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Journal of Renal Care - 2024 - Lightfoot - Improving self‐management behaviour through a digital lifestyle intervention An (1).pdf (1.76 MB)

Improving self-management behaviour through a digital lifestyle intervention: An internal pilot study

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Version 2 2024-02-16, 17:33
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journal contribution
posted on 2024-02-16, 17:33 authored by Courtney Lightfoot, Thomas J Wilkinson, Noemi Vadaszy, Matthew Graham-Brown, Melanie J. Davies, Thomas Yates, Alice C. Smith

 

Background

Self-management is a key component of successful chronic kidney disease (CKD) management. Here, we present the findings from the internal pilot of a multicentre randomised controlled trial (RCT) aimed to test the effect of a digital self-management programme (‘My Kidneys & Me’ (MK&M)).

Methods

Participants (aged ≥18 years and CKD stages 3-4) were recruited from hospital kidney services across England. Study processes were completed virtually. Participants were randomised 2:1 to either intervention (MK&M) or control group. The first 60 participants recruited were included in a 10-week internal pilot which assessed study feasibility and acceptability against pre-specified progression criteria: 1) eligibility and recruitment, acceptability of 2) randomisation and 3) outcomes, 4) MK&M activation, and 5) retention and attrition rates. Semi-structured interviews further explored views on trial participation.

Results

Of the 60 participants recruited, 41 were randomised to MK&M and 19 to control. All participants completed baseline measures and 62% (n=37) completed post-intervention outcome measures. All progression criteria met the minimum thresholds to proceed. Nine participants were interviewed. The themes identified were satisfaction with study recruitment processes (openness to participate, reading and agreeing to “terms and conditions”), acceptability of study design (remote study participation, acceptability of randomisation, completion of online assessment(s)), and methods to improve recruitment and retention (personalised approach, follow-up communication).

Conclusion

This internal pilot demonstrated the feasibility and acceptability of a virtually run RCT. Progression criteria thresholds to proceed to the definitive RCT were met. Areas for improvement were identified and protocol amendments were made to improve trial delivery.

Funding

Stoneygate Trust

NIHR Leicester Biomedical Research Centre

Leicester Kidney Care Appeal

History

Author affiliation

Department of Population Health Sciences, University of Leicester

Version

  • VoR (Version of Record)

Published in

Journal of Renal Care

Publisher

Wiley

Copyright date

2024

Available date

2024-02-16

Language

en

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