Evidence map›Paper›PMID 29329530›Full record

ArticleBMC medical informatics and decision making2018

Design and evaluation of a mobile application to assist the self-monitoring of the chronic kidney disease in developing countries.

Alvaro Sobrinho, Leandro Dias da Silva, Angelo Perkusich, Maria Eliete Pinheiro, Paulo Cunha

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC medical informatics and decision making, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
17.5field-weighted citation impact, top 1% of its field
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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  12. Adopting mobile health applications by nurses: a scoping review.Journal of research in nursing : JRN · 2022
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  19. Patient-Centered Self-Management in Patients with Chronic Kidney Disease: Challenges and Implications.International journal of environmental research and public health · 2020
    Review
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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

5 authors at 4 institutions in 1 country.

Alvaro SobrinhoFederal Rural University of the Semiarid, Rodovia BR-226, Pau dos Ferros, 59900-000, Brazil. alvaro.sobrinho@ufersa.edu.br.ORCID 0000-0002-8934-5309
Leandro Dias da SilvaFederal University of Alagoas, Av. Lourival Melo Mota, S/N Tabuleiro do Martins, Maceió, 57072-900, Brazil.
Angelo PerkusichFederal University of Campina Grande, R. Aprígio Veloso, 882, Universitário, Paraíba, 58429-900, Brazil.
Maria Eliete PinheiroFederal University of Alagoas, Av. Lourival Melo Mota, S/N Tabuleiro do Martins, Maceió, 57072-900, Brazil.
Paulo CunhaFederal Institute of Alagoas, R. Prof. Domingos Correia, 1207, Ouro Preto, Alagoas, 57300-010, Brazil.
Universidade Federal de Alagoas · BRInstituto Federal de Educação, Ciência e Tecnologia de Alagoas · BRUniversidade Federal de Campina Grande · BRUniversidade Federal Rural do Semi-Árido · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe chronic kidney disease (CKD) is a worldwide critical problem, especially in developing countries. CKD patients usually begin their treatment in advanced stages, which requires dialysis and kidney transplantation, and consequently, affects mortality rates. This issue is faced by a mobile health (mHealth) application (app) that aims to assist the early diagnosis and self-monitoring of the disease progression.

methodsA user-centered design (UCD) approach involving health professionals (nurse and nephrologists) and target users guided the development process of the app between 2012 and 2016. In-depth interviews and prototyping were conducted along with healthcare professionals throughout the requirements elicitation process. Elicited requirements were translated into a native mHealth app targeting the Android platform. Afterward, the Cohen's Kappa coefficient statistics was applied to evaluate the agreement between the app and three nephrologists who analyzed test results collected from 60 medical records. Finally, eight users tested the app and were interviewed about usability and user perceptions.

resultsA mHealth app was designed to assist the CKD early diagnosis and self-monitoring considering quality attributes such as safety, effectiveness, and usability. A global Kappa value of 0.7119 showed a substantial degree of agreement between the app and three nephrologists. Results of face-to-face interviews with target users indicated a good user satisfaction. However, the task of CKD self-monitoring proved difficult because most of the users did not fully understand the meaning of specific biomarkers (e.g., creatinine).

conclusionThe UCD approach provided mechanisms to develop the app based on the real needs of users. Even with no perfect Kappa degree of agreement, results are satisfactory because it aims to refer patients to nephrologists in early stages, where they may confirm the CKD diagnosis.

Indexed as

Early DiagnosisMobile ApplicationsSelf CareTelemedicineDeveloping CountriesHumansRenal Insufficiency, ChronicReproducibility of ResultsSoftware DesignChronic kidney diseasemHealthMobile applicationSelf-monitoringUser-centered design

Identifiers

PMID29329530
PMCPMC5767024
OpenAlexW2783911179

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.