Lifestyle interventions delivered by eHealth in chronic kidney disease: A scoping review

Abstract

A method of overcoming barriers associated with implementing lifestyle interventions in CKD may be through the use of eHealth technologies. The aim of this review was to provide an up-to-date overview of the literature on this topic. Four bibliographical databases, two trial registers, and one database for conference proceedings were searched from inception to August 2023. Studies were eligible if they reported a lifestyle intervention using eHealth technologies. A narrative synthesis of the findings from the included studies structured around the type of eHealth intervention was presented. Where a sufficient number of studies overlapped in terms of the type of intervention and outcome measure these were brought together in a direction of effect plot. There were 54 included articles, of which 23 were randomised controlled trials (RCTs). The main component of the intervention for the included studies was mobile applications (n = 23), with the majority being in the dialysis population (n = 22). The majority of eHealth interventions were reported to be feasible and acceptable to participants. However, there was limited evidence that they were efficacious in improving clinical outcomes with the exception of blood pressure, intradialytic weight gain, potassium, and sodium. Although eHealth interventions appear acceptable and feasible to participants, there is insufficient evidence to make recommendations for specific interventions to be implemented into clinical care. Properly powered RCTs which not only demonstrate efficacy, but also address barriers to implementation are needed to enhance widespread adoption.

Mobile health management among end stage renal disease patients: a scoping review

“…This study demonstrates that MHealth management has been widely adopted in kidney disease management, with a diverse range of applications. Similarly to the review ( 18 ), both demonstrate the breadth of e-health interventions used to provide lifestyle interventions in the CKD population.…”

“…Additionally, this scope review starts from types of MHealth management, content of mobile health management, evaluation index of health management, and Others four aspects have been reported, lack of the responsibility of the government to establish modern medicine, including MHealth products and other aspects of sorting. Lastly, quality assessment of included studies is not a primary component of a scoping review ( 18 ), therefore critical appraisal is not provided.…”

“…A scope review is an ideal tool to determine the scope or coverage of the body of literature on a given topic and to specify the amount of literature and research available as well as an overview ( 17 ). Previous studies that reviewed the scope of lifestyle interventions provided by eHealth in chronic kidney disease found that there is currently insufficient evidence to recommend the implementation of specific lifestyle e-health interventions in the clinical care of people with chronic kidney disease ( 18 ), funding or budget problems which gives researchers the direction and focus of future research in chronic kidney disease. Therefore, a scope review on MHealth management for ESRD patients is warranted to better manage ESRD patients.…”