A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance
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 fro...
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Published: |
Multidisciplinary Digital Publishing Institute
2022
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/100183/ |
| _version_ | 1848863255768858624 |
|---|---|
| author | Lee, Fang Teong Ban, Hock Khor Purba, Kristo Radion Abdul Gafor, Abdul Halim Bak, Leong Goh Boon, Cheak Bee Yahya, Rosnawati Bavanandan, Sunita Hi, Ming Ng Sahathevan, Sharmela Narayanan, Sreelakshmi Sankara Mat Daud, Zulfitri Azuan Khosla, Pramod Karupaiah, Tilakavati |
| author_facet | Lee, Fang Teong Ban, Hock Khor Purba, Kristo Radion Abdul Gafor, Abdul Halim Bak, Leong Goh Boon, Cheak Bee Yahya, Rosnawati Bavanandan, Sunita Hi, Ming Ng Sahathevan, Sharmela Narayanan, Sreelakshmi Sankara Mat Daud, Zulfitri Azuan Khosla, Pramod Karupaiah, Tilakavati |
| author_sort | Lee, Fang Teong |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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 knowledge-based 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. |
| first_indexed | 2025-11-15T13:30:01Z |
| format | Article |
| id | upm-100183 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-15T13:30:01Z |
| publishDate | 2022 |
| publisher | Multidisciplinary Digital Publishing Institute |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1001832024-07-15T03:00:15Z http://psasir.upm.edu.my/id/eprint/100183/ A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance Lee, Fang Teong Ban, Hock Khor Purba, Kristo Radion Abdul Gafor, Abdul Halim Bak, Leong Goh Boon, Cheak Bee Yahya, Rosnawati Bavanandan, Sunita Hi, Ming Ng Sahathevan, Sharmela Narayanan, Sreelakshmi Sankara Mat Daud, Zulfitri Azuan Khosla, Pramod Karupaiah, Tilakavati 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 knowledge-based 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. Multidisciplinary Digital Publishing Institute 2022-03-14 Article PeerReviewed Lee, Fang Teong and Ban, Hock Khor and Purba, Kristo Radion and Abdul Gafor, Abdul Halim and Bak, Leong Goh and Boon, Cheak Bee and Yahya, Rosnawati and Bavanandan, Sunita and Hi, Ming Ng and Sahathevan, Sharmela and Narayanan, Sreelakshmi Sankara and Mat Daud, Zulfitri Azuan and Khosla, Pramod and Karupaiah, Tilakavati (2022) A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance. Healthcare, 10 (3). art. no. 535. pp. 1-19. ISSN 2227-9032 https://www.mdpi.com/2227-9032/10/3/535 10.3390/healthcare10030535 |
| spellingShingle | Lee, Fang Teong Ban, Hock Khor Purba, Kristo Radion Abdul Gafor, Abdul Halim Bak, Leong Goh Boon, Cheak Bee Yahya, Rosnawati Bavanandan, Sunita Hi, Ming Ng Sahathevan, Sharmela Narayanan, Sreelakshmi Sankara Mat Daud, Zulfitri Azuan Khosla, Pramod Karupaiah, Tilakavati A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance |
| title | A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance |
| title_full | A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance |
| title_fullStr | A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance |
| title_full_unstemmed | A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance |
| title_short | A mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in Malaysia: development, validation, and patient acceptance |
| title_sort | mobile app for triangulating strategies in phosphate education targeting patients with chronic kidney disease in malaysia: development, validation, and patient acceptance |
| url | http://psasir.upm.edu.my/id/eprint/100183/ http://psasir.upm.edu.my/id/eprint/100183/ http://psasir.upm.edu.my/id/eprint/100183/ |