Implementation and evaluation of a patient-focused eHealth intervention, My Kidneys My Health, in primary care and general nephrology clinics (Preprint)

• DOI: 10.2196/preprints.71832
• Publication Date: 2025-01-28T06:31:47Z
• Authors: Sabrina Jassemi; Dwight Sparkes; Maria Delgado; Lori Harwood; Aminu Bello; Heather Beanlands; Meghan Elliott; Kerry McBrien; Sarah Gil; Sharon Straus; Brenda Hemmelgarn; Maoliosa Donald
• Keywords: Preprint; eHealth; Nephrology

<sec> <title>BACKGROUND</title> Care for mild to moderate chronic kidney disease (CKD) entails self-management from patients and clinical support primary care nephrology. In response a gap in resources this population, My Kidneys Health was co-developed of CKD. While is patient-facing tool, health providers play critical role the implementation patient </sec> <title>OBJECTIVE</title> This study develops evaluates strategies implement into routine general nephrology care. <title>METHODS</title> working Alberta, Canada who with CKD were invited participate our multi-step study, guided by Quality Implementation Framework. Step 1: we followed qualitative descriptive methodology identify barriers enablers using directed content analysis deductive coding approach. Participants complete semi-structured interviews October 2021 May 2022. 2: identified, prioritized, co-developed, launched based on behaviour change theory. 1 use materials during period (May 2022). Utilization tracked through Google Analytics document distribution tracking. 3: conducted follow-up participants (October December 2022) evaluate Reach, Effectiveness, Adoption, Implementation, Maintenance framework, following same approach as 1. Effectiveness out scope study. <title>RESULTS</title> 14 participated (42.9% clinics, 35.7% care). shared an individual-level readiness interest sharing their patients. The key included awareness, memory, time, motivation, innovation accessibility. co-designed implemented (i.e., educational sessions materials, reminders, coaching). 9 3 interviews. tailoring integrating resource current practices. developed highly utilized participants, positive feedback usability. expressed motivation continue Health; however, awareness accessibility require further adaptations can improve sustainability implementation. Our rigorous allowed us address Health, well identifying appropriate tailored <title>CONCLUSIONS</title> There supports early-stage A theory-informed strategic sustainability. <title>CLINICALTRIAL</title> n/a <title>INTERNATIONAL REGISTERED REPORT</title> RR2-https://doi.org/10.1007/s43477-022-00038-3