eHealth Based Self-management Intervention for Chronic Kidney Disease Care in China
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Hongxia Shen
- Phone Number: 00310633789207
- Email: H.Shen@lumc.nl
Study Locations
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Guangdong
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Guangzhou, Guangdong, China, 510000
- The second Affiliated Hospital of Guangzhou Medical University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients: (1) aged over 18 years old; (2) diagnosis of chronic kidney disease; (3) Chinese speaking.
- Health care providers who work in the Department of Nephrology
Exclusion Criteria:
- Individuals unable to participate due to physical or mental disabilities.
- Individuals unable to write or read.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Medical Dashboard based self-management intervention
Chronic kidney disease patients in the intervention group will receive the usual care plus the tailored 'Medical Dashboard' based self-management intervention.
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Before the start of the intervention, chronic kidney disease patients and care providers will receive a face-to-face training session on the use of Medical Dashboard.
To avoid contamination, Medical Dashboard will only be made accessible for participants in the intervention group via a secure password-protected registration process.
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No Intervention: Usual care services
Chronic kidney disease patients in the comparison group will receive usual care consisting of personalised in- and outpatient treatment based on symptoms experienced and disease severity, as outlined in the Kidney Disease Improving Global Outcomes (KDIGO).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change of chronic kidney disease self-management behavior using Chronic Kidney Disease Self-Management (CKD-SM) instrument
Time Frame: 0 month (baseline), 9 months after randomisation (endpoint)
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The Chronic Kidney Disease Self-Management (CKD-SM) instrument with 29 items uses a four-point likert scale ranging from 1 (never) to 4 (always) to measure subjects' self-management behavior.
Possible scores range from 29 to 116 points, with higher scores indicating better self-management behavior
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0 month (baseline), 9 months after randomisation (endpoint)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change of chronic kidney disease quality of life using the Kidney Disease Quality of Life 36-item short-form survey (KDQOL-36) from baseline to 9 months after randomization
Time Frame: 0 month (baseline), 9 months after randomisation (endpoint)
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The Kidney Disease Quality of Life 36-item short-form survey (KDQOL-36) is used to evaluate the health-related quality of life.
It has 36 items.
Possible scores range from 0 to 100 points, with higher scores indicating better health-related quality of life
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0 month (baseline), 9 months after randomisation (endpoint)
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Change of number of complications patients
Time Frame: 0 month (baseline), 9 months after randomisation (endpoint)
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Change of number of complications patients
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0 month (baseline), 9 months after randomisation (endpoint)
|
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Change of chronic kidney disease self-efficacy using Chronic Kidney Disease Self-efficacy (CKD-SE) scale
Time Frame: 0 month (baseline), 9 months after randomisation (endpoint)
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The Chronic Kidney Disease Self-efficacy (CKD-SE) scale is a 25-item self-administered scale that measures subjects' confidence.
Responses range from no confidence (0) to the highest degree of confidence (10).
Possible scores range from 0 to 250 points, with higher scores indicating greater levels of confidence
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0 month (baseline), 9 months after randomisation (endpoint)
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Change of chronic kidney disease illness perception using Brief Illness Perception Questionnaire (BIPQ)
Time Frame: 0 month (baseline), 9 months after randomisation (endpoint)
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The Brief Illness Perception Questionnaire (BIPQ) is a nine-item scale designed to rapidly assess the cognitive and emotional representations of illness.
This scale consists of eight items related to illness perception.
In addition, patients are asked to identify the three most important factors that they believe have caused their illness.
All of the items except the causal question are rated using a 0 to 10 response scale.
Higher scores indicate stronger perceptions along that dimension.
The scores of items 3, 4, and 7 are calculated and expressed as reverse scores in this scale.
Possible scores range from 0 to 80 points, with higher scores indicating a more threatening view of the illness
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0 month (baseline), 9 months after randomisation (endpoint)
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Change of chronic kidney disease anxiety and depression status using the Hospital Anxiety and Depression Scale (HADS)
Time Frame: 0 month (baseline), 9 months after randomisation (endpoint)
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Hospital Anxiety and Depression Scale (HADS) is used to determine the levels of anxiety and depression that a person is experiencing.
It is a fourteen item scale that generates ordinal data.
Seven items measure symptoms of anxiety and seven items measure symptoms of depression .
Each item is coded from 0 to 3. Possible scores range from 0 to 21 points for sub-scale on anxiety or depression, with higher scores indicating greater levels of burden of anxiety or depression
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0 month (baseline), 9 months after randomisation (endpoint)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Hongxia Shen, Guangzhou Medical University
Publications and helpful links
General Publications
- Shen H, van der Kleij R, van der Boog PJM, Song X, Wang W, Zhang T, Li Z, Lou X, Chavannes N. Development and evaluation of an eHealth self-management intervention for patients with chronic kidney disease in China: protocol for a mixed-method hybrid type 2 trial. BMC Nephrol. 2020 Nov 19;21(1):495. doi: 10.1186/s12882-020-02160-6.
- Shen H, van der Kleij R, van der Boog PJM, Chavannes NH. Developing a Tailored eHealth Self-Management Intervention for Patients With Chronic Kidney Disease in China: Intervention Mapping Approach. JMIR Form Res. 2024 Jun 13;8:e48605. doi: 10.2196/48605.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Chronic Disease
- Disease Attributes
- Renal Insufficiency
- Pathological Conditions, Signs and Symptoms
- Renal Insufficiency, Chronic
Other Study ID Numbers
Other Study ID Numbers
- 201707040096
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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