1. February 27, 2019
Self-Management (SM) of Dietary Intake Using Mindful Eating for Persons with Stage 1-3 CKD
Gayle M. Timmerman PhD, CNS, FNAP, FAAN
Research reported here was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number P30NR The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

2. Intervention: (6 weekly 2-hr small group sessions)
SM skills: food label reading, problem solving, content on dietary recommendations
Mindful eating: practice & meditations focused on body cues (hunger, fullness)

3. Outcomes (n=19) Positive participant feedback (100%)
90.5% retention rate
Significant improvements in:
Mean weight
Mean BMI
Cis-beta-carotene levels

4. Transdisciplinary Team
Michele R. Forman, PhD (Co-I Nutrition)
Richard Lewis MD (Nephrology)
Deborah Samoson, MSN, FNP (Nephrology)
Holli Temple, PharmD (Pharmacy)
Research Assistants: Muna Tahir (Nutrition) & Marlene Tovar (Nursing)

5. Content Analysis of IRB Amendments
21 changes made based on team input
9 changes in protocol
8 changes in measures
4 changes in recruitment/retention plans

6. Examples of Improvements
Added $15/intervention session to offset travel expenses.
Invited significant others to attend sessions.
Added K+ as clinical safety measure with protocol for lab values with health threat.
Added plasma carotenoid measure – biomarker for fruit & veggies

7. Conclusions – Transdisciplinary Teams:
Essential to success of study, especially recruitment and refining processed to ↓ burden and ↑ safety.
Required additional effort.
Provided diverse perspectives that improved:
Research design
Study protocols
Study measures
Acceptability of study

8. THANK YOU