{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T18:37:20Z","timestamp":1776883040713,"version":"3.51.2"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,26]],"date-time":"2012-11-26T00:00:00Z","timestamp":1353888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the effect of self\u2010management dietary counselling (SMDC) on adherence to dietary management of hyperphosphatemia among haemodialysis patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An eight\u2010week cluster based randomised control trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>122 stable adult patients were recruited from an HD unit in Sidon, Lebanon. Study groups were: full intervention (A) (n = 41), partial intervention (B) (n = 41) and control (C) (n = 40).<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>Group (A) received SMDC, Group (B) received educational games only and Group (C) did not receive any research intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Serum phosphorus (P), Calcium Phosphate product (Ca \u00d7 P) and two questionnaires: patient knowledge (PK) and dietary non\u2010adherence (PDnA) to P reduced diet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Group A experienced a significant improvement in mean (\u00b1 SD) P (6.54 \u00b1 2.05 \u2212 5.4 \u00b1 1.97 mg\/dl), Ca \u00d7 P (58 \u00b1 17 \u2212 49 \u00b1 12), PK scores (50 \u00b1 17 \u2212 69 \u00b1 25%) and PDnA scores (21.4 \u00b1 4.0 \u2212 18.3 \u00b1 2.0). Group B experienced a significant improvement in Ca \u00d7 P (52 \u00b1 14\u201345 \u00b1 16). Group C did not experience any significant change post intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings demonstrate the importance of patient\u2010tailored counselling on serum P management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1755-6686.2012.00327.x","type":"journal-article","created":{"date-parts":[[2012,11,26]],"date-time":"2012-11-26T09:07:50Z","timestamp":1353920870000},"page":"19-30","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["NUTRITIONAL EDUCATION FOR THE MANAGEMENT OF OSTEODYSTROPHY (NEMO) IN PATIENTS ON HAEMODIALYSIS: A RANDOMISED CONTROLLED TRIAL"],"prefix":"10.1111","volume":"39","author":[{"given":"Mirey","family":"Karavetian","sequence":"first","affiliation":[{"name":"American University of Beirut Nutrition and Dietetics, Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sana","family":"Ghaddar","sequence":"additional","affiliation":[{"name":"Davita Inc, Foster California United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2005.01160.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-2276(03)00116-X"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.1998.v31.pm9531176"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.19.2469"},{"key":"e_1_2_11_6_1","first-page":"432","article-title":"Adherence to the dialysis prescription: partnering with patients for improved outcomes","volume":"31","author":"Breiterman W.R.","year":"2004","journal-title":"Nephrology Nursing Journal"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-2276(04)00130-X"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2003.10.016"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.suppl_1.i33"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2004.010744"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2003.09.008"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00086-9"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2008.08.011"},{"issue":"4","key":"e_1_2_11_14_1","first-page":"1","article-title":"The NKF\u2010NUS hemodialysis trial protocol\u2010a randomized controlled trial to determine the effectiveness of a self management intervention for hemodialysis patients","volume":"12","author":"Griva K.","year":"2011","journal-title":"BMC Nephrology"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/jren.2003.50029"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/jada.2003.50031"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2369-9-2"},{"key":"e_1_2_11_18_1","unstructured":"Lebanese Ministry of Public Health. 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