Child, Only, Chronic Renal Failure in Children, Disease, Gambling, Management
Conditions
Keywords
chronic renal failure, child, mobile game, disease management
Brief summary
The aim of this study was to investigate the effect of a mobile game application developed for children with Chronic Renal Failure (CRF) on disease management. The study was a randomized controlled trial. The study sample consisted of 68 children diagnosed with CRF, including the Mobile application (n:34) and Control group (n:34). In the study, a mobile game was developed for children diagnosed with CRF aged 11-14 years. Data Collection Form, Clinical Parameters Follow-up Form, Information Form on Chronic Renal Failure, Healthy Lifestyle Belief Scale for Adolescents, Child's Attitude Toward His/her Disease Scale and Mobile Application Usability Scale were used to collect the data.
Interventions
As part of the clinic's routine education program, information about kidney function, CKD, nutrition, exercise, medications, and stress management is provided verbally by a nephrology clinic nurse in approximately 20 minutes.
The mobile game software developed for patients with chronic renal failure contains information for children on daily life activities such as nutrition, exercise, personal hygiene, etc.
Sponsors
Study design
Masking description
To control statistical bias, the data were transferred to a computer by an independent researcher, coded as groups A and B, and entered into the database. After the data were analyzed by a statistician and a statistical report was written, the control and research groups were reported by the coder.
Intervention model description
A randomized controlled trial
Eligibility
Inclusion criteria
* (a) 11-14 years old * (b) Being monitored with a diagnosis of Chronic Kidney Failure * (c) having the ability to read, write, and understand Turkish * (d) having a phone/tablet with mobile game download capability * (e) volunteering to participate in the study * (f) being willing to participate in the study.
Exclusion criteria
* (a) having mental, neurological, or communication problems * (b) being on hemodialysis * (c) communication, mental or neurological problems * (d) being on peritoneal dialysis * (e) having previously attended planned training on CRF
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BMI | 3 months | BMI in kg/m\^2 |
| Blood pressure | 3 months | — |
| Pulse rate | 3 months | — |
| Level of knowledge regarding chronic renal failure | 3 months | The information form consists of 25 questions. The information form has been created with two answers, correct and incorrect. Correct answers are worth 1 point, while incorrect answers are worth 0 points, and the form is evaluated based on the total score. A reliability analysis was performed using Kuder Richardson 20 (KR-20) to evaluate whether the items that make up the question form form a whole. |
| Healthy Lifestyle Belief Level for Adolescents | 3 months | The scale emphasizes beliefs related to various aspects of maintaining a healthy lifestyle. The scale has a total of 16 items. The scale has three subscales: health beliefs, physical activity, and nutrition. The health beliefs subscale is composed of items 4, 5, 6, 11, 12, 13, and 16; the physical activity subscale includes items 2, 7, 9, 14, and 15; and the nutrition subscale comprises items 1, 3, 8, and 10. The scale, prepared according to the five-point Likert system, is answered on a scale of 1=Strongly Disagree, 5=Strongly Agree. A minimum of 16 and a maximum of 80 points can be obtained from the entire scale. An increase in the score obtained from the scale indicates an increase in adolescents' belief in healthy living. |
| Child's Attitude Towards Their Own Illness | 3 months | The Child's Attitude Toward Their Own Illness Scale is a 13-item measure developed to assess children's feelings and thoughts about having a chronic illness. Participants respond to the scale items using a 5-point Likert scale: never, not often, sometimes, often, and very often. Items 1, 2, 3, 4, 5, 7, 9, 11, and 13 are reverse-coded. When evaluating the scale, the scores obtained from the 13 items are summed and divided by the number of items. The total score range is min: 1 to max: 5. Scores of 1 and 2 indicate a negative attitude, 3 indicates a neutral attitude, and 4 and 5 indicate a positive attitude. |
Countries
Turkey (Türkiye)