Chronic Kidney Disease (CKD), CKD Stage 1-3
Conditions
Brief summary
This clinical trial aims to determine whether a multimedia educational intervention can effectively improve physical fitness and physical activity levels in patients with chronic kidney disease (CKD), while also evaluating its overall outcomes. The study primarily seeks to answer the following questions: * Can multimedia education enhance CKD patients' cardiorespiratory endurance, muscle strength, flexibility, and physical activity levels? * Do patients receiving multimedia education demonstrate greater improvements in health behavior and fitness compared to those receiving standard education alone? Researchers will compare a multimedia educational video program with conventional patient education to assess whether the multimedia approach helps patients maintain regular exercise and improve physical performance. Participants will: * Be randomly assigned to either the multimedia education group or the standard education group. * Take part in a 12-week intervention and assessment period. * Undergo pre- and post-intervention evaluations, including: * Six-minute walk test, grip strength and chair-stand test, flexibility test, and body composition analysis (BMI, waist-to-hip ratio, InBody). * Completion of a physical activity questionnaire (IPAQ-C). The findings will be used to evaluate the clinical value of multimedia education in CKD management and to support the development of effective patient exercise education programs.
Interventions
BEHAVIORALMultimedia Health Education
Participants in this group will receive a multimedia exercise education program designed for patients with chronic kidney disease (CKD). The program includes instructional videos demonstrating proper exercise techniques, safety guidelines, and motivational content to encourage regular physical activity. The intervention aims to enhance participants' exercise knowledge, physical fitness, and activity levels over a 12-week period.
BEHAVIORALStandard Education Group
Standard CKD Education
Sponsors
Fu Jen Catholic University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Conscious adults aged 20 years or older who are literate and able to communicate in Mandarin or Taiwanese. * Diagnosed with chronic kidney disease (CKD) stage 1 to 3b according to the CKD-EPI formula and confirmed by a nephrologist. * Able to operate a mobile device (such as a smartphone, tablet, or computer) and have access to equipment capable of playing multimedia videos; family members or caregivers may assist if necessary. * Able to view and understand multimedia educational video content.
Exclusion criteria
* Individuals with cognitive or psychiatric disorders that prevent understanding or adherence to the exercise program. * Individuals with gait instability or limb amputation who are unable to perform the exercise protocol. * Individuals with poorly controlled cardiovascular disease, such as heart failure, myocardial infarction, angina, arrhythmia, or those who have experienced chest pain during activity or rest within the past three months. * Individuals deemed unsuitable for exercise by their attending physician. * Individuals with poorly controlled diabetes (HbA1C \> 9%) accompanied by retinopathy or foot ulcers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in 6-minute walk test distance from baseline to 12 weeks, measured in meters. | Baseline and 12 weeks after intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity level (IPAQ-C) | Baseline and 12 weeks after intervention | Change in physical activity level measured by the International Physical Activity Questionnaire - Chinese version (IPAQ-C) from baseline to 12 weeks. Total physical activity will be expressed in metabolic equivalent task minutes per week (MET-min/week), with higher scores indicating higher levels of physical activity. |
| Change in handgrip strength from baseline to 12 weeks, measured in kilograms. | Baseline and 12 weeks after intervention | — |
| Change in chair stand test performance from baseline to 12 weeks, measured by number of repetitions completed in 30 seconds. | Baseline and 12 weeks after intervention | — |
| Change in sit-and-reach test score from baseline to 12 weeks, measured in centimeters. | Baseline and 12 weeks after intervention | — |
| Change in waist-to-hip ratio from baseline to 12 weeks. | Baseline and 12 weeks after intervention | — |
| Change in body mass index from baseline to 12 weeks, measured in kg/m². | Baseline and 12 weeks after intervention | — |
| Change in body composition from baseline to 12 weeks, including body fat percentage and skeletal muscle mass. | Baseline and 12 weeks after intervention | — |
Countries
Taiwan
Contacts
CONTACTHUEI SHIN WEN
Outcome results
None listed