Nurse-Led Nutritional Education for Moroccan Dialysis Patients

NCT07277530 | Completed

• 1 other identifier: CERS/UEMF-2025/EC10/02
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Why was this study done? Many dialysis centers in Morocco lack dietitians to provide proper, individualized dietary support to patients. High potassium levels (hyperkalemia) are a major risk factor for heart problems in dialysis patients. This study tested whether a simple nutritional education program, led by a nurse, could help patients better manage their diet and safely reduce their serum potassium levels. Who participated? Thirty (30) adult patients with end-stage renal disease receiving hemodialysis participated in the study. They were recruited from three public hemodialysis centers in Morocco that did not have permanent dietitians. What did participants do? The study was conducted from February to June 2025. Participants received an educational intervention led by a nurse. The sessions covered potassium content in food, fluid intake, thirst management, and physical activity. What did the study find (Results)? The educational program resulted in a statistically significant reduction in patients' serum potassium levels. The percentage of patients within the ideal potassium range (4 to 5 mmol/L) increased from 36.7% at the start to 46.7% at the end. This demonstrates that a nurse-led program is a practical and beneficial approach to help lower cardiovascular risk in resource-scarce settings. The study found no significant changes in Quality of Life (QoL) or interdialytic weight gain (IDWG).

Conditions

Chronic Kidney Disease 5D; Hyperkalemia; Hemodialysis

Keywords

Hemodialysis; Nurse-Led; Nutritional Education; Hyperkalemia Management; Interdialytic Weight Gain; Quality of Life

Outcome Measures

Primary Outcomes (1)

• Change in Serum Potassium Level

  Change in serum potassium concentration measured at baseline (T0) and after the 12-week educational intervention (T1).

  From baseline to 12 weeks after the start of the intervention.

Secondary Outcomes (2)

• Change in Interdialytic Weight Gain (IDWG)

  4 weeks before baseline and 4 weeks at the end of the 12-week intervention

• Change in Quality of Life (QoL) Index Score

  From baseline to 12 weeks after the start of the intervention.

Study Arms (1)

Nutritional Education Intervention

EXPERIMENTAL

This arm represents the single group in this pre-post study. All 30 participants received the educational intervention over five months (Feb-June 2025). The program focused on dietary management of potassium and fluid, salt intake, and physical stretching exercises, delivered by a nurse in the Moroccan dialect.

Behavioral: Nutritional Education Intervention

Interventions

Nutritional Education Intervention BEHAVIORAL

Educational sessions focused on dietary management of potassium and fluid restriction, salt intake, and low-impact physical activity (stretching). The program was delivered by a nurse in the Moroccan dialect via face-to-face and remote (WhatsApp) communication.

Nutritional Education Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis. Participants must have provided written informed consent.

You may not qualify if:

• Patients who declined to participate; patients who were minors (under 18 years old); and patients with conditions impairing their ability to understand or receive educational content, such as severe hearing loss or cognitive impairment.

Sponsors & Collaborators

• HASSAN 1st university: lead

Study Sites (1)

Settat Hemodialysis Center,el borouj Hemodialysis Center, Al amal Hemodialysis Center

Settat, Settat, 26000, Morocco

Location

MeSH Terms

Conditions

Hyperkalemia

Condition Hierarchy (Ancestors)

Water-Electrolyte Imbalance; Metabolic Diseases; Nutritional and Metabolic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a pre-post experimental investigation. All participants were assigned to the single intervention group and acted as their own controls, with outcomes measured before (T0) and after (T1) the nurse-led nutritional education program. There was no separate control group.

Study Record Dates

• First Submitted: November 20, 2025
• First Posted: December 11, 2025
• Study Start: February 1, 2025
• Primary Completion: June 30, 2025
• Study Completion: June 30, 2025
• Last Updated: December 11, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: The IPD will be available starting six months after publication of the final article and will remain available for a period of five years (until 2030).
• Access Criteria: The identified individual participant data (IPD) and supporting documentation will be accessible to qualified researchers who submit a methodologically sound and ethically approved proposal to the Principal Investigator (PI). Access will be granted via a secure shared drive after signing a data access agreement.

Locations

MO (1)