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Reducing Chronic Kidney Disease Burden in an Underserved Population

25. november 2020 opdateret af: Baylor Research Institute

A Prospective, Randomized Two Group Study to Evaluate the Feasibility and Initial Efficacy of a Community-engaged Screening, Identification, and F&V Intervention to Improve F&V Intake and CKD Outcomes in 140 AA Adults

To evaluate a scalable population health strategy to 1) screen, 2) identify, and 3) intervene with individuals at high risk of CKD progression to ESRD that could be implemented in other high risk communities and health care systems. This novel study will evaluate the feasibility and preliminary efficacy of providing F&V to individuals identified at high risk study for CKD and ESRD through community health screenings. Further, it will evaluate whether providing education as to how to prepare F&V for consumption, the latter being done for all F&V recipients in PI's preliminary published studies but its efficacy was not specifically tested, increases F&V intake and thereby reduces CKD progression risk as well as related clinical outcomes.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

"Fruits and Veggies for Health" is a prospective, randomized two group study to evaluate a community-engaged screening, identification, and F&V intervention to improve CKD outcomes in 140 AA adults (greater than 18 years). Participants will be randomized to a 1) F&V only (F&V Only), or 2) F&V plus a nutrition/cooking program (F&V + Cook).

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

142

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Texas
      • Dallas, Texas, Forenede Stater, 75210
        • Baylor Research Institute

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Willingness to participate in 6 month F&V study
  • Positive urine dipstick.
  • African American (self declared) race
  • Access to internet via personal computer or mobile device
  • Ability to read and write in English

Exclusion Criteria:

  • Negative urine dipstick
  • Currently receiving dialysis or needing dialysis (stage 5 Kidney disease)
  • Have received or need kidney transplant
  • Pregnant or plan to become pregnant in the next 6 months
  • Baseline urine potassium > 60 mEq/g creatinine
  • Nephrotic proteinuria demonstrated on urine ACR measurement
  • Lacking access to the internet via personal computer or mobile device
  • Unable to read or write in English

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Fruits and Vegetables Only
This group will receive a prescribed amount of free fruits and vegetables (F & V) for 6 weeks through pick-up at a farm stand, or direct delivery. After 6 weekly pick-up/deliveries, participants will be provided vouchers and reminders to obtain F&V at farm stands for an additional 18 weeks with minimal contact
Andet: Fruits and Vegetables
Fruits and vegetables delivery, once/week for 24 weeks
Eksperimentel: Fruits and Vegetables and Cook
In addition to the prescribed amount of free F&V, participants will receive 6 weekly, group nutrition and cooking education classes based on "The Happy Kitchen" curriculum. Participants will also receive free ingredients to complete the recipe from each weekly session at home.
Andet: Fruits and Vegetables
Fruits and vegetables delivery, once/week for 24 weeks
Andet: Cooking
Nutrition education and cooking instruction class, one class/week for 6 weeks
Andre navne:
  • The Happy Kitchen

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change from baseline concentration of Urine angiotensinogen (AGT) at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Primary surrogate marker of eGFR
Baseline; 6 weeks; 6 months
Change from baseline of Urine albumin-to-creatinine ratio (ACR) at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Measure of renal damage
Baseline; 6 weeks; 6 months
Changes from baseline in fruit and vegetable intake at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Track changes in fruit and vegetable intake via ASA24 food diary
Baseline; 6 weeks; 6 months
Changes from baseline in dietary fat intake at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Track changes in fat (g) intake via ASA24 food diary
Baseline; 6 weeks; 6 months
Changes from baseline in caloric intake at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Track changes in total caloric(kcal) intake via ASA24 food diary
Baseline; 6 weeks; 6 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Changes from baseline in systolic and diastolic Blood pressure at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Measure changes in systolic/diastolic blood pressure (mm Hg) to assess cardiovascular disease risk (CVD)
Baseline; 6 weeks; 6 months
Changes from baseline in serum Lipoprotein levels at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Measure changes in total cholesterol, HDL, and LDL (mg/dL) by fingerstick to assess CVD risk
Baseline; 6 weeks; 6 months
Changes from baseline in serum Glycosolated hemoglobin A1C (HgA1C) levels at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Measure changes in HgA1C (mg/dL) by fingerstick as a marker of diabetes and to assess CVD risk
Baseline; 6 weeks; 6 months
Changes from baseline in Blood glucose at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Measure fasting glucose(mg/dL) as a marker of diabetes and to assess CVD risk
Baseline; 6 weeks; 6 months
Changes from baseline in Body mass index (BMI) at 6 weeks and 6 months
Tidsramme: Baseline; 6 weeks; 6 months
Measure body mass index(lb/inches squared) to assess CVD risk
Baseline; 6 weeks; 6 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Baylor Research Institute

Efterforskere

  • Ledende efterforsker: Donald Wesson, MD, MBA, Baylor RI

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

24. januar 2019

Primær færdiggørelse (Faktiske)

13. juni 2020

Studieafslutning (Faktiske)

14. juli 2020

Datoer for studieregistrering

Først indsendt

1. februar 2019

Først indsendt, der opfyldte QC-kriterier

4. februar 2019

Først opslået (Faktiske)

6. februar 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

27. november 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

25. november 2020

Sidst verificeret

1. juli 2020

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 1R21DK113440-01A1 (U.S. NIH-bevilling/kontrakt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

All IPD that underlie results in a publication

IPD-delingstidsramme

Data will be available within 6 mths of outcome publication

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • ANALYTIC_CODE

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med ESRD

Kliniske forsøg med Fruits and Vegetables

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Bahrain

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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