Effects of helping relationships on health-promoting lifestyles among patients with chronic kidney disease: A randomized controlled trial

Chao, Sheau‐Chiou; Yen, Miaofen; Lin, Huey‐Shyan; Sung, Junne‐Ming; Hung, Shih-Yuan; Natashia, Dhea

doi:10.1016/j.ijnurstu.2021.104137

Cited by 7 publications

(8 citation statements)

References 36 publications

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“…However, the difference did not reach statistical significance until the group differences were more pronounced at the 24th week. The transtheoretical model and stages of change propose that human behavior is a gradual and continuous process, requiring creating a supportive environment and self-reinforcement [ 46 ]. This study found that mHealth-based continuous care can provide knowledge and skills to support patients with gout, improve treatment compliance, and provide repeated reinforcement, thus playing a more lasting role than traditional continuous care.…”

Section: Discussionmentioning

confidence: 99%

The Impact of mHealth-Based Continuous Care on Disease Knowledge, Treatment Compliance, and Serum Uric Acid Levels in Chinese Patients With Gout: Randomized Controlled Trial

Wang,

Chen,

Song

et al. 2024

JMIR Mhealth Uhealth

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Background In patients with gout, suboptimal management refers to a lack of disease knowledge, low treatment compliance, and inadequate control of serum uric acid (SUA) levels. Several studies have shown that continuous care is recommended for disease management in patients with gout. However, in China, the continuous care model commonly used for patients with gout requires significant labor and time costs, and its efficiency and coverage remain low. Mobile health (mHealth) may be able to address these issues. Objective This study aimed to explore the impact of mHealth-based continuous care on improving gout knowledge and treatment compliance and reducing SUA levels. Methods This study was a single-center, single-blind, and parallel-group randomized controlled trial. Participants were recruited at the West China Hospital of Sichuan University in Chengdu, China, between February 2021 and July 2021 and were randomly assigned to the intervention and control groups. The intervention group received continuous care via an mHealth app, which includes modules for health records, 24 weeks of gout-related health education materials, and interactive support. The control group received routine continuous care, including face-to-face health education, paper-based health education materials consistent with the content for the intervention group, and telephone consultations initiated by the patient. Follow-up was conducted at 6 months. Participants’ gout knowledge levels and treatment compliance were measured at baseline and the 12th and 24th weeks, and participants’ SUA levels were measured at baseline and the 24th week. The intention-to-treat principle and a generalized estimating equation model were used to test the effect of the intervention. Results Overall, 258 potential participants underwent eligibility assessments, and 120 were recruited and randomized into the intervention (n=60, 50%) and control (n=60, 50%) groups. Of the 120 participants, 93 (77.5%) completed the 24-week study. The 2 groups had no significant differences in sociodemographic or clinical characteristics, and the baseline measurements were comparable (all P>.05). Compared with the control group, the intervention group exhibited a significant improvement in gout knowledge levels over time (β=0.617, 95% CI 0.104-1.129; P=.02 and β=1.300, 95% CI 0.669-1.931; P<.001 at the 12th and 24th weeks, respectively). There was no significant difference in treatment adherence between the 2 groups at the 12th week (β=1.667, 95% CI −3.283 to 6.617; P=.51), while a statistical difference was observed at the 24th week (β=6.287, 95% CI 1.357-11.216; P=.01). At the 24th week, SUA levels in both the intervention and control groups were below baseline, but there was no significant difference in SUA changes between the 2 groups (P=.43). Conclusions Continuous care based on the mHealth app improved knowledge levels and treatment compliance among patients with gout. We suggest incorporating this intervention modality into standard continuous care for patients with gout.

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Section: Discussionmentioning

confidence: 99%

The Impact of mHealth-Based Continuous Care on Disease Knowledge, Treatment Compliance, and Serum Uric Acid Levels in Chinese Patients With Gout: Randomized Controlled Trial

Wang,

Chen,

Song

et al. 2024

JMIR Mhealth Uhealth

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“…The six components of the TTM are pre-contemplation, contemplation, preparation, action, maintenance, and termination which can be used to resolve as well as avoid the morbidities of chronic kidney disease. The first stage is the pre-contemplation stage (Chao et al, 2022). At this stage, people lack awareness about the threat of unhealthy behavior.…”

