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. 2023 Feb 14;20(4):3342. doi: 10.3390/ijerph20043342

Table 3.

Main characteristics of the included papers: authors (year), country, design, length of study, psychological and/or cognitive measures, other measures, type of technology used, and psychological and/or cognitive symptoms managed.

Authors Country Design Treatment Length and Description Psychological Well-Being/Cognitive Measures Other Measures Type of Technology Used Psychological/
Cognitive Symptoms Managed
Chan et al. (2016) [22] Australia Experimental, single-group uncontrolled open trial design with symptom assessment at pre-treatment, immediately post-treatment, and follow-up assessment.
n = 22
5 lessons with a total duration of 8 weeks (cognitive and behavioral skills for psychological distress management).
  • PHQ-9

  • GAD-7

  • K10

  • SDS

  • SF12v2

  • MINI

  • KDLS

  • BKDS

iCBT using telephone calls and emails. General psychological distress, depression, anxiety, quality of life, and kidney disease-related loss.
Jahromi et al. (2016) [56] Iran Single-blind randomized clinical trial.
  • Self-care training group (CG): n = 30

  • Self-care training with telephone follow-up group (IG): n = 30

  • CG: information not available.

  • IG: 24 phone calls with a duration of 20 min each (in 8 weeks) and 5 instructional sessions and instruction booklet.

  • SUPPH

Telephone assistance. Self-efficacy (positive attitudes, stress, and decision-making).
Gross et al. (2017) [55] United States of America Experimental, randomized, active-controlled, open-label trial with a follow-up assessment.
  • tSupport (active CG): n = 28

  • tMBSR (IG): n = 27

  • CG: two 1.5 h workshops and six 1 h weekly teleconferences.

  • IG: 1 session per week for a total of 8 weeks. In-person 3 h workshops in w1 and w8 and 1.5-h group teleconferences in w2 to w7.

  • STAI

  • SF-12v2 (PCS, MCS, and pain interference item)

  • CES-D

  • PSQI

  • PROMIS-Fatigue Short Form

Workshop in teleconference format. Anxiety, depression, fatigue, and health-related quality of life.
Maynard et al. (2019) [28] Brazil Experimental, randomized controlled trial.
  • CG: n = 20

  • IG: n = 20

  • CG: maintained only HD.

  • IG: performed exergames 30–60 min-sessions, 3 times per week for 12 weeks.

  • KDQoL-SF

  • CES-D

  • Blood pressure, respiratory rate, pulse, and oxygen saturation.

  • Walking speed.

  • Timed up and go.

  • DASI

VR games. Quality of life and depressive symptoms.
Nguyen et al. (2019) [58] Australia Experimental, single-blind pragmatic randomized controlled trial with 1:1 allocation into two parallel groups with repeated measures and follow-up assessment.
  • CG: n = 67

  • IG: n = 68

  • CG: usual CKD care.

  • IG: 12-week self-management intervention (CKD booklet, a handout, 1 face-to-face session, and 2 follow-up sessions). Follow-up assessment at w4 and w12.

  • CKD-SM

  • KiKS

  • SECD

  • SF-36v2

tSupport. Self-management behavior, self-efficacy, and health-related quality of life.
Chou et al. (2020) [54] Taiwan Quasi-experimental study design to analyze pre- and post-test measures.
  • CG: n = 32

  • IG: n = 32

  • CG: usual routine care (advice on physical activities).

  • IG: 30 min VR sessions, 3 times per week for 4 weeks.

  • NFSHD

VR exercise program using Nintendo Wii Fit. Fatigue (reduction in vigor and motivation, mental ability, distress, loss of control in mood).
Jakubowski et al. (2020) [24] United States of America Experimental, single-center pilot feasibility study with a follow-up assessment.
n = 10
One 45–60 min-session per week for 8 weeks.
  • FACIT-F

  • CES-D

  • SF-36 (PCS and MCS summary scores)

Online video-conferencing platform (Vidyo). Fatigue, depression, and quality of life.
Li et al. (2020) [57] Taiwan Experimental, two-arm randomized controlled trial with a pretest-posttest design.
  • CG: n = 30

  • IG: n = 30

  • Wearables were given to all the participants, and they maintained dietary diaries using a smartphone app.

  • IG: additionally, they had 90 days of diet, exercise, and self-management education and interacted with each other through a social media group.

  • KDQoL

  • SF-36

  • The self-efficacy questionnaire

  • The self-management questionnaire

  • Wearable devices (wristband).

  • A health management platform (LINE) application

Self-efficacy (problem-solving, partnership), self-management (partnership, compliance, self-care, and problem-solving), quality of life (cognitive function, sexual function, sleep, quality of social interaction).
Zhou et al. (2020) [30] United States of America Experimental, randomized controlled trial.
  • SG: n = 36

  • EG: n = 37

  • SG: 30 min weightless foot rotation intradialytic exercise program without technology.

