Digital health technologies to support medication adherence in chronic kidney disease

O’Hara, Daniel V.; Yi, Tae Won; Lee, Vincent; Jardine, Meg; Dawson, Joseph

doi:10.1111/nep.14113

Cited by 4 publications

(4 citation statements)

References 57 publications

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“…These results suggest that the currently available videos on CKD information are not presented in a manner that could be applied by laypeople. Patient behaviours such as diet and medication play an essential role in CKD management; however, patients report difficulty in adopting these healthy behaviours 36,37 . Thus, it is necessary to analyse not only the understandability of the materials but also their potential to encourage patients to change their behaviour.…”

Section: Discussionmentioning

confidence: 99%

“…Patient behaviours such as diet and medication play an essential role in CKD management; however, patients report difficulty in adopting these healthy behaviours. 36,37 Thus, it is necessary to analyse not only the understandability of the materials but also their potential to encourage patients to change their behaviour. We consider PEMAT to be an ideal tool for evaluation because of its focus on actionability.…”

Section: Overall Characteristics Of the Videosmentioning

confidence: 99%

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Evaluating the understandability and actionability of online educational videos on pre‐dialysis chronic kidney disease

Furukawa,

Okuhara,

Okada

et al. 2023

Nephrology

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AimIt remains undetermined whether online education videos for Japanese patients with chronic kidney disease (CKD) are easy to understand and allow adoption of behavioural changes. This study quantitatively assessed the understandability and applicability of online education videos for patients with CKD.MethodsIn September 2021, we identified 200 videos on YouTube using the Japanese translations of the keywords ‘kidney,’ ‘kidney disease,’ ‘CKD,’ and ‘chronic kidney disease.’ We used the Japanese version of the Patient Education Materials Assessment Tool to evaluate the understandability and usability of webpages on a scale of 0% to 100%. The cut‐off was set at 70%.ResultsA total of 54 videos were evaluated. The overall understandability and actionability of the materials were 57.6 (SD = 22.6) and 53.7 (SD = 33.4), respectively. Approximately 70% and 60% of the materials were considered insufficiently understandable and actionable, respectively. Most videos lacked a summary and had difficulty in using only everyday language. Most videos included at least one action for the audience to take. However, many failed to break down the action into sequential steps. They also lack visual aids to encourage the audience to take action.ConclusionOur results suggest that current information on pre‐dialysis chronic kidney disease was not presented in a manner that can be applied by laypeople.

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Section: Discussionmentioning

confidence: 99%

Section: Overall Characteristics Of the Videosmentioning

confidence: 99%

Evaluating the understandability and actionability of online educational videos on pre‐dialysis chronic kidney disease

Furukawa,

Okuhara,

Okada

et al. 2023

Nephrology

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“…Randomized trials and real-world studies have shown that smart insulin pens are associated with improvements in glycemic control, adherence, life expectancy, and increased confidence in the ability to self-manage among patients with T1DM and T2DM. [86][87][88][89] Beyond diabetes, DHT and DT are increasingly being integrated into clinical practice for many other chronic conditions, such as cardiovascular disease, [90][91][92][93] chronic kidney disease, 94 ophthalmology, 95,96 and mental health. 97,98 DHT is also able to improve healthcare in developing nations.…”

Section: Impact Of Digital Solutions On Chronic Disease Managementmentioning

confidence: 99%

“…Beyond diabetes, DHT and DT are increasingly being integrated into clinical practice for many other chronic conditions, such as cardiovascular disease, 90–93 chronic kidney disease, 94 ophthalmology, 95,96 and mental health. 97,98 DHT is also able to improve healthcare in developing nations.…”

Section: Impact Of Digital Solutions On Chronic Disease Managementmentioning

confidence: 99%

The emerging role of digital health in the management of asthma

Kaplan,

Boivin,

Bouchard

et al. 2023

Therapeutic Advances in Chronic Disease

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The most common reasons seen for lack of asthma control include misconceptions about disease control, low controller treatment adherence, poor inhaler technique, and the resulting underuse of controllers and overuse of short-acting beta2 agonists (SABAs). Narrowing these care gaps may be achieved through well-designed patient education that considers the patient’s motivation, beliefs, and capabilities regarding their asthma and its management and empowers the patient to become an active participant in treatment decisions. Digital health technologies (DHTs) and digital therapeutic (DT) devices provide new opportunities to monitor treatment behaviors, improve communication between healthcare providers and patients, and generate data that inform educational interactions. DHT and DT have been proven effective in enhancing patient self-management in other chronic conditions, particularly diabetes. Accelerated integration of DHT and DT into the management of asthma patients is facilitated by the use of digital inhalers that employ sensor technology (“smart” inhalers). These devices efficiently provide real-time feedback on controller adherence, SABA use, and inhaler technique that have the strong potential to optimize asthma control.

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