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Related Experiment Video

Updated: Jun 4, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Randomized clinical trial of the KH4L self-management program.

Kelly Lambert1, Maria O'Sullivan2, Karen M Dwyer3

  • 1School of Medical Indigenous and Health Sciences, University of Wollongong, New South Wales, Australia.

Clinical Kidney Journal
|June 3, 2026
PubMed
Summary

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The Kidney Health 4 Life (KH4L) program, an online intervention for chronic kidney disease (CKD), improved self-efficacy and knowledge but not overall self-management capability. Tailored digital interventions show promise for CKD self-management support.

Area of Science:

  • Nephrology
  • Digital Health
  • Health Psychology

Background:

  • Chronic kidney disease (CKD) presents significant physical, psychological, and social challenges.
  • Existing self-management interventions for CKD often lack theoretical frameworks and patient input.
  • The Kidney Health 4 Life (KH4L) program was developed as a modular, online, peer-supported intervention to address these limitations.

Purpose of the Study:

  • To evaluate the effectiveness of the KH4L program on self-management capability in adults with CKD.
  • To assess the impact of the KH4L intervention on self-efficacy, knowledge, and psychological wellbeing.
  • To explore patient experiences and identify areas for intervention improvement.

Main Methods:

  • An open-label, single-blind, randomized controlled trial involving Australian adults with CKD.
Keywords:
digital supportpatientrandomised clinical trialself-management

Related Experiment Videos

Last Updated: Jun 4, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

  • Participants were randomized to either the KH4L intervention (online modules, health coaching, peer support) or standard care.
  • Outcomes were measured at baseline, 6, and 18 weeks using validated scales and qualitative analysis.

    • Main Results:

    • No significant change in overall self-management capability was observed.
    • The KH4L group demonstrated significant improvements in problem-solving skills (P=.009) and self-efficacy (P=.048).
    • CKD-related knowledge significantly increased (P=.017) in the intervention group, while depression scores improved more in the control group (P=.043).

    Conclusions:

    • The KH4L program partially improved self-management outcomes for individuals with CKD, particularly in self-efficacy and knowledge.
    • Findings underscore the value of tailored, stage-specific digital health interventions informed by theory.
    • Further research is recommended to enhance engagement and evaluate long-term effects of digital CKD self-management programs.