A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance

Teong, Lee-Fang and Khor, Ban-Hock and Kristo Radion Purba and Abdul Halim Abdul Gafor and Goh, Bak-Leong and Bee, Boon-Cheak and Rosnawati Yahya and Sunita Bavanandan and Ng, Hi-Ming and Sharmela Sahathevan and Sreelakshmi Sankara Narayanan and Zulfitri Azuan Mat Daud and Pramod Khosla and Tilakavati Karupaiah (2023) A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance. Healthcare, 10. pp. 1-19.

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Abstract

Hyperphosphatemia afflicts end-stage chronic kidney disease (CKD) patients, contributing to comorbidities and mortality. Management strategies are dialysis, phosphate binder, and limiting dietary phosphate intake, but treatment barriers are poor patient compliance and low health literacy arising from low self-efficacy and lack of educational resources. This study describes developing and validating a phosphate mobile application (PMA). The PMA development based on the seven-stage Precaution Adoption Process Model prioritized titrating dietary phosphate intake with phosphate binder dose supported by educational videography. Experts (n = 13) first evaluated the PMA for knowledgebased accuracy, mobile heuristics, and clinical value. Adult HD patients validated the improved PMA using the seven-point mHealth App Usability Questionnaire (MAUQ). Patient feedback (n = 139) indicated agreement for ease of use (69.2%), interface and satisfaction (69.0%), and usefulness (70.1%), while 72.7% said they would recommend this PMA. The expectation confirmation for 25 PMA features ranged from 92.1% (lifestyle) up to 100.0% (language option); and the utilization rate of each feature varied from 21.6% (goal setting and feature-based log) to 91.4% (information on dietary phosphate and phosphate binder). The Conclusions: MyKidneyDiet-Phosphate Tracker PMA was acceptable to adult Malaysian HD patients as part of clinical phosphate management in low-resource settings.

Item Type:	Article
Keyword:	Nutrition, Mobile App, Hemodialysis, Hyperphosphatemia, Phosphorus, Phosphate Binder
Subjects:	Q Science > QA Mathematics > QA1-939 Mathematics > QA71-90 Instruments and machines > QA75.5-76.95 Electronic computers. Computer science T Technology > TX Home economics > TX1-1110 Home economics > TX341-641 Nutrition. Foods and food supply
Department:	FACULTY > Faculty of Food Science and Nutrition
Depositing User:	SITI AZIZAH BINTI IDRIS -
Date Deposited:	26 Dec 2024 11:14
Last Modified:	26 Dec 2024 11:14
URI:	https://eprints.ums.edu.my/id/eprint/42388

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