The "Mikidney" smartphone app pilot study: Empowering patients with Chronic Kidney Disease.


Journal

Journal of renal care
ISSN: 1755-6686
Titre abrégé: J Ren Care
Pays: United States
ID NLM: 101392167

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 14 11 2018
revised: 05 03 2019
accepted: 17 03 2019
pubmed: 30 7 2019
medline: 9 6 2020
entrez: 30 7 2019
Statut: ppublish

Résumé

Successful management of chronic kidney disease (CKD) depends on patients' self-management efforts. Mobile health applications can empower patients with CKD to manage their own condition. We developed, with patient involvement, the MiKidney smartphone application. Evaluate the MiKidney app as an aid to empowering patients with CKD to become more engaged in the management of their condition. Pilot single group pre- and post-test intervention study. Renal clinic of an urban University Hospital in Ireland. Aged over 18 years with CKD and able to use a smartphone. Sample size based on expression of interest and availability of free smartphones (n = 23); three patients withdrew prior to T3 data collection (n = 20). Data were collected at T1 (baseline), T2 (week 6) and when exiting the study (T3, 12 weeks) on physical activity, body measurements and blood parameters. Information on app usage and patient satisfaction collected at T2 and T3. There was significant improvement in the six-minute walking test (p = 0.02), total cholesterol (p = 0.023) and LDL cholesterol (p = 0.005) serum levels and a significant decrease in waist circumstance (p = 0.00) and body fat (p = 0.01) measurements. Eighteen participants found the MiKidney app easy to navigate. The MiKidney study highlights the viability and usability of the MiKidney app. It has the potential to empower and motivate patients to understand and self-manage their condition by providing them with the necessary information on renal diet and symptom management. Additionally, tools such as exercise tracker and reminder alerts are available on a readily accessible user-friendly platform.

Sections du résumé

BACKGROUND BACKGROUND
Successful management of chronic kidney disease (CKD) depends on patients' self-management efforts. Mobile health applications can empower patients with CKD to manage their own condition. We developed, with patient involvement, the MiKidney smartphone application.
AIM OBJECTIVE
Evaluate the MiKidney app as an aid to empowering patients with CKD to become more engaged in the management of their condition.
DESIGN METHODS
Pilot single group pre- and post-test intervention study.
SETTING METHODS
Renal clinic of an urban University Hospital in Ireland.
PATIENTS METHODS
Aged over 18 years with CKD and able to use a smartphone. Sample size based on expression of interest and availability of free smartphones (n = 23); three patients withdrew prior to T3 data collection (n = 20).
MEASUREMENTS METHODS
Data were collected at T1 (baseline), T2 (week 6) and when exiting the study (T3, 12 weeks) on physical activity, body measurements and blood parameters. Information on app usage and patient satisfaction collected at T2 and T3.
RESULTS RESULTS
There was significant improvement in the six-minute walking test (p = 0.02), total cholesterol (p = 0.023) and LDL cholesterol (p = 0.005) serum levels and a significant decrease in waist circumstance (p = 0.00) and body fat (p = 0.01) measurements. Eighteen participants found the MiKidney app easy to navigate.
CONCLUSION CONCLUSIONS
The MiKidney study highlights the viability and usability of the MiKidney app. It has the potential to empower and motivate patients to understand and self-manage their condition by providing them with the necessary information on renal diet and symptom management. Additionally, tools such as exercise tracker and reminder alerts are available on a readily accessible user-friendly platform.

Identifiants

pubmed: 31355536
doi: 10.1111/jorc.12281
doi:

Types de publication

Journal Article

Langues

eng

Pagination

133-140

Subventions

Organisme : Royal City of Dublin Hospital Trust
ID : 14021/188

Informations de copyright

© 2019 European Dialysis and Transplant Nurses Association/European Renal Care Association.

Auteurs

Nuala Doyle (N)

Renal Unit, St. James's Hospital, Dublin, Ireland.

Mairead Murphy (M)

Renal Unit, St. James's Hospital, Dublin, Ireland.

Laura Brennan (L)

Department of Clinical Nutrition, St. James's Hospital, Dublin, Ireland.

Alice Waugh (A)

Department of Physiotherapy, St. James's Hospital, Dublin, Ireland.

Margaret McCann (M)

Trinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

George Mellotte (G)

Department of Nephrology, St. James's Hospital, Dublin, Ireland.

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