Pedometer-Based Walking Intervention on Physical Activity Among Hemodialysis Patients

NCT ID: NCT05599646

Last Updated: 2025-05-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 94 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-10-31
• Study Completion Date: 2025-03-30

Brief Summary

Patients undergoing HD are mostly physically inactive and have reduced functional capacities compared to healthy individuals which contributes to a decreased quality of life and consequently increases the risk of mortality

Detailed Description

Physical activity has been shown to have various positive effects on HD patients . Some of the important benefits linked to exercise include an improvement in physical fitness , aerobic capacity , dialysis adequacy (measured as urea Kt/V) , quality of life , and reduced depressive symptoms .Walking can be considered as the most natural form of PA as it is easily performed by everyone except for the seriously disabled or very frail. Smartphones and their embedded computer technologies are increasingly being used to promote physical activity. Gamification presents itself as a promising approach to overcome a loss of interest, increase user engagement , raise the quality of health behaviors , and motivate users to use mHealth apps for a sustained period

Conditions

Physical Inactivity; Fatigue

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

traditional pedometer group

Group Type: EXPERIMENTAL

traditional pedometer based walking intervention

Intervention Type: BEHAVIORAL

Participants were recommended to monitor their step count using traditional pedometer and to increase their steps by 10% compared with the prior week. the intervention will continue for 12 weeks

gamified smartphone pedometer group

Group Type: EXPERIMENTAL

gamified pedometer based walking intervention

Intervention Type: BEHAVIORAL

Participants were recommended to monitor their step count using gamified pedometer, earn money, compete friends and to increase their steps by 10% compared with the prior week. the intervention will continue for 12 weeks

control group

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

traditional pedometer based walking intervention

Participants were recommended to monitor their step count using traditional pedometer and to increase their steps by 10% compared with the prior week. the intervention will continue for 12 weeks

Intervention Type: BEHAVIORAL

gamified pedometer based walking intervention

Participants were recommended to monitor their step count using gamified pedometer, earn money, compete friends and to increase their steps by 10% compared with the prior week. the intervention will continue for 12 weeks

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• under- going conventional hemodialysis three times a week,
• hemodialysis period of three month or more,
• having smartphone aneroid access (second group),
• Available for telephone follow-up ,
• ability to read and write ,
• and being ambulatory,
• Patients using a cane or other assistive device will be eligible and Patients provided informed consent to participate.

Exclusion Criteria

The study will exclude patients with

• unstable angina,
• those with lower-limb amputation
• and those using wheelchairs.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Mansoura University

OTHER

Sponsor Role: lead

Responsible Party

mohamed elsayed hamed elzeky

lecturer at medical surgical nursing

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of Nursing Mansoura University

Al Mansurah, , Egypt

Countries

Egypt

References

Elzeky MEH, Ramadan El-Shaboury RH, Salameh B, Samaan E, F M Shahine N, Abdelhamid A. Effects of gamified versus pedometer-based walking intervention on physical activity, fatigue, and sleep quality among hemodialysis patients: a quasi-experimental study. BMC Nephrol. 2025 Mar 3;26(1):108. doi: 10.1186/s12882-025-04012-7.

Reference Type: DERIVED

PMID: 40033223 (View on PubMed)

Other Identifiers

mans

Identifier Type: -

Identifier Source: org_study_id