Kidney Beam-A Cost-Effective Digital Intervention to Improve Mental Health
There is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD. In a single-blind, 11 center, randomi...
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| Published in | Kidney international reports Vol. 9; no. 11; pp. 3204 - 3217 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.11.2024
Elsevier |
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| Online Access | Get full text |
| ISSN | 2468-0249 2468-0249 |
| DOI | 10.1016/j.ekir.2024.08.030 |
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| Abstract | There is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD.
In a single-blind, 11 center, randomized controlled trial, 340 adult participants with CKD were randomly assigned to either the Kidney BEAM physical activity DHI or a waitlist control. This study assessed the difference in the Kidney Disease Quality of Life Short Form 1.3 Mental Component Summary (KDQoL-SF1.3 MCS) between intervention and control groups at 6-months, and cost-effectiveness of the intervention.
At 6-months, there was a significant difference in mean adjusted change in KDQoL MCS score between Kidney BEAM and waitlist control (intention-to-treat adjusted mean: 5.9 [95% confidence interval, CI: 4.4–7.5] arbitrary units [AU], P < 0.0001), and a 93% and 98% chance of the intervention being cost-effective at a willingness-to-pay threshold of £20,000 and £30,000 per quality-adjusted life year gained.
The Kidney BEAM physical activity DHI is a clinically valuable and cost-effective means to improve mental health-related quality of life (HRQoL) in people with CKD (trial registration no. NCT04872933).
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| AbstractList | Introduction: There is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD. Methods: In a single-blind, 11 center, randomized controlled trial, 340 adult participants with CKD were randomly assigned to either the Kidney BEAM physical activity DHI or a waitlist control. This study assessed the difference in the Kidney Disease Quality of Life Short Form 1.3 Mental Component Summary (KDQoL-SF1.3 MCS) between intervention and control groups at 6-months, and cost-effectiveness of the intervention. Results: At 6-months, there was a significant difference in mean adjusted change in KDQoL MCS score between Kidney BEAM and waitlist control (intention-to-treat adjusted mean: 5.9 [95% confidence interval, CI: 4.4–7.5] arbitrary units [AU], P < 0.0001), and a 93% and 98% chance of the intervention being cost-effective at a willingness-to-pay threshold of £20,000 and £30,000 per quality-adjusted life year gained. Conclusion: The Kidney BEAM physical activity DHI is a clinically valuable and cost-effective means to improve mental health-related quality of life (HRQoL) in people with CKD (trial registration no. NCT04872933). There is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD.IntroductionThere is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD.In a single-blind, 11 center, randomized controlled trial, 340 adult participants with CKD were randomly assigned to either the Kidney BEAM physical activity DHI or a waitlist control. This study assessed the difference in the Kidney Disease Quality of Life Short Form 1.3 Mental Component Summary (KDQoL-SF1.3 MCS) between intervention and control groups at 6-months, and cost-effectiveness of the intervention.MethodsIn a single-blind, 11 center, randomized controlled trial, 340 adult participants with CKD were randomly assigned to either the Kidney BEAM physical activity DHI or a waitlist control. This study assessed the difference in the Kidney Disease Quality of Life Short Form 1.3 Mental Component Summary (KDQoL-SF1.3 MCS) between intervention and control groups at 6-months, and cost-effectiveness of the intervention.At 6-months, there was a significant difference in mean adjusted change in KDQoL MCS score between Kidney BEAM and waitlist control (intention-to-treat adjusted mean: 5.9 [95% confidence interval, CI: 4.4-7.5] arbitrary units [AU], P < 0.0001), and a 93% and 98% chance of the intervention being cost-effective at a willingness-to-pay threshold of £20,000 and £30,000 per quality-adjusted life year gained.ResultsAt 6-months, there was a significant difference in mean adjusted change in KDQoL MCS score between Kidney BEAM and waitlist control (intention-to-treat adjusted mean: 5.9 [95% confidence interval, CI: 4.4-7.5] arbitrary units [AU], P < 0.0001), and a 93% and 98% chance of the intervention being cost-effective at a willingness-to-pay threshold of £20,000 and £30,000 per quality-adjusted life year gained.The Kidney BEAM physical activity DHI is a clinically valuable and cost-effective means to improve mental health-related quality of life (HRQoL) in people with CKD (trial registration no. NCT04872933).ConclusionThe Kidney BEAM physical activity DHI is a clinically valuable and cost-effective means to improve mental health-related quality of life (HRQoL) in people with CKD (trial registration no. NCT04872933). There is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD. In a single-blind, 11 center, randomized controlled trial, 340 adult participants with CKD were randomly assigned to either the Kidney BEAM physical activity DHI or a waitlist control. This study assessed the difference in the Kidney Disease Quality of Life Short Form 1.3 Mental Component Summary (KDQoL-SF1.3 MCS) between intervention and control groups at 6-months, and cost-effectiveness of the intervention. At 6-months, there was a significant difference in mean adjusted change in KDQoL MCS score between Kidney BEAM and waitlist control (intention-to-treat adjusted mean: 5.9 [95% confidence interval, CI: 4.4-7.5] arbitrary units [AU], < 0.0001), and a 93% and 98% chance of the intervention being cost-effective at a willingness-to-pay threshold of £20,000 and £30,000 per quality-adjusted life year gained. The Kidney BEAM physical activity DHI is a clinically valuable and cost-effective means to improve mental health-related quality of life (HRQoL) in people with CKD (trial registration no. NCT04872933). There is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD. In a single-blind, 11 center, randomized controlled trial, 340 adult participants with CKD were randomly assigned to either the Kidney BEAM physical activity DHI or a waitlist control. This study assessed the difference in the Kidney Disease Quality of Life Short Form 1.3 Mental Component Summary (KDQoL-SF1.3 MCS) between intervention and control groups at 6-months, and cost-effectiveness of the intervention. At 6-months, there was a significant difference in mean adjusted change in KDQoL MCS score between Kidney BEAM and waitlist control (intention-to-treat adjusted mean: 5.9 [95% confidence interval, CI: 4.4–7.5] arbitrary units [AU], P < 0.0001), and a 93% and 98% chance of the intervention being cost-effective at a willingness-to-pay threshold of £20,000 and £30,000 per quality-adjusted life year gained. The Kidney BEAM physical activity DHI is a clinically valuable and cost-effective means to improve mental health-related quality of life (HRQoL) in people with CKD (trial registration no. NCT04872933). [Display omitted] |
| Author | Macdonald, Jamie Greenwood, Sharlene A. McCafferty, Kieran Worboys, Hannah Nixon, Andrew C. Briggs, Juliet Burton, James O. Chilcot, Joseph Tollitt, James Saynor, Zoe L. Asgari, Elham Campbell, Jackie Deelchand, Vashist Haggis, Lynda Bramham, Kate Cooper, Nicola Young, Hannah M.L. Hamilton, Alexander Wilkinson, Thomas J. Taal, Maarten W. Bishop, Nicolette Bhandari, Sunil Walklin, Christy Kalra, Philip A. Castle, Ellen M. Jesky, Mark Graham-Brown, Matthew P.M. Billany, Roseanne E. Noble, Helen Mangahis, Emmanuel Koufaki, Pelagia Wheeler, David C. |
| Author_xml | – sequence: 1 givenname: Sharlene A. orcidid: 0000-0001-9485-4645 surname: Greenwood fullname: Greenwood, Sharlene A. email: sharlene.greenwood@nhs.net organization: Renal Therapies Department, King’s College Hospital, London, UK – sequence: 2 givenname: Juliet surname: Briggs fullname: Briggs, Juliet organization: Renal Therapies Department, King’s College Hospital, London, UK – sequence: 3 givenname: Christy surname: Walklin fullname: Walklin, Christy organization: Renal Therapies Department, King’s College Hospital, London, UK – sequence: 4 givenname: Emmanuel surname: Mangahis fullname: Mangahis, Emmanuel organization: Renal Therapies Department, King’s College Hospital, London, UK – sequence: 5 givenname: Hannah M.L. surname: Young fullname: Young, Hannah M.L. organization: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK – sequence: 6 givenname: Ellen M. surname: Castle fullname: Castle, Ellen M. organization: School of Physiotherapy, Department of Health Sciences, Brunel University, London, UK – sequence: 7 givenname: Roseanne E. surname: Billany fullname: Billany, Roseanne E. organization: Department of Cardiovascular Sciences, University of Leicester, Leicester, UK – sequence: 8 givenname: Elham surname: Asgari fullname: Asgari, Elham organization: Department of Nephrology, Guys and St Thomas’s Hospital, London, UK – sequence: 9 givenname: Sunil surname: Bhandari