ESPN 54th Annual Meeting

ESPN 2022


 
DEVELOPING A MOBILE APP TO FACILITATE SELF-MANAGEMENT IN PEDIATRIC CHRONIC KIDNEY DISEASE: NEPHROGO
GIEDRė ŽULPAITė 1 KAROLIS VYčIUS 3 JUSTė PARNARAUSKIENė 2 KAROLIS AžUKAITIS 2 AUGUSTINA JANKAUSKIENė 2

1- FACULTY OF MEDICINE, VILNIUS UNIVERSITY, VILNIUS, LITHUANIA
2- CLINIC OF PEDIATRICS, INSTITUTE OF CLINICAL MEDICINE, FACULTY OF MEDICINE, VILNIUS UNIVERSITY, VILNIUS, LITHUANIA
3- MINISTRY OF NATIONAL DEFENCE REPUBLIC OF LITHUANIA PROJECT ‘CREATE LITHUANIA‘
 
Introduction:

Self-management interventions for chronic kidney disease (CKD) have been related to improved control of CKD complications in adults. Mobile apps may serve as simple , time-saving and cheap tool to facilitate self-management in CKD patients and may be an attractive option in the pediatric population. We aimed to create a mobile app for pediatric CKD patients dedicated to monitor patient-reported CKD-specific health status and to improve self-care.

Material and methods:

Following the analysis of scientific literature on self-management interventions for CKD patients, a mobile app NephroGo (Android and iOS compatible) was developed using Python-based Django WEB system and Flutter technology. The adult version was updated to address pediatric CKD issues. Nutrition guidance was based on the updated Pediatric Renal Nutrition Taskforce Recommendations and a personalized counter of nutrients with a database of food composition was created. 

Results:

Health status tracker helps to conveniently store data on blood pressure, urine output, weight, height/length and to monitor the dynamics of well-being. The personalized counter of nutrients and nutrition tracking feature helps patients to find out how much nutrients they have consumed and helps to follow CKD-stage appropriate diet. In addition, the app allows to monitor peritoneal dialysis parameters and provides patient-relevant CKD-specific information. 

Conclusions:

NephroGo may be an attractive mobile health application to aid and improve self-care and CKD-specific knowledge in children with CKD and their families. Following patient and families feedback a multilingual version will be created.