The effect of dietary education on attitudes and behaviors in hemodialysis patients: A randomized trial

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dc.contributor.authorAkeren, Zahide
dc.contributor.authorCakmak, Vahide Semerci
dc.contributor.authorKalyoncuo, Servet
dc.date.accessioned2026-02-28T12:17:46Z
dc.date.available2026-02-28T12:17:46Z
dc.date.issued2025
dc.departmentBayburt Üniversitesi
dc.description.abstractBackground: Hemodialysis patients are at high risk for poor dietary status, primarily due to limited adherence to complex dietary regimens. Inadequate adherence may lead to complications and negatively adversely affect treatment outcomes. Promoting positive dietary attitudes and behavioral change is essential to improve health in this population. Aim: This study aimed to evaluate the impact of a structured dietary education program on dietary attitudes, daily diet intake, and vital signs in hemodialysis patients. Methods: The study was conducted between December 15, 2023, and March 27, 2024, with 34 patients (17 experimental, 17 control) receiving treatment at a public hospital in northeastern Turkey. Data were collected using the Patient Information Form, 24-Hour Diet Recall, Attitude Scale for Dietary Therapy of Hemodialysis Patients (ASDTHP), and Vital Signs Form. The experimental group received structured dietary education in two weekly 40-min sessions. Analyses were performed using BeBIS 9.0 and SPSS 25. Results: The mean age of participants in the experimental group was 59.94 +/- 11.80 years; 64.7 % were male, and 64.7 % were primary/middle school graduates. In the experimental group, significant improvements were found in the total ASDTHP score, including the cognition-influenced and diet culture-related behavioral subdimensions (p < 0.05). Additionally, post-intervention analysis showed showed statistically significant reductions in systolic blood pressure, and pulse rate and increase in potassium intake (p < 0.05). Conclusion: Dietary education improved dietary attitudes and positively influenced certain vital signs, including blood pressure, in hemodialysis patients. However, it did not lead to statistically significant changes in other macronutrient and micronutrient intake variables.
dc.identifier.doi10.1016/j.cct.2025.108011
dc.identifier.issn1551-7144
dc.identifier.issn1559-2030
dc.identifier.pmid40664299
dc.identifier.scopus2-s2.0-105010688626
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1016/j.cct.2025.108011
dc.identifier.urihttps://hdl.handle.net/20.500.12403/5976
dc.identifier.volume156
dc.identifier.wosWOS:001550593600003
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofContemporary Clinical Trials
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260218
dc.subjectHemodialysis
dc.subjectDietary education
dc.subjectNutrition attitude
dc.subjectDietary adherence
dc.subjectVital signs
dc.subjectDietary attitude
dc.subjectEducation
dc.subjectBeBIS program
dc.titleThe effect of dietary education on attitudes and behaviors in hemodialysis patients: A randomized trial
dc.typeArticle

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