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Self-Management Data and Disease Progression in Chronic Kidney Disease

2026年8月4日 更新者:Chungnam National University Hospital

A Non-Interventional, Prospective Observational Study to Evaluate Disease Progression and Management Characteristics for the Development of an Integrated Self-Management Data Application in Chronic Kidney Disease

This study evaluates disease progression and management characteristics in patients with chronic kidney disease (CKD) using an integrated mobile application and hospital information system (HIS) clinical data.

The main goals of this study are:

  1. To observe patient self-management recording performance and adherence (continuity of recording blood pressure, blood glucose, medication, and diet).
  2. To explore associations between integrated self-management data and disease progression or acute exacerbations (e.g., acute kidney injury, hyperkalemia).
  3. To gather foundational evidence for optimizing and improving future digital health applications for CKD management.

Participants will be recruited from outpatient clinics at Chungnam National University Hospital and followed prospectively for 1 year with regular follow-up visits.

研究概览

详细说明

This is a single-center, non-interventional, prospective observational study designed to collect clinical laboratory data and patient-generated self-management records in adults requiring chronic kidney disease (CKD) management.

Participants will undergo prospective observation for 1 year, involving 7 scheduled regular outpatient visits at 2-month intervals.

Data Collection:

  1. Patient-Generated Data: Participants will record home blood pressure (twice daily), blood glucose (twice daily, if applicable), medication intake, and diet logs (photographs taken 5 days prior to each visit) via a mobile application.
  2. Clinical Data: Clinical metrics including blood pressure, body weight, height, body mass index (BMI), routine lab results (chemistry, hematology, urinalysis), body composition analysis (BIA), ECG, and medication history will be extracted from the hospital information system (HIS). All clinical evaluations follow routine standard-of-care procedures, with no additional research-specific invasive procedures performed.
  3. User Experience: Satisfaction surveys regarding the CKD management app will be administered at 4, 8, and 12 months.

Statistical Analysis:

Continuous variables will be analyzed using one-way ANOVA, and categorical variables will be evaluated using chi-square tests. Associations between self-management adherence patterns, clinical metrics, and disease progression will be assessed.

研究类型

观察性的

注册 (估计的)

300

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

学习地点

    • DJ
      • Daejeon、DJ、韩国、35015
        • 招聘中
        • Chungnam National University Hospital
        • 接触:

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

取样方法

非概率样本

研究人群

Outpatient population visiting the Division of Nephrology at Chungnam National University Hospital for chronic kidney disease (CKD) management.

描述

Inclusion Criteria:

  1. Adult patients aged 19 years or older and under 85 years.
  2. Patients visiting the hospital for chronic kidney disease (CKD) management.
  3. Patients diagnosed with CKD or identified as high-risk for CKD requiring continuous management (e.g., diabetes mellitus, hypertension, proteinuria, or decreased eGFR).
  4. Patients capable of recording self-management data (blood pressure, diet, medication) independently or with assistance through the provided mobile application.
  5. Patients whose clinical data can be collected from the Hospital Information System (HIS).

Exclusion Criteria:

  1. Patients who do not sign the informed consent form or lack the capacity to fully understand the study protocol and express voluntary consent.
  2. Patients currently undergoing maintenance dialysis (hemodialysis or peritoneal dialysis) for end-stage kidney disease (ESKD).
  3. Patients deemed unsuitable for participation in the study by the investigator.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

队列和干预

团体/队列
干预/治疗
CKD Patient Cohort
Adult patients with chronic kidney disease (CKD) or at high risk of CKD attending outpatient clinics. All participants will log self-management data (home blood pressure, blood glucose, medication, diet) via a dedicated mobile app and undergo prospective observation for 1 year with routine clinical data collection from the hospital information system.
A mobile application used by participants to log home blood pressure (twice daily), blood glucose (twice daily, if applicable), medication adherence, and meal photographs (5 days prior to visits). The application also integrates with the hospital information system (HIS) to provide lab test results for disease monitoring.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Self-Management Data Recording Adherence and Quality
大体时间:Up to 12 months (evaluated at Visit 1 through Visit 7 at 2-month intervals)
Continuity and completion rate of patient-entered self-management logs, including home blood pressure (twice daily), blood glucose (twice daily, if applicable), medication adherence, and meal photographs.
Up to 12 months (evaluated at Visit 1 through Visit 7 at 2-month intervals)

次要结果测量

结果测量
措施说明
大体时间
Association Between Self-Management Adherence and Clinical Metrics
大体时间:Up to 12 months
Change in clinical parameters extracted from the Hospital Information System (HIS), including laboratory values (eGFR, serum potassium, urinalysis), blood pressure, and body composition analysis (BIA), to evaluate disease progression and acute exacerbations.
Up to 12 months
User Satisfaction with the CKD Self-Management Mobile Application
大体时间:At 4, 8, and 12 months
Patient satisfaction scores regarding app usability and feature feasibility, assessed using a structured questionnaire.
At 4, 8, and 12 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年6月11日

初级完成 (估计的)

2029年6月11日

研究完成 (估计的)

2029年6月11日

研究注册日期

首次提交

2026年8月4日

首先提交符合 QC 标准的

2026年8月4日

首次发布 (实际的)

2026年8月10日

研究记录更新

最后更新发布 (实际的)

2026年8月10日

上次提交的符合 QC 标准的更新

2026年8月4日

最后验证

2026年8月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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