User Evaluation of a Chat-based Instant Messaging Support Health Education Program for Chronic Kidney Disease: Effectiveness and Gender Differences
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 55
- Locations
- 1
- Primary Endpoint
- Chronic kidney disease subjects' health literacy and disease knowledge
Study Overview
Brief Summary
The purpose of this study is to explore the effectiveness of a CKD-specific chatbot-based instant messaging support health education (CIM-SHE) program and determine its user evaluation by CKD patients.
A pre- and post-study design was employed and 60 patients were invited to join a three-month program for chronic kidney disease health education; 55 successfully completed the intervention. Data were collected from April to November, 2020, using a structured questionnaire. Paired t-tests and generalized equation estimation were used to examine the intervention effectiveness and users' evaluation.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •adults over 20 years old
- •diagnosed chronic kidney disease
- •the ability to operate technologies
- •intact cognition
Exclusion Criteria
- •Who was undergoing kidney dialysis, unconsciousness, dementia, or any other mental illness.
Arms & Interventions
Chatbot Little K Nurse
The CKD chat-based instant messaging support health education system in this study was named "Chatbot Little K Nurse" and connected to the Line platform to set up a one-to-one line. K stands for "kidney." Each group contained three parties: patients with CKD (participants ), Chatbot Little K Nurse (virtual), and an instructor (health teacher) for an enhanced intervention. According to the handbook of CKD health management by the Health Promotion Administration (2018b) and the CKD Clinical Diagnosis and Treatment Guidelines for literature investigation in Taiwan, 350 groups of question-and-answer (Q&A) corpora were formed.
Intervention: Chatbot Little K Nurse (Device)
Outcomes
Primary Outcomes
Chronic kidney disease subjects' health literacy and disease knowledge
Time Frame: 12 weeks
A chronic kidney disease specific health literacy and knowledge assessment tool consists of two parts: (1) chronic kidney disease specific health literacy (communicative literacy) and (2) disease knowledge. Participants scored one point for each correct answer and 0 points for wrong answers. A paired sample t-test was used to analyze chronic kidney disease subjects' health literacy (pre-test vs. post-test).
System usability scale was developed to subjectively evaluate the user's operating system to understand and ensure its usability and quality.
Time Frame: 12 weeks
The System usability scale consisted of 10 items rated on a Likert-type scale ranging from one (strongly disagree) to five (strongly agree). In this study, items 1-5 and 6-10 were considered positive and negative, respectively. For positive items, we subtracted 1 point and for negative items, we subtracted 5 points from the score of the items. The generalized estimating equation was used to evaluate the change of System usability scale scores at three time points.
Secondary Outcomes
No secondary outcomes reported
Investigators
Jong-Long Guo
Distinguished Professor
National Taiwan Normal University