Abstract:
BACKGROUND:Chronic kidney disease (CKD) is increasing worldwide and early education to improve adherence to self-management is a key strategy to slow CKD progression. The use of the internet and mobile phone technologies (mHealth) to support patients is considered an effective tool in many other chronic disease populations. While a number of mHealth platforms for CKD exist, few studies have investigated if and how this population use technology to engage in self-management. METHODS:Using a cross-sectional design across five health districts in Queensland (Australia), a 38-item self-report survey was distributed to adults with CKD attending outpatient clinics or dialysis units to measure current use and type of engagement with mHealth, perceived barriers to use, and opportunities to support CKD self-management. Odds ratio (OR) were calculated to identify associations between demographic characteristic and mHealth use. RESULTS:Of the 708 participants surveyed, the majority had computer access (89.2%) and owned a mobile phone (83.5%). The most likely users of the internet were those aged ≤ 60 years (OR: 7.35, 95% confidence interval [CI]: 4.25-12.75, p < 0.001), employed (OR: 7.67, 95% CI: 2.58-22.78, p < 0.001), from non-indigenous background (OR: 6.98, 95% CI: 3.50-13.93, p < 0.001), or having completed higher levels of education (OR: 3.69, CI: 2.38-5.73, p < 0.001). Those using a mobile phone for complex communication were also younger (OR: 6.01, 95% CI: 3.55-10.19, p < 0.001), more educated (OR: 1.99, 95% CI: 1.29-3.18, p < 0.01), or from non-indigenous background (OR: 3.22, 95% CI: 1.58-6.55, p < 0.001). Overall, less than 25% were aware of websites to obtain information about renal healthcare. The mHealth technologies most preferred for communication with their renal healthcare teams were by telephone (56.5%), internet (50%), email (48.3%) and text messages (46%). CONCLUSION:In the CKD cohort, younger patients are more likely than older patients to use mHealth intensively and interactively although all patients' technology literacy ought to be thoroughly assessed by renal teams before implementing in practice. Further research testing mHealth interventions to improve self-management in a range of patient cohorts is warranted.
journal_name
BMC Nephroljournal_title
BMC nephrologyauthors
Bonner A,Gillespie K,Campbell KL,Corones-Watkins K,Hayes B,Harvie B,Kelly JT,Havas Kdoi
10.1186/s12882-018-0830-8subject
Has Abstractpub_date
2018-02-02 00:00:00pages
28issue
1issn
1471-2369pii
10.1186/s12882-018-0830-8journal_volume
19pub_type
杂志文章相关文献
BMC Nephrology文献大全abstract:BACKGROUND:Several equations have been developed to estimate glomerular filtration rate (eGFR). The common equations used were derived from populations predominantly comprised of Caucasians with chronic kidney disease (CKD). Some of the equations provide a correction factor for African-Americans due to their relatively...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-017-0788-y
更新日期:2017-12-20 00:00:00
abstract:BACKGROUND:Bleeding severity, anatomic location, tissue characteristics, and visibility are common challenges encountered while managing intraoperative bleeding, and conventional hemostatic measures (suture, ligature, and cautery) may sometimes be ineffective or impractical. While topical absorbable hemostats (TAH) are...
journal_title:BMC nephrology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2369-13-147
更新日期:2012-11-08 00:00:00
abstract:BACKGROUND:Post transplantation diabetes mellitus (PTDM) is a common and serious complication after renal transplantation with significant morbidity and mortality. Metformin has proven benefits in the general population and might be advantageous in the prevention and management of PTDM. METHODS:Transplantation and Dia...
