A feasibility study of a best practice health literacy app for Australian adults with chronic kidney disease

PEC Innovation · 13 authors, 13 centres

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AGENT 01 · STRUCTURED SUMMARY

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TL;DR

This feasibility study tested a health literacy app (SUCCESS) with 116 culturally-diverse Australian adults on haemodialysis over 12 weeks.

Full summary

425 CHARS

The study used a multi-site, pre-post, mixed-methods design to assess the feasibility of the SUCCESS app for culturally-diverse Australian adults on haemodialysis. No significant changes were observed for other measured outcomes. Qualitative interviews with 18 participants indicated the app was acceptable and useful. The study concludes the app is feasible and acceptable, warranting adaptation for a larger efficacy trial.

STUDY TYPE

other

SPECIALTY

nephrology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10194182

A feasibility study of a best practice health literacy app for Australian adults with chronic kidney disease

PEC Innovation

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ABSTRACT

Objective To investigate feasibility of the SUCCESS app; a cross-platform e-health innovation to improve health literacy, self-management and shared decision-making among culturally-diverse Australian haemodialysis patients. Methods Multi-site, pre-post, mixed-methods study. Haemodialysis patients ≥18 years used the app for 12 weeks. Qualitative data from 18 interviews were thematically analysed to evaluate app acceptability. Quantitative analysis using paired sampled t-tests evaluated feasibility outcomes pertaining to recruitment, retention, data collection and app efficacy (including health literacy; decision self-efficacy; quality of life; behaviour; knowledge; confidence). Results We successfully recruited diverse participants ( N = 116; 45% born overseas; 40% low/moderate health literacy) from four Local Health Districts in Sydney, Australia. However, only 61 participants completed follow-up questionnaires. Qualitative analyses provided insights into acceptability and user engagement. Quantitative analyses showed significant improvements on the health literacy domain ‘Ability to actively engage with healthcare providers’ (Mean Difference [MD] = 0.2 on a 5-point scale; CI 95% : 0.0–0.4; p = 0.03) and decision self-efficacy (MD = 4.3 on a 10-point scale; CI 95% : 0.6–7.9; p = 0.02) after 12 weeks app use. Conclusions The SUCCESS app was feasible and acceptable to participants. The app will be adapted to facilitate ongoing use and engagement among diverse haemodialysis patients. Innovation This is the first health literacy-informed app to promote active participation in haemodialysis self-management and decision-making, tailored toward culturally-diverse and low health literacy groups.

CITATION EXPORT

Stephanie Zwi, Jennifer Isautier, Angela C. Webster et al.. A feasibility study of a best practice health literacy app for Australian adults with chronic kidney disease. PEC Innovation. (2022). https://doi.org/10.1016/j.pecinn.2022.100047

AUTHORS

13 · 13 CENTRES

Stephanie Zwi, Jennifer Isautier, Angela C. Webster, Kelly Lambert, Heather L. Shepherd, Kirsten J. McCaffery, Kamal Sud, John Saunders, Emma O'Lone, Na Liu, Jinman Kim, Aphra Robbins, Danielle Marie Muscat

aSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
bSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
cNHMRC Clinical Trials Centre, Faculty of Medicine and Health, University of Sydney, NSW, Australia
dWestmead Applied Research Centre, Westmead Hospital, Westmead, NSW, Australia
eSchool of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia
fFaculty of Medicine and Health, The University of Sydney, NSW, Australia
gNepean Clinical School, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
hDepartment of Renal Medicine, Nepean Hospital, Nepean Blue Mountains Local Health District, NSW, Australia
iDepartment of Renal Medicine, Royal Prince Alfred Hospital, Sydney, Local Health District, NSW, Australia
jDepartment of Renal Medicine, Royal North Shore Hospital, Northern Sydney Local Health District, NSW, Australia
kSchool of Computer Science, Faculty of Engineering, The University of Sydney, NSW, Australia
lTelehealth and Technology Centre, Nepean Hospital, Nepean Blue Mountains Local Health District, NSW, Australia
mConsumer representative, Sydney, NSW, Australia