fullname: Bhandari, Sunil organization: Department of Nephrology, Hull University Teaching Hospitals NHS Trust, Hull, UK – sequence: 10 givenname: Nicolette orcidid: 0000-0001-6221-3907 surname: Bishop fullname: Bishop, Nicolette organization: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK – sequence: 11 givenname: Kate surname: Bramham fullname: Bramham, Kate organization: Centre for Nephrology, Urology and Transplantation, Faculty of Life Sciences, King’s College London, London, UK – sequence: 12 givenname: James O. surname: Burton fullname: Burton, James O. organization: Department of Cardiovascular Sciences, University of Leicester, Leicester, UK – sequence: 13 givenname: Jackie surname: Campbell fullname: Campbell, Jackie organization: Faculty of Health, Education and Society, University of Northampton, Northampton, UK – sequence: 14 givenname: Joseph surname: Chilcot fullname: Chilcot, Joseph organization: Department of Psychology, Psychology and Neuroscience, King’s College London, London, UK – sequence: 15 givenname: Nicola surname: Cooper fullname: Cooper, Nicola organization: Department of Population Health Science, University of Leicester, Leicester, UK – sequence: 16 givenname: Vashist surname: Deelchand fullname: Deelchand, Vashist organization: Department of Nephrology Royal Free Hospital, London, UK – sequence: 17 givenname: Matthew P.M. surname: Graham-Brown fullname: Graham-Brown, Matthew P.M. organization: Department of Cardiovascular Sciences, University of Leicester, Leicester, UK – sequence: 18 givenname: Lynda surname: Haggis fullname: Haggis, Lynda organization: Centre for Nephrology, Urology and Transplantation, Faculty of Life Sciences, King’s College London, London, UK – sequence: 19 givenname: Alexander surname: Hamilton fullname: Hamilton, Alexander organization: Dept of Nephrology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK – sequence: 20 givenname: Mark surname: Jesky fullname: Jesky, Mark organization: Department of Nephrology, Nottingham NHS Trust, Nottingham, UK – sequence: 21 givenname: Philip A. surname: Kalra fullname: Kalra, Philip A. organization: Department of Nephrology Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, UK – sequence: 22 givenname: Pelagia surname: Koufaki fullname: Koufaki, Pelagia organization: Dietetics, Nutrition and Biological Sciences, Physiotherapy, Podiatry and Radiography Division, Queen Margaret University, Edinburgh, UK – sequence: 23 givenname: Kieran surname: McCafferty fullname: McCafferty, Kieran organization: Department of Nephrology, Barts Health NHS Trust, London, UK – sequence: 24 givenname: Andrew C. surname: Nixon fullname: Nixon, Andrew C. organization: Department of Renal Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK – sequence: 25 givenname: Helen surname: Noble fullname: Noble, Helen organization: School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK – sequence: 26 givenname: Zoe L. surname: Saynor fullname: Saynor, Zoe L. organization: School of Health Sciences, University of Southampton, Southampton, UK – sequence: 27 givenname: Maarten W. surname: Taal fullname: Taal, Maarten W. organization: Centre for Kidney Research and Innovation, School of Medicine, University of Nottingham, Nottingham, UK – sequence: 28 givenname: James surname: Tollitt fullname: Tollitt, James organization: Department of Nephrology Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, UK – sequence: 29 givenname: David C. surname: Wheeler fullname: Wheeler, David C. organization: Department of Renal Medicine, University College London, London, UK – sequence: 30 givenname: Thomas J. surname: Wilkinson fullname: Wilkinson, Thomas J. organization: National Institute of Health Research Leicester Biomedical Research Centre, Leicester, UK – sequence: 31 givenname: Hannah surname: Worboys fullname: Worboys, Hannah organization: Department of Population Health Science, University of Leicester, Leicester, UK – sequence: 32 givenname: Jamie surname: Macdonald fullname: Macdonald, Jamie organization: Institute for Applied Human Physiology, Bangor University, Bangor, UK |
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| Keywords | cost-effectiveness chronic kidney disease digital health intervention quality of life physical activity |
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| SubjectTerms | chronic kidney disease Clinical Research cost-effectiveness digital health intervention physical activity quality of life |
| Title | Kidney Beam-A Cost-Effective Digital Intervention to Improve Mental Health |
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