Limitations of Existing Dialysis Diet Apps in Promoting User Engagement and Patient Self-Management: Quantitative Content Analysis Study

Lim, Jun Hao; Lim, Cordelia Kheng May; Ibrahim, Imliya; Syahrul, Jazlina; Zabil, Mohd Hazli Mohamed; Zakaria, Nor Fadhlina; Daud, Zulfitri Azuan Mat

doi:10.2196/13808

Cited by 10 publications

(3 citation statements)

References 50 publications

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“…It is caused by the low level of knowledge about the HD diet and the absence of a programmable nutritional evaluation for patients in the HD unit of Tugurejo Hospital. This is consistent with the study conducted by Lim et al, where a significant relationship between the knowledge and literacy level of CKD-HD patients on the rate of non-compliance to the therapy program was stated [14]. The NTA concept is an independent monitoring tool for nutrition that contains eating and drinking targets personalized by a nutritionist according to each patient's conditions and daily needs.…”

Section: Discussionsupporting

confidence: 90%

Nutrition Telemonitoring for CKD-HD Patients: A Qualitative Study on Patients, Patients’ Families, Medical Teams, and Hospital Management

Widiasih

Setyonugroho²,

Ulfa³

2022

Open Access Maced J Med Sci

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BACKGROUND: CKD-HD patients require a nutritional monitoring system to control the amount of protein, fluid, sodium, potassium, and phosphate intake to reduce readmission rates and to improve their life quality. The Nutrition Telemonitoring Application (NTA) has a potential to resolve this problem. AIM: Therefore, this study aims to prepare NTA design materials conditioned to the needs of patients, families, medical teams, and hospital management. METHODS: A qualitative study with semi-structured interviews was conducted on 16 informants consisting of patients, families, medical teams, and hospital management teams. Furthermore, a purposive sampling technique was used to recruit participants, and the thematic analysis of the audio recording was conducted. RESULTS: Three main themes and seven sub-themes were identified. First, all participants in support of NTA will be beneficial. Second, NTA implementation requires family, medical team, hospital management, and BPJS (Health Social Security Agency). Third, all participants demand an easy Indonesian language interface equipped with pictures of food portions, additional alarm features, exercise, food recipes, educational videos, and free of charge. CONCLUSIONS: This study provides important insights considering the issues associated with the sustainability of NTA design and long-term benefits for CKD-HD patients.

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Section: Discussionsupporting

confidence: 90%

Nutrition Telemonitoring for CKD-HD Patients: A Qualitative Study on Patients, Patients’ Families, Medical Teams, and Hospital Management

Widiasih

Setyonugroho²,

Ulfa³

2022

Open Access Maced J Med Sci

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“…Though Nutritionix has a comprehensive database containing 821,036 grocery items, 186,168 restaurant items, and 10,351 common food items, not every possible food item is represented [ 45 ]. Several researchers have highlighted the need for more comprehensive food databases [ 19 , 46 ] to improve outcomes and enhance user experiences within automated diet logging applications. This gap also points to the potential of machine learning methods capable of imputing nutritional content from the previously unseen food items [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Automated Diet Capture Using Voice Alerts and Speech Recognition on Smartphones: Pilot Usability and Acceptability Study

Chikwetu¹,

Daily²,

Mortazavi³

et al. 2023

JMIR Form Res

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Background Effective monitoring of dietary habits is critical for promoting healthy lifestyles and preventing or delaying the onset and progression of diet-related diseases, such as type 2 diabetes. Recent advances in speech recognition technologies and natural language processing present new possibilities for automated diet capture; however, further exploration is necessary to assess the usability and acceptability of such technologies for diet logging. Objective This study explores the usability and acceptability of speech recognition technologies and natural language processing for automated diet logging. Methods We designed and developed base2Diet—an iOS smartphone application that prompts users to log their food intake using voice or text. To compare the effectiveness of the 2 diet logging modes, we conducted a 28-day pilot study with 2 arms and 2 phases. A total of 18 participants were included in the study, with 9 participants in each arm (text: n=9, voice: n=9). During phase I of the study, all 18 participants received reminders for breakfast, lunch, and dinner at preselected times. At the beginning of phase II, all participants were given the option to choose 3 times during the day to receive 3 times daily reminders to log their food intake for the remainder of the phase, with the ability to modify the selected times at any point before the end of the study. Results The total number of distinct diet logging events per participant was 1.7 times higher in the voice arm than in the text arm (P=.03, unpaired t test). Similarly, the total number of active days per participant was 1.5 times higher in the voice arm than in the text arm (P=.04, unpaired t test). Furthermore, the text arm had a higher attrition rate than the voice arm, with only 1 participant dropping out of the study in the voice arm, while 5 participants dropped out in the text arm. Conclusions The results of this pilot study demonstrate the potential of voice technologies in automated diet capturing using smartphones. Our findings suggest that voice-based diet logging is more effective and better received by users compared to traditional text-based methods, underscoring the need for further research in this area. These insights carry significant implications for the development of more effective and accessible tools for monitoring dietary habits and promoting healthy lifestyle choices.

