Gennemførligheden af Sundhedsprogrammet for Integreret Ernæring og Nyrefunktion (THINK-Well)
THINK-Well-programmet for integreret sundhed, ernæring og nyrevelvære - Fase 2
Formålet med studiet:
Denne kliniske undersøgelse vil teste, om et ernærings- og nyresundhedsprogram kan fungere godt for voksne med nyresygdom. Programmet blev udviklet med hjælp fra patienter og samarbejdspartnere i lokalsamfundet.
Hovedspørgsmål:
Hvor mange kvalificerede patienter vælger at deltage i programmet?
Hvor mange deltagere gennemfører det fulde 12-ugers program?
Hvor tilfredse er deltagerne med programmet?
Hvad deltagerne vil gøre:
Deltagerne vil blive tildelt enten en kostfokuseret livsstilsuddannelsesserie (THINK-Well-interventionen) eller forbedret sædvanlig pleje.
THINK-Well-interventionsgruppen vil deltage i 7 gruppeundervisningssessioner over 12 uger. Sessionerne vil være online og personligt. Emnerne inkluderer spisning for at fremme hjerte-, nyre- og metabolisk sundhed, håndtering af langvarige helbredstilstande, opsætning af sundhedsmål og deling af erfaringer med andre, der har kronisk sygdom. Deltagerne vil øve måltidstilberedning gennem madlavningskurser og have mulighed for at anvende lektioner om valg af fuldkorn med madkuponer, der bliver stillet til rådighed.
Den forbedrede sædvanlige plejegruppe vil modtage to virtuelle ernæringsundervisningssessioner ledet af en uddannet pædagog over 12 uger. Emnerne vil være tilsvarende den standardundervisning, der gives til mennesker med nyresygdom, der behandles af en nyrelæge. Emnerne vil blive tilpasset fra etablerede ressourcer fra National Kidney Foundation, American Kidney Fund og American Heart Association.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Manisha Jhamb, MD, MPH
- Telefonnummer: 412-647-7062
- E-mail: jhambm@upmc.edu
Undersøgelse Kontakt Backup
- Navn: Linda-Marie Lavenburg, DO, MS
- Telefonnummer: 12679807722
- E-mail: lavenburglu@upmc.edu
Studiesteder
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Pennsylvania
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Pittsburgh, Pennsylvania, Forenede Stater, 15090
- Rekruttering
- UPMC Kidney Clinic - Wexford
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Kontakt:
- Linda-Marie Lavenburg, DO
- Telefonnummer: 412-663-5528
- E-mail: lavenburglu@upmc.edu
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Pittsburgh, Pennsylvania, Forenede Stater, 15146
- Rekruttering
- UPMC Kidney Clinic - Monroeville
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Kontakt:
- Christopher Passero, MD
- Telefonnummer: 412-578-9551
- E-mail: passerocj@upmc.edu
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Pittsburgh, Pennsylvania, Forenede Stater, 15213
- Rekruttering
- UPMC Kidney Clinic - Oakland
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Kontakt:
- Jyotsana Thakkar, MD
- Telefonnummer: 412-756-3228
- E-mail: thakkarj@upmc.edu
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Pittsburgh, Pennsylvania, Forenede Stater, 15219
- Ikke rekrutterer endnu
- UPMC Matilda H. Theiss Health Center
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Kontakt:
- Mylynda Massart, MD, PhD
- Telefonnummer: 412-647-9304
- E-mail: massartmb@upmc.edu
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Pittsburgh, Pennsylvania, Forenede Stater, 15232
- Rekruttering
- UPMC Kidney Clinic - Shadyside
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Kontakt:
- Christopher Passero, MD
- Telefonnummer: 412-578-9551
- E-mail: passerocj@upmc.edu
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Voksne (alder ≥ 18 år) patienter fra UPMC Clinic med tilstedeværelse af ikke-dialyse CKD defineret ved laboratorieværdier (eGFR ≤ 60 ml/min/1,73m²) og mindst én af følgende: ukontrolleret diabetes (HbA1c ≥ 7,5%), hypertension (12-måneders gennemsnitligt blodtryk ≥130/80 mmHg), overvægtig eller fedme BMI, eller positiv screening for fødevareusikkerhed.
