Exploring the utility and scalability of a telehomecare intervention for patients with chronic kidney disease undergoing peritoneal dialysis—a study protocol

Jeffs, Lianne; Jain, Arsh K.; Man, Rachel; Onabajo, Nike; Desveaux, Laura; Shaw, James; Hensel, Jennifer; Agarwal, Payal; Saragosa, Marianne; Jamieson, Trevor; Wong, Ivy; Maione, M; Bhatia, R Sacha

doi:10.1186/s12882-017-0557-y

Cited by 26 publications

(29 citation statements)

References 37 publications

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“…Some studies [ 15 – 20 ] have carried out a usability assessment of systems focused on remote monitoring and control of patients with CKD on PD treatment. In [ 17 ], a possible study protocol was introduced, which evaluates the utility and scalability of a telemedicine system for patients with CKD. However, the study did not include results considering a case study in a real scenario.…”

Section: Discussionmentioning

confidence: 99%

Telemonitoring system for patients with chronic kidney disease undergoing peritoneal dialysis: Usability assessment based on a case study

Rosales

Domínguez²,

Velázquez³

et al. 2018

PLoS ONE

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There are two million people with chronic kidney disease (CKD) worldwide. In Mexico, it is estimated that by 2025, there will be 212 thousand CKD cases. Among the renal replacement treatments, peritoneal dialysis (PD) exists either in the continuous ambulatory (CAPD) or automated (APD) mode, which requires continuous monitoring and strict control. Thus, several software systems have been proposed to perform reliable remote monitoring of patients using PD but also to achieve the goal with effectiveness, efficiency and satisfaction; i.e., in software engineering, this is called usability. However, few studies have addressed usability issues using case studies with patients and medical staff in real domains. In this paper, we present a usability assessment of a telemonitoring system for patients with CKD on peritoneal dialysis treatment through a case study with patients and medical staff of the Mexican Institute of Social Security (IMSS). The usability evaluation was carried out through the application of two satisfaction instruments. These instruments evaluated multiple usability criteria, such as navigability, interactivity, motivation, satisfaction, and applicability. The results obtained from the usability evaluation show that, on average, the services offered by the system have 91.3% acceptance by users (patient-doctors), with the APD and CAPD exchange data registration services having the highest acceptance for patients, with a positive perception of 94.5% and 92.3%, respectively. Meanwhile, for the doctors and nurses, the alarm reception for patients in a risk situation was highest with 95% acceptance. Based on the obtained results, the evaluated telemonitoring system holds wide acceptance, satisfaction, and applicability from patients’ and doctors’ perspectives. It is also noted that the evaluated system considers and satisfies the requirements and suitable parameters that should be monitored in PD treatment according to studies presented in the literature.

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Section: Discussionmentioning

confidence: 99%

Telemonitoring system for patients with chronic kidney disease undergoing peritoneal dialysis: Usability assessment based on a case study

Rosales

Domínguez²,

Velázquez³

et al. 2018

PLoS ONE

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“…This qualitative study design [26] was employed as part of a larger evaluation of the eQ Connect™ (eQOL Inc.) intervention that includes a parallel-arm randomized, controlled trial (RCT). The aim of the RCT was to determine if utilizing a virtual care solution that included remote monitoring software (eQConnect™) improves selected clinical outcomes for PD patients (CONNECT Trial).…”

Section: Methodsmentioning

confidence: 99%

Uptake and Scalability of a Peritoneal Dialysis Virtual Care Solution: Qualitative Study (Preprint)

Jeffs¹,

Jamieson²,

Saragosa³

et al. 2017

Preprint

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“…A 2017 meta-analysis concluded that telemedicine reduced admission, shortened length of stay and reduced mortality in patients with congestive heart failure [ 54 ]. Further research is required in the field of telenephrology and dialysis, with upcoming trials such as Clinical Evaluation of Remote Notification to Reduce Time to Clinical Decision (CONNECT) [ 55 ] hopefully gleaning more evidence on objective outcomes to support this ever-growing field.…”

Section: Dialysismentioning

confidence: 99%

Opportunities in the cloud or pie in the sky? Current status and future perspectives of telemedicine in nephrology

Stauss

Floyd

Becker

et al. 2020

Clinical Kidney Journal

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The use of telehealth to support, enhance or substitute traditional methods of delivering healthcare is becoming increasingly common in many specialties, such as stroke care, radiology and oncology. There is reason to believe that this approach remains underutilized within nephrology, which is somewhat surprising given the fact that nephrologists have always driven technological change in developing dialysis technology. Despite the obvious benefits that telehealth may provide, robust evidence remains lacking and many of the studies are anecdotal, limited to small numbers or without conclusive proof of benefit. More worryingly, quite a few studies report unexpected obstacles, pitfalls or patient dissatisfaction. However, with increasing global threats such as climate change and infectious disease, a change in approach to delivery of healthcare is needed. The current pandemic with coronavirus disease 2019 (COVID-19) has prompted the renal community to embrace telehealth to an unprecedented extent and at speed. In that sense the pandemic has already served as a disruptor, changed clinical practice and shown immense transformative potential. Here, we provide an update on current evidence and use of telehealth within various areas of nephrology globally, including the fields of dialysis, inpatient care, virtual consultation and patient empowerment. We also provide a brief primer on the use of artificial intelligence in this context and speculate about future implications. We also highlight legal aspects and pitfalls and discuss the ‘digital divide’ as a key concept that healthcare providers need to be mindful of when providing telemedicine-based approaches. Finally, we briefly discuss the immediate use of telenephrology at the onset of the COVID-19 pandemic. We hope to provide clinical nephrologists with an overview of what is currently available, as well as a glimpse into what may be expected in the future.

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Exploring the utility and scalability of a telehomecare intervention for patients with chronic kidney disease undergoing peritoneal dialysis—a study protocol

Cited by 26 publications

References 37 publications

Telemonitoring system for patients with chronic kidney disease undergoing peritoneal dialysis: Usability assessment based on a case study

Telemonitoring system for patients with chronic kidney disease undergoing peritoneal dialysis: Usability assessment based on a case study

Uptake and Scalability of a Peritoneal Dialysis Virtual Care Solution: Qualitative Study (Preprint)

Opportunities in the cloud or pie in the sky? Current status and future perspectives of telemedicine in nephrology

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