  • EG: 30 min intradialytic exergame sessions, 3 times per week for 4 weeks.

  • CES-D

TAM Revised
  • Intradialytic exergame (virtually supervised) and working memory (dual task).

  • Wearable sensors for foot rotation and laptop.

Depressive symptoms
Dingwall et al. (2021) [45] Australia Experimental, three-arm, waitlist, single-blind randomized controlled trial with 2:2:1 allocation ratio and follow-up assessment.
  • Treatment as usual/DSS treatment after 3 months (TAU/DSS): n = 33

  • Contact control/DSS treatment (HepB/DSS): n = 61

  • Immediate treatment (ISS): n = 62

  • TAU/DSS: Questionnaires at baseline + follow-up assessment using SS app.

  • Hep B/DSS: 20-min contact with researcher at baseline + 20-min session after 2–4 weeks + follow-up assessment using SS app.

  • ISS: 20 min interview at baseline + 20 min session within 2–4 weeks + follow-up assessment.

  • K10

  • Adapted PHQ-9

  • EQ-5D

  • ISS App

  • Hep B App

  • Text message or phone call

Psychological distress, depressive symptoms, and quality of life (self-care, anxiety, and depression).
Hernandez et al. (2021) [32] United States of America Experimental, single-arm proof-of-concept trial.
n = 20
25 min program repeated on two separate occasions during consecutive HD treatment sessions (1 month).
  • SSQ

  • IPQ

  • SUS

Joviality fully immersive VR mindfulness/meditation program. Discomfort, safety, and acceptability.
Donald et al. (2022) [31] Canada Explanatory sequential mixed-methods study with a follow-up assessment.
n = 33
8 weeks access to MKMH website and 30 min. telephone interviews within 1 month.
  • CDSES

  • eHEALS

  • TAM

  • Google Analytics

  • MKMH website

  • Telephoneinterviews

Self-efficacy.
Sarker et al. (2022) [59] Bangladesh Experimental, parallel-group randomized controlled trial with a follow-up assessment.
  • CG: n = 63

  • IG: n = 63

  • CG: standard treatment.

  • IG: health education for 6 months, with phone calls once every 2 weeks.

  • EQ-5D

  • KiKN

Health education over a mobile phone call using mHealth technology. Quality of life and motivation for a healthy lifestyle.

Abbreviations: BKDS (Burden Kidney Disease Scale); CDSES (Chronic Disease Self-Efficacy Scale); CES-D (Center for Epidemiologic Studies Depression Scale); CG (Control Group); CKD (Chronic Kidney Disease); CKD-SM (CKD Self-Management modified); DASI (Duke Activity Status Index); DSS (Delayed Stay Strong); EG (Exercise Group); eHEALS (eHealth Literacy Scale); EQ-5D (European Quality of Life); FACIT-F (Functional Assessment of Chronic Illness Therapy Fatigue); GAD-7 (Generalized Anxiety Disorder 7-ItemScale); Hep B (The Hep B Story); iCBT (Internet-delivered Cognitive Behavioral Therapy); IG (Intervention Group); IPQ (IGroup Presence Questionnaire); ISS (Immediate Stay Strong); K10 (Kessler Distress Scale); KDLS (Kidney Disease Loss Scale); KDQoL (Kidney Disease Quality of Life); KDQoL-SF (Kidney Disease and Quality-of-Life Short-Form); KiKN (Kidney Knowledge Questionnaire); KiKS (Kidney Disease Knowledge Survey); MCS (Mental Component Summaries); Min (minutes); MINI (Mini International Neuropsychiatric Interview); MKMH (My Kidneys My Health); NFSHD (Novel Fatigue Scale for Hemodialysis); PCS (Physical Component Summaries); PHQ-9 (Patient Health Questionnaire-9 Item); PSQI (The Pittsburgh Sleep Quality Index); SDS (Sheehan Disability Scale); SECD (Self-Efficacy for Managing Chronic Disease); SF-12v2 (Short Form 12); SF-36 (Short Form 36 Health Survey); SF-36v2 (Short Form 36); SG (Supervised Exercise Group); SS (Stay Strong); SSQ (Simulator Sickness Questionnaire); STAI (State Trait Anxiety Inventory); SUPPH (Strategies Used by Patients to Promote Health); SUS (System Usability Scale); TAM (Technology Acceptance Model); TAU (Treatment as Usual); tMBSR (Telephone-adapted Mindfulness-based Stress Reduction); tSupport (Telephone Support); VR (Virtual Reality); W (Week).