Hemodialysis Health Management Model - the Application of Wearable Devices, Exercise and Nutritional Intervention
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 31
- Locations
- 1
- Primary Endpoint
- Change of sit-to-stand-10 (STS-10)
Study Overview
Brief Summary
Aim: By application of wearable devices and health management platform to strengthen physical activity and improved life quality in hemodialysis patients.
Detailed Description
Background: End stage renal disease (ESRD) is a global public health issue. The dialysis therapy brings huge economic burden to many countries. If patients are able to monitor their lifestyle, it not only promotes health, but also reduces the cost of health care.
Aim: By application of wearable devices and health management platform to strengthen physical activity and improved life quality in hemodialysis patients.
Material and Methods
The investigators plan to recruit 30 CKD patients as trial subjects for intervention. The intervention included wearable devices and health management platform for 24 weeks. Patients record their own diet diary by a smartphone application, and their exercise-related data are collected by wearable devices. Then, all the collected information will be upload to health management platform. The investigators compare physical and laboratory examinations before and after the intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •age 20 years and older
- •diagnosis of ESRD receiving maintenance HD for more than 3 months
Exclusion Criteria
- •inability to use a smartphone
- •impaired walking capacity
- •having a psychiatric disorder
- •any hospitalization during the previous 3 months.
- •has been changing dialysis modality or receiving renal transplantation
Arms & Interventions
Intervention group
Each participant was provided with a wearable device. Each participant downloaded an app (WowGoHealth app) to connect with the health management platform. All participants were taught to record a dietary diary (taking photos of meals) using a smartphone application. All collected information was uploaded to the health management platform. For the intervention group, we encouraged exercise including an 18-minutes calisthenics. We also built a LINE group to inspire the intervention group.
Intervention: Health platform (Behavioral)
Intervention group
Each participant was provided with a wearable device. Each participant downloaded an app (WowGoHealth app) to connect with the health management platform. All participants were taught to record a dietary diary (taking photos of meals) using a smartphone application. All collected information was uploaded to the health management platform. For the intervention group, we encouraged exercise including an 18-minutes calisthenics. We also built a LINE group to inspire the intervention group.
Intervention: Social media (Behavioral)
Intervention group
Each participant was provided with a wearable device. Each participant downloaded an app (WowGoHealth app) to connect with the health management platform. All participants were taught to record a dietary diary (taking photos of meals) using a smartphone application. All collected information was uploaded to the health management platform. For the intervention group, we encouraged exercise including an 18-minutes calisthenics. We also built a LINE group to inspire the intervention group.
Intervention: Exercise training (Other)
Control group
Each participant was provided with a wearable device. Each participant downloaded an app (WowGoHealth app) to connect with the health management platform. All participants were taught to record a dietary diary (taking photos of meals) using a smartphone application. We did not encourage exercise or build a LINE group.
Intervention: Health platform (Behavioral)
Outcomes
Primary Outcomes
Change of sit-to-stand-10 (STS-10)
Time Frame: baseline, week 4, week 8, week 12, week 16 and week 24
time to complete 10 sit-to-stand cycles
Change of sit-to-stand-60 (STS-60)
Time Frame: baseline, week 4, week 8, week 12, week 16 and week 24
the number of repetitions of sit-to-stand cycles achieved in 60 seconds
Change of 6-minute walking distance (6MWT)
Time Frame: baseline, week 4, week 8, week 12, week 16 and week 24
the distance the participants walk as fast as they could for 6 minutes on a flat 30-meter track
Change of hand grip strength
Time Frame: baseline, week 4, week 8, week 12, week 16 and week 24
the strength of hand drip measured by a dynamometer
Secondary Outcomes
- Change of KDQOL-SF(baseline, week 4, week 8, week 12, week 16 and week 24)
- Change of subjective global assessment (SGA)(baseline, week 4, week 8, week 12, week 16 and week 24)