) or interested in PC-GNE from seven dialysis centres. Protein-themed PC-GNE were conducted in multi-languages with dietitian to participants ratio of 1:6. Each session was 1 hour, conducted using interactive games and discussions with food photos, real food items and video. Pre-quiz was administered to understand patients’ knowledge gap for pre-adjustment of training plan. Post-quiz was conducted one month later to assess knowledge retention. Changes in patient’s knowledge scores were analysed using paired-T test, with P-value <0.05 as statistically significant.

 

Results & Discussion

30 patients (53% male, 57% Chinese, mean age 63±2 years, mean dialysis vintage 5±1 years and mean BMI 24.4±0.6kg/m2) were included in the study. Patient’s knowledge regarding Protein significantly improved after the session with mean scores increased from 6.2±0.3 to 7.3±0.2 (p<0.05), for a full score of 9. Protein requirement was focused and taught using interactive game following poor score during pre-quiz, and showed greatest improvement, with an increase from 10% to 60% of patients answered correctly after PC-GNE. The least improved question was regarding one protein portion taught by showcasing real food items, where 57% patients still answered incorrectly post-session. It is observed that experiential learning improved patient’s knowledge more effectively. Among 16 patients who completed behavioural survey, 12 reported on relevant dietary changes, while 4 reported no changes made.

 

Conclusion

This study showed that well-curated PC-GNE with experiential learning improved patient’s nutritional knowledge and promoted dietary changes. Further studies on PC-GNE’s effectiveness in promoting behavioural changes and clinical outcomes are warranted.