Evidence map›Paper›PMID 40537087›Full record

Trial reportJournal of medical Internet research2025

Use, Usability, and Experience Testing of a Digital Health Intervention to Support Chronic Kidney Disease Self-Management: Mixed Methods Study.

Courtney J Lightfoot, Thomas J Wilkinson, Roseanne E Billany, Gurneet K Sohansoha, Noemi Vadaszy, Ella C Ford, Melanie J Davies, Thomas Yates, Alice C Smith, Matthew P M Graham-Brown

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Courtney J LightfootDepartment of Population Health Sciences, University of Leicester, Leicester, United Kingdom.ORCID https://orcid.org/0000-0002-5855-4159
Thomas J WilkinsonDepartment of Population Health Sciences, University of Leicester, Leicester, United Kingdom.ORCID https://orcid.org/0000-0002-7855-7752
Roseanne E BillanyNIHR Leicester Biomedical Research Centre, Leicester, United Kingdom.ORCID https://orcid.org/0000-0001-9610-4717
Gurneet K SohansohaNIHR Leicester Biomedical Research Centre, Leicester, United Kingdom.ORCID https://orcid.org/0009-0002-1353-2105
Noemi VadaszyNIHR Leicester Biomedical Research Centre, Leicester, United Kingdom.ORCID https://orcid.org/0000-0002-3005-4865
Ella C FordDepartment of Population Health Sciences, University of Leicester, Leicester, United Kingdom.ORCID https://orcid.org/0009-0006-4565-3066
Melanie J DaviesNIHR Leicester Biomedical Research Centre, Leicester, United Kingdom.ORCID https://orcid.org/0000-0002-9987-9371
Thomas YatesNIHR Leicester Biomedical Research Centre, Leicester, United Kingdom.ORCID https://orcid.org/0000-0002-5724-5178
Alice C SmithDepartment of Population Health Sciences, University of Leicester, Leicester, United Kingdom.ORCID https://orcid.org/0000-0002-9234-9060
Matthew P M Graham-BrownNIHR Leicester Biomedical Research Centre, Leicester, United Kingdom.ORCID https://orcid.org/0000-0002-6197-180X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe developed My Kidneys & Me (MK&M), a digital health intervention (DHI) that delivers specialist health and lifestyle education, to improve self-management in people with chronic kidney disease (CKD).

objectiveWe aimed to explore the uptake and usability of MK&M alongside patient experiences of using MK&M.

methodsAdult patients with CKD stages 3-4 were recruited from 26 hospital kidney services in England. Overall, 420 participants were randomized 2:1 to the intervention (MK&M) or control (usual care) group. Uptake and usage data were collected from the MK&M program. Perceived usefulness of the MK&M sessions and features were collected via web-based surveys (scores were rated out of 10, where 0="not useful at all" and 10="very useful"). Qualitative (semistructured and think-aloud) interviews were used to explore participants' experiences of using and engaging with MK&M. Usage metrics were assessed using descriptive and frequency analyses. Qualitative data were analyzed using thematic analysis.

resultsOverall, 280 participants were randomized to receive the MK&M intervention (age: mean 60.8, SD 12.8 y; n=161, 57.5% male; eGFR: mean 38.9, SD 18.5 mL/min/1.73 m

conclusionsThe MK&M DHI was well-received and used by the participants. Our findings show that a wide range of people with CKD, including older adults, are capable and willing to use DHIs for kidney health. Identification of real-life use and usability issues will help refine MK&M to improve the content and delivery for clinical implementation.

Indexed as

Renal Insufficiency, ChronicSelf CareSelf-ManagementAdultAgedDigital HealthEnglandFemaleHumansMaleMiddle AgedPatient Education as Topicchronic kidney diseasedigital healthengagementpatient activationself-managementuser experience

Identifiers

PMID40537087
PMCPMC12226781

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.