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“…Thompson [ 14 ] conceived of professionally determined patient involvement as being along a power continuum from a low level of patient power (exclusion) to a high level of patient power (informed decision-making) in patient consultations. For CKD, patient participation has been offered through technological educational interventions offering patients an opportunity to learn about their condition [ 15 ] or self-monitoring aspects of their lifestyle such as nutrition [ 16 ]. Patient participation is seen in the technological development and use of standardized shared decision-making interventions (eg, treatment choices) [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Interventions, Participative Role, Barriers, and Facilitators for Involvement in eHealth Communication for People Undergoing Hemodialysis: Protocol for a Scoping Review

Deinboll¹,

Moe²,

Ludvigsen³

2022

JMIR Res Protoc

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Background eHealth interventions have been shown to offer people living with chronic kidney disease the opportunity of embracing dialysis therapies with greater confidence, the potential to obtain better clinical outcomes and increased quality of life, and diverse and flexible designs and delivery options. eHealth interventions or solutions can offer one-way information without the possibility for dialogue, as with most mobile apps. eHealth interventions intending to enable two-way communication between patients undergoing hemodialysis and health professionals are the focus of this review. eHealth communication interventions that enable two-way communication between patients undergoing hemodialysis and health professionals is an emerging field, but issues relating to participation in eHealth communication for patients undergoing hemodialysis are scarcely described. The current conceptualization of this issue is too scattered to inform the development of future interventions. In this scoping review, we want to assemble and examine this scattered knowledge on participation in two-way eHealth communication for patients undergoing hemodialysis. Objective We want to understand the participative role of people living with chronic kidney disease undergoing hemodialysis in available communicative eHealth interventions and to understand which barriers and facilitators exist for patient involvement in eHealth communication with health professionals. Methods A scoping review methodology is guiding this study. Peer-reviewed primary studies, including quantitative, qualitative, and mixed methods study designs will be included. A systematic search for published studies, dissertations, and theses at the doctoral level in the English language will be conducted in five databases (MEDLINE, Embase, CINAHL, Scopus, and ProQuest Dissertations and Theses). The included literature will focus on adult (18 years or older) patients undergoing hemodialysis who are involved in eHealth communication with health professionals. Data on the type of eHealth communication interventions, the participative role, and barriers and facilitators for the involvement in eHealth communication for people undergoing hemodialysis will be extracted independently by two reviewers. The extracted data will be collected in a draft charting table prepared for the study. Any discrepancies between the reviewers will be solved through discussion or with a third reviewer. Results Results are anticipated by the spring of 2023 and will be presented in tabular format along with a narrative summary. The anticipated results will be presented in alignment with the objectives of the study, presenting findings on the participative role of patients undergoing hemodialysis in eHealth communication interventions. Conclusions We anticipate that this study will inform on eHealth communication interventions and the level of patient participation in eHealth communication for patients undergoing hemodialysis. The systematized overview will possibly identify research gaps and motivate further development of eHealth communication to ensure patient participation. The findings will be of interest to key stakeholders in clinical care, research, development, policy, and patient advocacy. International Registered Report Identifier (IRRID) PRR1-10.2196/38615

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Limitations of Existing Dialysis Diet Apps in Promoting User Engagement and Patient Self-Management: Quantitative Content Analysis Study

Cited by 10 publications

References 50 publications

Nutrition Telemonitoring for CKD-HD Patients: A Qualitative Study on Patients, Patients’ Families, Medical Teams, and Hospital Management

Nutrition Telemonitoring for CKD-HD Patients: A Qualitative Study on Patients, Patients’ Families, Medical Teams, and Hospital Management

Automated Diet Capture Using Voice Alerts and Speech Recognition on Smartphones: Pilot Usability and Acceptability Study

Interventions, Participative Role, Barriers, and Facilitators for Involvement in eHealth Communication for People Undergoing Hemodialysis: Protocol for a Scoping Review

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