- Personer, der opfylder inklusionskriterierne, vil blive screenet for ændringsberedskab af forskningskoordinatoren. Personer i kontemplations-, forberedelses-, handling- og opretholdelsesstadier af ændring vil være berettigede til indmelding.
Eksklusionskriterier:
- For at minimere frafald vil personer i dialyse, eller planlagt til at starte dialyse eller modtage nyretransplantation inden for de næste 6 måneder, blive udelukket.
- En større effektivitetsundersøgelse vil inkludere personer i alle ændringsstadier, men denne undersøgelse vil udelukke dem i præ-kontemplativt ændringsstadium, fordi lavt engagement i forsøget kan forstyrre det primære mål om at måle gennemførlighed.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: TÆNK-Godt
Hybrid (personligt og virtuelt) praktisk ernæringsundervisning med mennesker, der lever med nyresygdom.
Gruppesessioner vil muliggøre social støtte fra andre med nyresygdom, fremme målfastsættelse og individuel problemløsning, diskutere en integreret tilgang til ernæring for mennesker med flere helbredstilstande, samt udvikle grundlæggende kulinariske færdigheder mens der opfordres til en helhedsorienteret, hjerte-sund kost.
Deltagerne vil også modtage økonomisk støtte til køb af grøntsager og frugt samt mulighed for at fravælge 1:1 ernæringsvejledning.
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Seven hybrid (online or in-person) group nutrition education sessions paired with food bucks and one individual consultation with a dietitian over 12-20 weeks.
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Aktiv komparator: Enhanced Usual Care
The enhanced usual care group will receive two virtual nutrition education sessions led by a trained educator over 12-20 weeks.
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To virtuelle gruppeernæringsundervisningssessioner leveret af en uddannet pædagog.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Muligheden for rekruttering
Tidsramme: I løbet af studieindskrivningsperioden (forventet op til 6 måneder)
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Rekrutteringsgennemførlighed vil blive vurderet ved hjælp af screenings-, berettigelses- og tilmeldingsmålinger.
Det samlede antal patienter, der er screenet for studieberettigelse, vil blive registreret.
Berettigelsesprocenten vil blive beregnet som antallet af patienter, der opfylder studieberettigelseskriterierne, divideret med det samlede antal screenede patienter.
Tilmeldingsprocenten vil blive beregnet som antallet af tilmeldte patienter divideret med antallet af berettigede patienter og udtrykt som en procentdel pr. måned.
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I løbet af studieindskrivningsperioden (forventet op til 6 måneder)
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Participant retention
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Retention will be assessed as the proportion of enrolled participants who complete the 12-week THINK-Well program and the end-of-study assessment.
Retention rate will be calculated as the number of participants who complete the final study assessment divided by the total number of participants enrolled, expressed as a percentage.
Monthly dropout rate and reason for dropout
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From baseline to end of the intervention period (12-20 weeks)
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Intervention adherence
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Intervention adherence will be assessed by participant attendance at scheduled program sessions.
Adherence will be calculated as the number of sessions attended divided by the total number of planned sessions for each participant and summarized as the mean percentage of sessions attended across participants.
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From baseline to end of the intervention period (12-20 weeks)
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Participant satisfaction
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Participant satisfaction with the THINK-Well program will be assessed using a post-intervention questionnaire administered at the end of the intervention.
The survey will assess participants' perceptions of the usefulness, relevance, and overall satisfaction with the program content, delivery format (virtual and in-person sessions), and program activities.
Satisfaction will be summarized using descriptive statistics, including mean scores and the proportion of participants reporting high satisfaction.
