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Thursday, 23 November 2017 11:48

Clinical Research: Renal Health self-monitoring application

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Name: Geraldo Silva Junior

Hospital/Affiliation: Universidade de Fortaleza

Home Country: Brazil

Year: 2017

Status of the program: ONGOING

 

Title of the project:
Renal Health self-monitoring application

Topic:
AKI, CKD, HD, PD, Transplantation

Short description of the project or abstract: This study will explore an inovative application for smartphones (“Renal Health” app) and integrated sensor devices, aiming to increase the knowledge of the general population on the disease prevention and help CKD patients on treatment adherence and self-monitoring. The first version of the application was developed to patients on dialysis and for kidney transplanted patients, at Android platform, based on their opinion on needs and was first tested with a group of selected patients and healthcare professionals. A new version will be developed for the IOS platform and the sessions to patients undergoing treatment without hemodialysis (conservative treatment) and undergoing peritoneal dialysis. The first version is in Portuguese and will be tested in Brazil. Further versions will also be provided in English and Spanish, and we intend to perform usefulness tests in other countries. In the same time, tools are being developed to be integrated with the application, for example, medication smart box (for registration through bluetooth of the use of medicines), portable digital scale (for the patients weight themselves where they are and this information will be sent to the application through Bluetooth, which is of huge importance for those on dialysis, to control interdialytic weight gain) and a device for increasing functioning of arteriovenous fistula for hemodialysis. We are also developing educational videos to be integrated to this app, to increase people’s knowledge about kidney disease. In the next phase, the application and its tools will be tested with a broad range of patients (individuals without CKD, patients undergoing treatment without hemodialysis (conservative treatment), patients undergoing hemodialysis, peritoneal dialysis and kidney transplantation) during a period of 3 years, and outcomes will be evaluated. The main outcomes will be mortality and graft loss. We hypothesize that the use of this app increase patients’ adherence to treatment and then decrease CKD complications, including need for dialysis, interdialytic overweight, hydroelectrolyte disturbances, hospitalizations related to preventable causes, renal allograft loss related with nonadherence and early death. It may also decrease CKD incidence and progression in the general population, once increasing knowledge about kidney disease and the ways to prevent it people will adopt healthier lifestyles.

Learning or research objectives:

  • To develop and test an application to CKD patients undergoing treatment without hemodialysis (conservative treatment), patients on dialysis and those kidney transplanted patients (Renal Health app). 

  • To screen the general population for CKD, through self-testing kidney function and CKD risk, and this will help people adopt healthier lifestyle. 

  • To develop and test tools that will be connected to the application by Bluetooth (medication smart box and portable digital scale).
  • To assess whether the use of this app and the devices has impact on patients clinical outcomes (need for dialysis, interdialytic overweight, hydroelectrolyte disturbances, hospitalizations related to preventable causes, renal allograft loss related with nonadherence and early death). 

  • To help CKD patients cope with treatment, in different modalities, including dialysis and transplantation.

Additional Info

  • Year: 2017
  • Status: In progress
  • Partners: ISN only
  • Region: Latin America and the Caribbean
  • Country: Brazil
  • Topics: AKI, CKD, Transplantation, Hemodialysis, Peritoneal Dialysis
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