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
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
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
94
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
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
Faculty of Nursing Mansoura University
Al Mansurah, Egypt
change in patients weekly step count
Step count will be assessed using a pedometer.
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]
change in fatigue level
Brief Fatigue Inventory questionnaire will evaluate the level of current fatigue and usual fatigue in the last 24 hours.A score of 0 means no fatigue and a score of 10 means the highest level of fatigue. The total score of fatigue was obtained through summing up the score of questions 2e10 (nine items) and dividing by nine
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]
change in sleep quality
Sleep disorders will be assessed using the arabic version of the Pittsburgh Sleep Quality index (PSQI).The scores were added to yield a global PSQI score in the range 0-21, with a higher score indicating poorer sleep quality.
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]
change in functional status
The Short Physical Performance Battery (SPPB) is designed to measure functional status and physical performance.Each task is scored out of 4, with the scores from the three tests summed to give a total, with a maximum of 12 and a minimum of 0. A higher score indicates a higher level of function, while lower scores indicate a lower level of function
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]
change in heart rate
a checklist to assess heart rate
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]
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change in respiratory rate
a checklist to assess respiratory rate
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]
change in systolic blood pressure
a checklist to assess systolic blood pressure
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]
change in diastolic blood pressure
a checklist to assess diastolic blood pressure
Time frame: will be measured at baseline and after intervention [(after 12 weeks of walking program)]