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From baseline to end of the intervention period (12-20 weeks)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Ændring i kropskomposition (procent fedt i kroppen)
Tidsramme: Ændring fra baseline til slutningen af den 12-ugers intervention
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Kropskompositionen vil blive vurderet ved hjælp af bioelektrisk impedansanalyse (BIA) med en kropskompositionsanalysator. BIA estimerer kropskomposition ved at måle elektrisk impedans gennem kropsvæv og inkorporere deltagerkarakteristika (f.eks. alder, køn, højde og vægt) i forudsigelsesligninger. Følgende kropskompositionsmålinger vil blive målt og opnået fra BIA: Procent kropsfedt (%): Andelen af den samlede kropsvægt, der består af fedtvæv, udtrykt som en procentdel mellem 0-100%. Procent muskelmasse (%): Andelen af den samlede kropsvægt, der består af muskelvæv, udtrykt som en procentdel mellem 0-100%. Reduktioner i procent kropsfedt og stigning i procent muskelmasse repræsenterer forbedringer i kropskomposition. |
Ændring fra baseline til slutningen af den 12-ugers intervention
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Change from Baseline in Life's Essential 8 score at 12-weeks
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Life's Essential 8 score is a composite cardiovascular health (CVH) score developed by the American Heart Association (AHA) to quantify and track an individual's heart- and brain-health based on eight key lifestyle behaviors and clinical health factors (healthy diet, physical activity, nicotine exposure, sleep health, body mass index, lipids, glucose and blood pressure). The score ranges from 0 to 100 points, with higher scores indicating better overall cardiovascular health. Interpretation of the composite score usually follows these general categories: 0-49: Low cardiovascular health 50-79: Moderate cardiovascular health 80-100: High (optimal) cardiovascular health |
From baseline to end of the intervention period (12-20 weeks)
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Change from Baseline in Self-Efficacy for Managing Chronic Disease (SEMCD) at 12-weeks
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Self-efficacy will be assessed using the Chronic Disease Self-Efficacy Scale (Self-Efficacy for Managing Chronic Disease 6-Item Scale). This instrument measures an individual's confidence in their ability to manage symptoms, fatigue, emotional distress, and health tasks associated with chronic disease. The scale includes 6 items, each rated on a 10-point numeric scale ranging from 1 ("not at all confident") to 10 ("totally confident"). Scores are calculated as the mean of the six items, producing a final score ranging from 1 to 10. Higher scores indicate greater confidence in the ability to manage chronic disease-related health challenges. |
From baseline to end of the intervention period (12-20 weeks)
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Change from Baseline Patient Activation Measure, 13-item version (PAM-13) at 12-weeks
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Patient activation will be measured using the Patient Activation Measure-13 (PAM-13), which assesses an individual's knowledge, skills, and confidence in managing their health and healthcare. The PAM-13 consists of 13 statements rated on a 4-point Likert scale (strongly disagree to strongly agree) with an additional "not applicable" option. Responses are summed and converted using a proprietary scoring algorithm to a standardized activation score ranging from 0 to 100. Higher scores indicate greater patient activation. |
From baseline to end of the intervention period (12-20 weeks)
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Change from Baseline Kidney Disease Quality of Life - 36 at 12-weeks
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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KDQOL is a kidney disease-specific quality-of-life instrument that combines a generic core with targeted modules to measure how CKD and its treatments impact patients' well-being across physical, emotional, and social dimensions. The instrument contains five subscales:
Each subscale is scored on a 0-100 scale after standard scoring transformation according to KDQOL-36 scoring guidelines. Higher scores indicate better quality of life or fewer symptoms/burdens. The KDQOL-36 does not produce a single total score; results are reported for each subscale. |
From baseline to end of the intervention period (12-20 weeks)
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Change from Baseline in Mediterranean Diet adherence at 12-weeks
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Diet quality will be assessed using the Mediterranean Eating Pattern for Americans (MEPA) tool, which is an instrument developed to assess how closely a person's diet aligns with the Mediterranean dietary pattern adapted for U.S. populations. Total scores are summed to produce a composite Mediterranean diet adherence score. Higher scores indicate closer alignment with the Mediterranean Eating Pattern. The screener consists of 16 items assessing frequency or quantity of consumption of key Mediterranean diet components including fruits, vegetables, whole grains, legumes, nuts, fish, olive oil, and red or processed meats. Each item contributes 0 or 1 point based on whether the recommended intake threshold is met. Scores are summed to produce a total score ranging from 0 to 16. |
From baseline to end of the intervention period (12-20 weeks)
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Change from baseline in Body Composition at 12-weeks
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Using a bioimpedence scale, we will measure and collect body composition data.