journal_title:BMC nephrology
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12882-019-1321-2
更新日期:2019-04-29 00:00:00
abstract:BACKGROUND:Self-management education needs have not been assessed in patients with complex co-morbid conditions such as diabetes and chronic kidney disease (CKD). The objectives of this study were to 1) determine the self-management education needs for patients with co-morbid diabetes and CKD and 2) co-develop an educa...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-019-1296-z
更新日期:2019-04-02 00:00:00
abstract:BACKGROUND:Dietary and lifestyle factors may play an important role in the increasing prevalence of nephrolithiasis. We aimed to review and quantify the associations between lifestyle factors and incident nephrolithiasis and suggest lifestyle changes for the primary prevention of nephrolithiasis. METHODS:PubMed, EMBAS...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-020-01925-3
更新日期:2020-07-11 00:00:00
abstract:BACKGROUND:Transplant tourism entails movement of recipient, donor or both to a transplant centre outside their country of residence. This has been reported in many countries; and has variously been associated with organ trade. The objective of this study is to determine the frequency and pattern of transplant tourism ...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-017-0635-1
更新日期:2017-07-05 00:00:00
abstract:BACKGROUND:To establish a model of chronic renal fibrosis following acute kidney injury (AKI) in BALB/c mice and to observe the effect of AKI on podocyte injury and chronic fibrosis of the kidney. Additional aims included using the model to explore the role of podocyte injury in AKI and post-injury fibrosis. METHODS:F...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-019-1298-x
更新日期:2019-03-28 00:00:00
abstract:BACKGROUND:This study was aimed at determining the outcome and examining the association between comorbidities and mortality after intracerebral hemorrhage in chronic dialysis patients. METHODS:We used the Taiwan National Health Insurance Research Database and enrolled patients who underwent maintenance dialysis betwe...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/1471-2369-15-186
更新日期:2014-11-27 00:00:00
abstract:BACKGROUND:It has been reported that people living with HIV in West Africa exhibited the highest risks for chronic kidney disease (CKD) in the world. Here, we aimed at determining the CKD frequency and changes in kidney function during antiretroviral treatment (ART) in a large cohort of HIV-patients followed in Burkina...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-019-1335-9
更新日期:2019-05-07 00:00:00
abstract:BACKGROUND:Primary hyperoxaluria type 1 is a rare autosomal recessive disease of glyoxylate metabolism caused by a defect in the liver-specific peroxisomal enzyme alanine:glyoxylate aminotransferase (AGT) that leads to hyperoxaluria, recurrent urolithiasis, and nephrocalcinosis. METHODS:Two unrelated patients with rec...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/1471-2369-15-92
更新日期:2014-06-17 00:00:00
abstract:BACKGROUND:End-stage kidney disease patients undergoing haemodialysis are prescribed with multiple complex regimens and are predisposed to high risk of medication nonadherence. The aims of this study were to explore factors associated with medication adherence, and, to examine the differential perspectives on medicatio...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-017-0583-9
更新日期:2017-05-22 00:00:00
abstract:BACKGROUND:This study describes chronic kidney disease of uncertain aetiology (CKDu), which cannot be attributed to diabetes, hypertension or other known aetiologies, that has emerged in the North Central region of Sri Lanka. METHODS:A cross-sectional study was conducted, to determine the prevalence of and risk factor...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/1471-2369-14-180
更新日期:2013-08-27 00:00:00
abstract:BACKGROUND:Chronic Kidney Disease is a major public health problem worldwide with enormous cost burdens on health care systems in developing countries. We aimed to provide a detailed analysis of the processes and costs of haemodialysis in Sri Lanka and provide a framework for modeling similar financial audits. METHODS...
journal_title:BMC nephrology
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2369-12-42
更新日期:2011-09-06 00:00:00
abstract:BACKGROUND:The pathogenesis of falling is complex, and identification of risk factors may be essential for prevention. The relationship between renal disease and falls is unclear, and the goal of this study was to collect the available evidence and investigate the relationship between accidental falls and renal dysfunc...
journal_title:BMC nephrology
pub_type: 杂志文章,评审
doi:10.1186/s12882-015-0173-7
更新日期:2015-10-29 00:00:00
abstract:BACKGROUND:Hypertension is a public health problem with mostly unknown causes, and where strong hereditary genetic alterations have not been fully elucidated. However, the use of experimental models has provided valuable information. Recent evidences suggest that alterations in key nephrogenic factors, such as Wilms' t...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-016-0250-6
更新日期:2016-03-24 00:00:00
abstract:BACKGROUND:Some nephrologists have advocated an individualized approach to the prescription of bicarbonate hemodialysis. However, the utility of monthly serum bicarbonate levels for guiding and evaluating such treatment decisions has not been evaluated. We sought to define the variability of these measurements and to d...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-015-0206-2
更新日期:2015-12-21 00:00:00
abstract:BACKGROUND:Chronic kidney disease (CKD) is global health concern and priority. It is the 12th leading cause of death worldwide. Protein Energy Wasting occurs in 20-25% of patients with chronic kidney disease and can lead to a high morbidity and mortality rate. We determined the prevalence of protein energy wasting and ...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-018-0920-7
更新日期:2018-06-14 00:00:00
abstract:BACKGROUND:The short-term efficacy of tolvaptan in patients with autosomal dominant polycystic kidney disease (ADPKD) has been demonstrated across several phase 3 trials, while the ADPKD Outcomes Model (ADPKD-OM) represents a validated approach to predict natural disease progression over a lifetime horizon. This study ...
