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Adaptation of the RenalSmart web-based application for the dietary management of patients with diabetic nephropathy

dc.contributor.authorEsau, Nazeemaen_ZA
dc.contributor.authorKoen, Neleneen_ZA
dc.contributor.authorHerselman, Marietjie G.en_ZA
dc.date.accessioned2014-07-07T12:29:16Z
dc.date.available2014-07-07T12:29:16Z
dc.date.issued2013
dc.identifier.citationEsau, N., Koen, N. & Herselman, M. G. 2013. Adaptation of the RenalSmart web-based application for the dietary management of patients with diabetic nephropathy. South African Journal of Clinical Nutrition, 26(3):132-140.
dc.identifier.issn2221-1268 (online)
dc.identifier.issn1607-0658 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/94191
dc.descriptionCITATION: Esau, N., Koen, N. & Herselman, M. G. 2013. Adaptation of the RenalSmart web-based application for the dietary management of patients with diabetic nephropathy. South African Journal of Clinical Nutrition, 26(3):132-140.
dc.descriptionThe original publication is available at http://www.sajcn.co.za
dc.description.abstractENGLISH SUMMARY : Objectives: The aim of this study was to develop and test a web-based application for the dietary management of patients with diabetic nephropathy. Design: Observational descriptive study. Settings and subjects: RenalSmart® is a web-based application used to assist dietitians in clinical practice, from tertiary to primary care, to manage patients with chronic renal failure. The application was adapted and enhanced to include functions for the nutritional assessment of a patient with diabetic nephropathy, the formulation of a dietary prescription and the development of a meal plan and sample menu. It includes a graphical display of anthropometric and biochemical measurements. Quality assurance testing was undertaken throughout the development process by the project team in a pilot study involving generalist dietitians and dietitians who specialise in diabetic and renal nutrition. Nonrandom purposive sampling, including snowball sampling, was used to recruit them. Outcome measures: The application was finally tested for accuracy and acceptability by registered dietitians in South Africa. Results: Thirty-seven dietitians completed the final testing of the application. The mean age of the respondents was 33 years. Thirty-five per cent resided in the Western Cape. The overall acceptability of the application was rated as good to excellent by 81% of respondents. There was a significant difference between dietitians who usually consulted renal patients, compared to those who did not, in their rating of the accuracy of the data-saving function (p-value = 0.02) and the fluid requirements (p-value = 0.03). In this regard, the former group of dietitians was dissatisfied with these functions. Conclusion: The web-based application developed in this study was rated as accurate and acceptable by the majority of respondents. Identified problem areas were addressed in the final version.
dc.description.urihttp://www.sajcn.co.za/index.php/SAJCN/article/view/668
dc.format.extent9 pages ; illustrations
dc.language.isoen
dc.publisherMedpharm Publications
dc.subjectDiabetic nephropathies -- Diet therapyen_ZA
dc.subjectKidneys -- Diseasesen_ZA
dc.subjectWeb applications -- Researchen_ZA
dc.titleAdaptation of the RenalSmart web-based application for the dietary management of patients with diabetic nephropathyen_ZA
dc.typeArticle
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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