Yan Yu, Liu Min, Duan Di-Fei, Yan Lin-Jia, Li Ling, Ma Deng-Yan
Department of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
The Nethersole School of Nursing Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong, China.
Nephron. 2025;149(3):166-177. doi: 10.1159/000541729. Epub 2024 Oct 11.
Middle-aged and older individuals often face significant challenges in adopting digital health solutions, leading to a digital divide that hinders their ability to benefit from mobile health (mHealth) interventions. This study aimed to investigate the specific requirements of middle-aged and older patients with chronic kidney disease (CKD) for self-management through mobile health applications (mHealth apps), using the Kano model.
A multicenter cross-sectional survey was conducted from April to September 2023 in five hospitals across Sichuan, Shandong, Guangdong, and Shaanxi provinces in China. The Kano model was employed to analyze participants' preferences regarding mHealth apps for self-management.
Out of 359 participants (57.1% men, predominantly aged 45-54), the study identified essential and desirable features for mHealth apps. Essential attributes include comprehensive CKD information and robust privacy protection. Key to enhancing user satisfaction is features like symptom and medication management, access to medical insurance information, and app interface simplicity. Additional attractive features for increasing app appeal include diet management, exercise guidance, and customizable text size.
This study identifies critical mHealth app features for self-management in middle-aged and older CKD patients, emphasizing the importance of user-centric design. The findings provide valuable insights for app developers to create tailored solutions that cater to the specific needs of this demographic, potentially enhancing their self-management capabilities.
中老年人在采用数字健康解决方案时常常面临重大挑战，这导致了数字鸿沟，阻碍了他们从移动健康（mHealth）干预措施中获益的能力。本研究旨在使用卡诺模型调查中老年慢性肾脏病（CKD）患者通过移动健康应用程序（mHealth应用）进行自我管理的具体需求。
2023年4月至9月在中国四川、山东、广东和陕西五省的五家医院进行了一项多中心横断面调查。采用卡诺模型分析参与者对用于自我管理的mHealth应用的偏好。
在359名参与者中（57.1%为男性，主要年龄在45 - 54岁），该研究确定了mHealth应用的基本特征和期望特征。基本属性包括全面的CKD信息和强大的隐私保护。提高用户满意度的关键在于症状和药物管理、获取医疗保险信息以及应用界面简洁等功能。增加应用吸引力的其他吸引人的功能包括饮食管理、运动指导和可定制的文本大小。
本研究确定了中老年CKD患者自我管理的关键mHealth应用特征，强调了以用户为中心设计的重要性。这些发现为应用程序开发者提供了宝贵的见解，以创建满足这一人群特定需求的定制解决方案，可能会提高他们的自我管理能力。
