GooRENal

Integrated patient care intradialysis programme in hemodialysis through a virtual health platform

Project nº  2020-1-ES01-KA204-083141

Report from Lund – status RCT

Naomi Clyne and Anna-Karin Juhlin

�Thessaloniki, 230504

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Consort diagram for RCT, SUS Lund

Assessed for eligibility, (n =87)

Excluded (n = 74)

Not meeting inclusion criteria (n =51)

Refused to participate (n =23)

Randomized (n = 13)

Allocation

Enrollment

Control group, (n = 6)

• �

​

Intervention group, (n = 7

Consort diagram for RCT, SUS Lund

Assessed for eligibility, (n =87)

Excluded (n = 74)

Not meeting inclusion criteria (n =51)

• Amputee, 7
• Frailty 9
• Language 11
• Mental handicap 2
• Neurology 5
• Paraplegia 3
• Sight 3
• Mobility 4
• Cognition/compliance 3
• HD< 3 months 2
• Temporary HD 2

Refused (n=23)

Refused to participate (n =22)

• �

​

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Games planned to

be ready in January

All patients tested

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Games planned to

be ready in January

All patients tested

Study start

Games not

ready

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Games planned to

be ready in January

All patients tested

Study start

Games not

ready

Study start

Games not

ready

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Games planned to

be ready in January

All patients tested

Study start

Games not

ready

Study start

Games not

ready

Study start

Games not

ready

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Games planned to

be ready in January

All patients tested

Study start

Games not

ready

Study start

Games not

ready

Study start

Games not

ready

Study start

Games

ready

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Games planned to

be ready in January

All patients tested

Study start

Games not

ready

Study start

Games not

ready

Study start

Games not

ready

Study start

Games

ready

Games not

functional

?

Comments - technical

​

• The calibration failed several times. Most problems with one of our computers.
• One session stopped after Warm up.
• An instruction for a game is shown on the screen at the end of the whole session, but it cuts off before the game begins.
• The icon doesn´t always follow the foot.
• The speaker voice is cut off before the instruction is completed.
• The speaker voice is not the same as the written information.
• The speaker’s instructions are not always congruent with the text.
• Sometimes short information shows in Spanish/Greek.

​

​

​

Usability questionnaire, n=6, 1 excluded

Comments general, n=6, 1 excluded

The patients:

• 5 men, 1 woman
• All 6 patients over 65 years old
• 1 session

​

• ”It was a nice break from the dialysis.”
• ”I can do it again.”
• ” I do not want to do it again”
• ”Too childish games”

​

​

​

​

​

​

Usability questionnaire, n=6, 1 excluded

Comments exercise, n=6, 1 excluded

Warm up

• ”I don´t need to be cold. That´s good.”

The cushion

• ”It is tricky to manage the icon.”
• The icon changes colour too easy
• ”It´s a game for children”

RPE

• hard to choose the right colour, because of the icon for 3 patients

Usability questionnaire, n=6, 1 excluded

Comments nutrition, n=6, 1 excluded

The potassium (fruits)

• ”This was fun”
• It was a bit hard to manage the icon.

Usability questionnaire, n=6, 1 excluded

Comments psychology, n=6, 1 excluded

The pet

• ”This was a long episode”
• ”I don´t like it”
• ”I don´t get the purpose of this”
• ”I hope this part will be taken away” (all patients)

The breathing exercise

• ”It is nice”
• ”I can´t follow the rytm. It´s too long” (2 patients)
• ”I found it irritating”

Usability questionnaire, n=6, 1 excluded

Comments cognition, n=6, 1 excluded

The apples

• ”This was quite fun”
• Sometimes hard to manage the icon, sometimes it worked well.

​

Timeline

Sept, 2022

Nov, 2022

Dec, 2022

Jan, 2023

Feb, 2023

Mar, 2023

April, 2023

May, 2023

Planned start of RCT

Screening of patients in Lund

Testing schedule

Study start

Games not ready

Games planned to

be ready in January

All patients tested

Study start

Games not

ready

Study start

Games not

ready

Study start

Games not

ready

Study start

Games

ready

Games not

functional

Time is out

Until May 31

?

Thank you