The Kidney Diet Challenge: An Experiential Educational Experience. Issue 2 (24th February 2022)

• Record Type: Journal Article
• Authors: Norouzi, Sayna; Liu, Kyle S.; Bustamante, Edlyn; La, Ton; Mitch, William E.; Pivert, Kurtis; Staggers, Kristen A.; Shusterman, Blake; Yuan, Christina M.; Raghavan, Rajeev
• Is Part Of: Kidney360. Volume 3:Issue 2(2022)
• Page Start: 279
• Page End: 286
• Publication Date: 2022-02-24
• Subjects: clinical nephrology -- chronic kidney disease -- education -- kidney diet -- nephrology fellows -- problem-based learning; 616.61
• DOI: 10.34067/KID.0001162021
• Languages: English
• ISSNs: 2641-7650

Abstract

Key Points: Participating in a Kidney Diet Challenge can improve your ability to educate your patients with CKD about dietary modification. The Kidney Diet Challenge can be recreated with freely available webinars and our supplemental document. Social media improved our ability to recruit more participants in the Kidney Diet Challenge and made the experience more enjoyable. Visual Abstract: Abstract : Background: Health care providers who care for patients with CKD must be able to provide effective counseling about a kidney-friendly diet. Nutrition is underemphasized in medical curricula, and the kidney diet is one of the most challenging diets. We hypothesized that participation in an experiential educational program in kidney diet would result in improved knowledge of the underlying principles behind it and provide concrete examples of how to explain this diet to patients. Methods: The first part of this study was a knowledge assessment administered to all US nephrology fellows during the 2020 National Board of Medical Examiners Nephrology In-Training Examination. We later opened the assessment to a broader, global audience via social media. Respondents included trainees, practicing nephrologists, dieticians, and other health professionals. Participants self-identified willingness to participate in the second part of the study, the Kidney Diet Challenge (KDC). The 5-day challenge included daily webinars by experts in nutrition. Daily surveys captured self-reported adherence to the diet. Social media was used to engage with participants. All participants received a follow-up knowledge assessment. Results: Among the nephrology fellows ( n =317), the median pretest score was 2 out of 5 (40%) questions correct, and results did not differ by year of training ( P =0.31). Of the participants ( n =70) who completed the 5-day challenge and responded to the post-challenge survey, the distribution of the number of correct answers improved after the KDC (median [25th, 75th percentile]: 3 [2, 3] versus 3 [2, 4]; P <0.001). Statistics from our official hashtag for this study (#kidneydietchallenge) showed that we achieved 406, 241 reaches and 1, 004, 799 impressions, with a total of 974 posts using this hashtag. Conclusions: The KDC is an immersive, experiential educational tool that enabled a global population to learn how to counsel their patients better about adherence to a complex kidney diet.