Section: Application Of Theorymentioning

confidence: 99%

“…At this stage, people lack awareness about the threat of unhealthy behavior. patients become aware of the high risk of smoking, alcoholism, high sodium diet in people already suffering from kidney disease, inadequate water intake, etc (Chao et al, 2022). In the second stage which is the contemplation stage, people begin to understand the adverse effects of poor occupational behavior, poor diet, unhealthy lifestyle, overeating, etc.…”

Section: Application Of Theorymentioning

confidence: 99%

“…In the preparation stage, people are ready to plan and look for options to prevent health problems. People look for various available options to obtain and maintain a healthy diet style such as the DASH to prevent morbidities in the high-risk group (Chao et al, 2022). This stage involves developing self-motivation which can be done with the help of motivational interviewing like Cognitive Behavioral Therapies.…”

Section: Application Of Theorymentioning

confidence: 99%

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The occurrence of chronic kidney disease among African American aged 65 years and above in the United States

Foujan Jabbarzadehkhoei,

Sara Mojtahedi,

Paniz Sabeghi

2023

Open Access Res. J. Life Sci.

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This paper focuses on chronic kidney disease (CKD) among African American adults over 65 years old in the USA. CKD is a progressive illness that affects more than 800 million people worldwide, with a higher prevalence among older individuals, women, racial minorities, and those with comorbidities such as diabetes mellitus and hypertension. African Americans have a higher prevalence of CKD, along with risk factors such as obesity, diabetes, and hypertension. The paper investigates the occurrence of CKD in this population and explores the etiology of the disease, including non-modifiable risk factors like genetics and modifiable risk factors such as hypertension and metabolic factors.

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“…Previous studies lack in-depth discussion on the relationship between different consumer life styles and user demands. The existing research on life style mainly focuses on smart cities, health care, education system, and other fields [28][29][30][31][32][33], the research related to environmental protection issues mainly focuses on the ways to improve energy use in life style [34][35][36] and lacks research on the impact of consumer life styles on demand for green transportation options. Therefore, this study used life style preferences as a disturbance variable to explore differences in purchasing decisions and use demands due to that result in market segmentation.…”

Section: Introductionmentioning

confidence: 99%

Discussion on the Purchase Factors and the User Demands of Electric Scooters from the Perspective of Consumers’ Life Style—A Case Study on Gogoro

Jia

Yang

2022

Processes

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With the development and popularization of the concept of a sustainable environment, the green energy industry represented by electric scooters has entered a vigorous development period. However, consumers are reluctant to buy electric scooters, resulting in low sales, which is limiting the development of the electric scooter industry. Therefore, from the perspective of different consumer life styles, this study explored the impact on the purchasing decisions and user demands, so as to inform design strategy for the development of a sustainable electric scooter industry. This study adopted the methods of expert interview and questionnaire survey, used the self-made consumer life style and electric scooter product attribute scale as the research tool, and carried out quantitative analysis with the help of statistical software. It showed that compared with consumers’ awareness of environmental protection, product performance is the key factor that attracts consumers to buy electric scooters, More than consumers’ awareness of environmental protection, our study showed that product performance is the primary determinate of a consumers’s decision to purchase electric scooters. The consumer of the electric scooter can be categorized into three life style groups: “brand-conscious group”, “environmental and cost saving group” and “trendy adventurers group”. Outside of the “environmental and cost savings” group, the least important attribute that drive purchasing decisions was environmental sustainability. This can also inform more effective governmental policies and education to promote greater environmental protection. Each life style consumer group prioritizes different product attributes; therefore, electric scooter manufacturers should view each group as distinct market segments and draw up different product design and marketing strategies.

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Effects of helping relationships on health-promoting lifestyles among patients with chronic kidney disease: A randomized controlled trial

Cited by 7 publications

References 36 publications

The Impact of mHealth-Based Continuous Care on Disease Knowledge, Treatment Compliance, and Serum Uric Acid Levels in Chinese Patients With Gout: Randomized Controlled Trial

The Impact of mHealth-Based Continuous Care on Disease Knowledge, Treatment Compliance, and Serum Uric Acid Levels in Chinese Patients With Gout: Randomized Controlled Trial

The occurrence of chronic kidney disease among African American aged 65 years and above in the United States

Discussion on the Purchase Factors and the User Demands of Electric Scooters from the Perspective of Consumers’ Life Style—A Case Study on Gogoro

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