مرکزی صفحہ Nephrology Dialysis Transplantation SP404THE EFFECTS OF A SERIOUS GAME ON KNOWLEDGE OF CKD, HYPERPHOSPHATEMIA, AND PHOSPHATE BINDERS IN...

SP404THE EFFECTS OF A SERIOUS GAME ON KNOWLEDGE OF CKD, HYPERPHOSPHATEMIA, AND PHOSPHATE BINDERS IN CKD PATIENTS STAGE 4/5: A PROSPECTIVE MULTINATIONAL STUDY

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جلد:
30
زبان:
english
رسالہ:
Nephrology Dialysis Transplantation
DOI:
10.1093/ndt/gfv193.12
Date:
May, 2015
فائل:
PDF, 28 KB
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آپ کتاب کا معائنہ کر سکتے ہیں اور اپنے تجربات شیئر کرسکتے ہیں۔ دوسرے قارئین کتابوں کے بارے میں آپ کی رائے میں ہمیشہ دلچسپی رکھیں گے۔ چاہے آپ کو کتاب پسند ہے یا نہیں ، اگر آپ اپنے دیانتدار اور تفصیلی خیالات دیںگے تو لوگوں کو نئی کتابیں ملیںگی جو ان کے لئے صحیح ہیں۔
Nephrology Dialysis Transplantation 30 (Supplement 3): iii509–iii522, 2015
doi:10.1093/ndt/gfv193.12

CHRONIC KIDNEY DISEASE.
NUTRITION, INFLAMMATION AND
OXIDATIVE STRESS
SP404

THE EFFECTS OF A SERIOUS GAME ON KNOWLEDGE OF
CKD, HYPERPHOSPHATEMIA, AND PHOSPHATE BINDERS IN
CKD PATIENTS STAGE 4/5: A PROSPECTIVE
MULTINATIONAL STUDY

Pamela M. Kato1 and Peter Hill2
1
Coventry University, Computing, Coventry, United Kingdom, 2Imperial College
Healthcare, Department of Nephrology, London, United Kingdom
Introduction and Aims: Understanding of hyperphosphatemia and the role of
phosphorus is widely recognized as being poor among patients with Chronic Kidney
Disease (CKD). While educational games (video or mobile games for training and
education) have been shown to improve knowledge among young patients with chronic
illness, there is scant evidence for their effectiveness with older patients. This survey
aimed to examine the effects of a mobile game-based intervention, “Phosphorus
Mission,” on knowledge of phosphorus, hyperphosphatemia and CKD in general

among CKD patients. Credibility and acceptability of the game were also assessed.
Methods: In a prospective study using interviews and self-report survey methods, we
analysed credibility and acceptability as well as the association between the use of the
serious game and patient knowledge. Analyses were conducted using t-tests.
Results: N=72 Stage 4/5 CKD patients currently on phosphate binders, and owning an
iOS or Android device, were recruited from clinics in Malaysia, Singapore, Korea and
the Philippines. Face-to-face structured interviews took place at baseline and 8 weeks
with 2 waves of interim assessments occurring every 2 - 3 weeks. Over the course of the
study, patients reported consistent increases in knowledge of CKD, phosphorus and
hyperphosphatemia (23%, 35% and 60% increases respectively, all p<.05). The
proportion of patients who knew that excess/high levels of phosphorus can cause heart
disease doubled from baseline (22%) to final follow-up (45%; ). The proportion aware
that phosphate binders can help control phosphorus levels also doubled (26% to 48%)
(all p<.05). Subgroup analysis revealed that the pattern of increases in knowledge were
consistent across countries. On a Likert scale from 1 to 7 (1=not informative at all, 7 =
very informative), patients rated the game as highly informative about CKD (m=6.2
[SD=1.4]) and phosphorus levels (m=6.4, [SD=1.1]). They also gave positive ratings for
their overall experience with the serious game (m=6.2 [SD=1.3]).
Conclusions: Use of the “Phosphorus Mission” was associated with consistent
improvements in knowledge in the targeted domains of the intervention. The serious
game shows promise as an acceptable and credible digital education tool for patients
with CKD. Future studies may be conducted in randomized clinical trial conditions
with a control group to further clarify causality. This research was sponsored by Sanofi.

© The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

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