Integration of a specific nutrition program into a comprehensive program of therapeutic education

Nutritional education strategies should be included in a multidisciplinary team for therapeutic education (TPE). We conduct a comprehensive program of therapeutic education for out-center hemodialysis patients. 5 education workshops were performed during dialysis sessions, every 15 days: Illness experience (psychologist), vascular access (nurses), medication management (pharmacist), nutrition management (dietitian) and final evaluation. A specific program of nutrition (EDAM project: Education of the dialysis patient for better food ) was added using 3 specific tools: a companion guide for patients, a game of questions-answers about nutrition(Dialygame) and a guide for the health team to use the tools and conduct nutrition workshops. 64 pts agree to join the program and were compared with a control group of 61 pts who received standard information. Specific questionnaires were created associated with quality of life evaluation (KDQOL) and usual clinical and biological data were noted before and after the 5 sessions as a short-term evaluation. Final results were under evaluation. We present a multidisciplinary TPE program which integrate a specific nutrition TPE and innovative nutrition tools will be shown.