Development and Feasibility of a Virtual Nutrition Education Intervention for Adults with Non-Dialysis Chronic Kidney...

Adherence to a healthy diet has been shown to decrease the incidence and progression of chronic kidney disease (CKD). However, traditional nutrition education for CKD may not always adequately address healthy eating while incorporating patients' individual needs. The primary objective of this study was to systematically develop a nutrition education intervention for adults with stage 3-4 non-dialysis CKD; the secondarily objective was to evaluate the feasibility of the developed intervention.

The educational material was systematically developed using ADDIE as the methodological framework and the COM-B (Capability, Opportunity, Motivation, and Behavior) model as theoretical reference to promote behavioral change in patients with CKD. Following the theoretical design, renal nutrition experts created the educational scripts, professionally produced video clips, and supporting brochures. The material was delivered digitally to patients with CKD to evaluate the feasibility of the intervention.

A virtual educational intervention was developed to increase access for patients with limited mobility or living in rural areas and to enhance practical skills and stimulate interaction through structured exposition. It consists of 4 sessions, including 10 short videos to enhance attention and comprehension of the topics, and 6 digital handouts to reinforce the content. A proportion of 87% of invited patients completed the intervention and the acceptability surveys; in general, the acceptability of the educational intervention was high, with a mean score of 32 out of 35 points.

This educational intervention proposes a feasible structured intervention to improve adherence to a healthy diet, which may contribute to the strengthening of nutritional practice in CKD by promoting a patient-centered approach.