This will include: Fat Mass (measured in kilograms), Muscle Mass (measured in kilograms), Percent Fat Mass (measured as a percentage), and Percent Muscle Mass (measured as a percentage).
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From baseline to end of the intervention period (12-20 weeks)
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Change in Body Mass Index (BMI)
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Body Mass Index (BMI) will be calculated from two anthropometric measures, body weight and reported height. These two measures will be collected using standardized measurement procedures. The following measures will be assessed: Body weight (kg): Body weight will be measured in kilograms using a calibrated digital scale with participants wearing light clothing and no shoes. Reported height will be taken from an average of the patient's three most recent electronic medical record heights. Body mass index (BMI) (kg/m²): BMI will be calculated as weight in kilograms divided by reported height in meters squared. |
From baseline to end of the intervention period (12-20 weeks)
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Change in Waist-to-Hip Ratio
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Waist-to-hip ratio measures will be collected using standardized measurement procedures and measured in centimeters.
Waist circumference and hip circumference will be measured in centimeters using a flexible measuring tape.
Waist circumference will be measured at the midpoint between the lower rib and the iliac crest.
Hip circumference will be measured at the widest portion of the buttocks.
Waist-to-hip ratio will be calculated as waist circumference (cm) divided by hip circumference (cm).
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From baseline to end of the intervention period (12-20 weeks)
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Change in Body Composition (Fat Mass)
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Body composition will be assessed using bioelectrical impedance analysis (BIA) with a body composition analyzer. BIA estimates body composition by measuring electrical impedance through body tissues and incorporating participant characteristics (e.g., age, sex, height, and weight) into prediction equations. The following body composition measures will be collected: Fat mass (kg): Estimated total body fat mass measured in kilograms. Reductions in fat mass represent improvements in body composition. |
From baseline to end of the intervention period (12-20 weeks)
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Change in Body Composition (Muscle Mass)
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Body composition will be assessed using bioelectrical impedance analysis (BIA) with a body composition analyzer. BIA estimates body composition by measuring electrical impedance through body tissues and incorporating participant characteristics (e.g., age, sex, height, and weight) into prediction equations. The following body composition measures will be collected: Muscle mass (kg): Estimated total skeletal muscle mass measured in kilograms. Increases in muscle mass represent improvements in body composition. |
From baseline to end of the intervention period (12-20 weeks)
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Change in Body Composition (Percent Muscle Mass)
Tidsramme: From baseline to end of the intervention period (12-20 weeks)
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Body composition will be assessed using bioelectrical impedance analysis (BIA) with a body composition analyzer. BIA estimates body composition by measuring electrical impedance through body tissues and incorporating participant characteristics (e.g., age, sex, height, and weight) into prediction equations. The following body composition measures will be calculated: Percent muscle mass (%): The proportion of total body weight composed of skeletal muscle tissue, expressed as a percentage ranging from 0-100%. Percent Muscle Mass will be calculated from two collected measures: Body Mass (kg), and Muscle Mass (kg). Increases in muscle mass and percent muscle mass represent improvements in body composition. |
From baseline to end of the intervention period (12-20 weeks)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Linda-Marie U Lavenburg, DO, MS, University of Pittsburgh
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Patologiske processer
- Mandlige urogenitale sygdomme
- Nyresygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Kronisk sygdom
- Sygdomsegenskaber
- Nyreinsufficiens
- Patologiske tilstande, tegn og symptomer
- Hjerte-kar-sygdomme
- Nyreinsufficiens, kronisk
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- STUDY25050072
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Ved afslutning af studiet indsendes et deidentificeret datasæt, der inkluderer PAM-scorer og understøttende demografiske, selvrapporterede eller kliniske data til Insignia Health som en del af vores forskningslicens til brug af Patient Activation Measure-13-spørgeskemaet.
Deidentificerede data vil blive opbevaret i mindst 7 år. Anmodninger om deling af individuelle deltagerdata vil blive accepteret, og beslutningen om at dele data vil være under studieleaders skøn.
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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