End-Stage Renal Disease (ESRD) patients undergoing hemodialysis, particularly during the first three months of treatment. End-Stage Renal Disease
Conditions
Interventions
The Smart Hemodialysis Self-Management Program integrates self-management principles with Design Thinking and digital technology to support patients starting hemodialysis. The intervention includes an
Experimental Behavioral
Smart Hemodialysis Self-Management Program
Sponsors
Personal funding of the investigator
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1 Patients diagnosed with End Stage Renal Disease ESRD who started hemodialysis within the first 3 months and are aged 18 years or older. 2 Patients receiving hemodialysis 2 times per week. 3 Patients or caregivers able to read and understand Thai language. 4 Patients or caregivers who have a smartphone capable of using LINE application. 5 Patients or caregivers aged over 60 years will be assessed with MMSE Thai 2002 by trained researchers. Passing scores are greater than 14 for illiterate persons, greater than 17 for primary education or lower, and greater than 22 for higher education. Those with scores below standard or mild cognitive impairment will be excluded. 6 Patients who voluntarily provide informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1 Patients with severe or critical illness during the study period that may affect outcome evaluation such as sepsis or acute heart failure. 2 Patients who plan to undergo kidney transplantation within the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Interdialytic Weight Gain (IDWG) Week 8 Mean interdialytic weight gain (kg) and Measured by pre- and post-dialysis body weight and calculated IDWG | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-management Behavior Score Week 8 Self-management behavior questionnaire for fluid overload prevention and Scoring using a validated assessment tool,Satisfaction With the Innovation End of program, Week 8 Satisfaction questionnaire regarding the use of the innovation (E-book, LINE, Chatbot) | — |
Countries
Thailand
Contacts
Public ContactTatdao Kongrach
Faculty of Medicine, Khon Kaen University
Outcome results
None listed