journal_title:BMC nephrology
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12882-019-1290-5
更新日期:2019-04-23 00:00:00
abstract:BACKGROUND:Physical inactivity and sedentary behaviour (too much sitting) can contribute to renal dysfunction. However, the potential benefits of behavioural change (e.g. replacing sedentary behaviour with physical activity) on renal function are not well understood. We used isotemporal substitution to model potential ...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-020-01869-8
更新日期:2020-06-03 00:00:00
abstract:BACKGROUND:There is limited knowledge of Chronic Kidney Disease (CKD) among high risk populations, especially in the developing countries. We report our study of testing for CKD in at-risk subjects. METHODS:In a cross-sectional study, 527 people from primary and secondary health care areas in the city of Kinshasa were...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/1471-2369-10-18
更新日期:2009-07-21 00:00:00
abstract:BACKGROUND:Dose selection is an important step in pharmacokinetic (PK) studies of hemodialysis patients. We propose a simulation-based dose-selection method for PK studies of hemodialysis patients using a subpharmacological dose of oseltamivir as a model drug. METHODS:The concentrations of oseltamivir and its active m...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/1471-2369-15-46
更新日期:2014-03-17 00:00:00
abstract:BACKGROUND:Peripheral arterial disease (PAD) is common in patients with end-stage renal disease on hemodialysis, but is frequently underdiagnosed. The risk factors for PAD are well known within the general population, but they differ somewhat in hemodialysis patients. This study aimed to determine the prevalence of PAD...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-019-1468-x
更新日期:2019-07-26 00:00:00
abstract:BACKGROUND:This study will assess measures of vascular health and inflammation in Aboriginal Australian adults with chronic kidney disease (CKD), and determine if intensive periodontal intervention improves cardiovascular health, progression of renal disease and periodontal health over a 24-month follow-up. METHODS:Th...
journal_title:BMC nephrology
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12882-015-0169-3
更新日期:2015-10-31 00:00:00
abstract:BACKGROUND:Observational studies have demonstrated an association between nephrolithiasis and hypertension. The aim of this meta-analysis was to summarize all available evidence. METHODS:PubMed, EMBASE, the Cochrane Central Register of Controlled Trials databases, and the reference lists of relevant articles were sear...
journal_title:BMC nephrology
pub_type: 杂志文章,meta分析
doi:10.1186/s12882-017-0762-8
更新日期:2017-11-29 00:00:00
abstract:BACKGROUND:Vancomycin is the first-line antibiotic for methicillin-resistant Staphylococcus aureus and coagulase-negative strains. The risk of vancomycin-induced acute kidney injury increases with plasma vancomycin levels. Vancomycin-induced acute kidney injury is histologically characterized by acute interstitial neph...
journal_title:BMC nephrology
pub_type: 杂志文章,评审
doi:10.1186/s12882-018-0845-1
更新日期:2018-03-27 00:00:00
abstract:BACKGROUND:Chronic hepatitis B virus (HBV) infection and chronic kidney disease (CKD) have high prevalences in Taiwan and worldwide. However, the association of untreated chronic hepatitis B virus (HBV) infection with chronic kidney disease (CKD) remains unclear. METHODS:This cohort study used claims data in the Taiwa...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-015-0106-5
更新日期:2015-07-22 00:00:00
abstract:BACKGROUND:The current literature recognises that left ventricular hypertrophy makes a key contribution to the high rate of premature cardiovascular mortality in dialysis patients. Determining how we might intervene to ameliorate left ventricular hypertrophy in dialysis populations has become a research priority. Reduc...
journal_title:BMC nephrology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2369-14-149
更新日期:2013-07-15 00:00:00
abstract:BACKGROUND:The objective of the study was to examine overall anemia management trends in non-dialysis patients with chronic kidney disease (CKD) from 2006 to 2015, and to evaluate the impact of Trial to Reduced Cardiovascular Events with Ananesp Therapy (TREAT)'s study results (October 2009) and the US Food and Drug Ad...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/s12882-018-1119-7
更新日期:2018-11-09 00:00:00
abstract:BACKGROUND:To assess whether serum osteoprotegerin (OPG) and/or fetuin-A predict mortality and cardiovascular (CV) morbidity and mortality in hemodialysis patients. METHODS:Multicenter, observational, prospective study that included 220 hemodialysis patients followed up for up to 6 years. Serum OPG and fetuin-A levels...
journal_title:BMC nephrology
pub_type: 杂志文章,多中心研究
doi:10.1186/s12882-017-0701-8
更新日期:2017-09-07 00:00:00
abstract:BACKGROUND:The presence of glutathione transferase (GST) M1 null genotype (GSTM1-null) in end-stage renal disease (ESRD) patients is associated with lower overall survival rate in comparison to those with GSTM1-active variants. We examined association between GSTM1 and GSTT1 deletion polymorphisms as well as SNPs in GS...
journal_title:BMC nephrology
pub_type: 杂志文章
doi:10.1186/1471-2369-15-12
更新日期:2014-01-14 00:00:00