Self-Management Data and Disease Progression in Chronic Kidney Disease
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:
- To observe patient self-management recording performance and adherence (continuity of recording blood pressure, blood glucose, medication, and diet).
- To explore associations between integrated self-management data and disease progression or acute exacerbations (e.g., acute kidney injury, hyperkalemia).
- 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:
- 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.
- 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.
- 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
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Dae Eun Choi
- 电话号码:+82-42-280-7141
- 邮箱:daenii123@gmail.com
学习地点
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DJ
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Daejeon、DJ、韩国、35015
- 招聘中
- Chungnam National University Hospital
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接触:
- Kyungho Park
- 电话号码:+82-10-6485-7550
- 邮箱:ds3ixc@gmail.com
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
取样方法
研究人群
描述
Inclusion Criteria:
- Adult patients aged 19 years or older and under 85 years.
- Patients visiting the hospital for chronic kidney disease (CKD) management.
- Patients diagnosed with CKD or identified as high-risk for CKD requiring continuous management (e.g., diabetes mellitus, hypertension, proteinuria, or decreased eGFR).
- Patients capable of recording self-management data (blood pressure, diet, medication) independently or with assistance through the provided mobile application.
- Patients whose clinical data can be collected from the Hospital Information System (HIS).
Exclusion Criteria:
- Patients who do not sign the informed consent form or lack the capacity to fully understand the study protocol and express voluntary consent.
- Patients currently undergoing maintenance dialysis (hemodialysis or peritoneal dialysis) for end-stage kidney disease (ESKD).
- Patients deemed unsuitable for participation in the study by the investigator.
学习计划
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 |
|---|---|
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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.
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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.
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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 |
|---|---|---|
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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)
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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.
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Up to 12 months (evaluated at Visit 1 through Visit 7 at 2-month intervals)
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Association Between Self-Management Adherence and Clinical Metrics
大体时间:Up to 12 months
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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.
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Up to 12 months
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User Satisfaction with the CKD Self-Management Mobile Application
大体时间:At 4, 8, and 12 months
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Patient satisfaction scores regarding app usability and feature feasibility, assessed using a structured questionnaire.
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At 4, 8, and 12 months
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- CNUH 2026-05-025
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
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