About this trial
This study aims to evaluate the efficacy of an intervention guided by the IFSMT, in which structured education and digitally delivered reinforcement strategies are designed to enhance self-management processes, including knowledge and beliefs, self-regulation skills, and social facilitation, among patients undergoing maintenance hemodialysis. The intervention, delivered via a mobile platform three times daily over two months, seeks to improve fluid control adherence and hemodialysis self-management behaviours, and to reduce interdialytic weight gain and stabilise pre-hemodialysis mean arterial pressure, compared with standard education alone.
Eligibility criteria
Qualifiers
Receiving maintenance hemodialysis for ≥ 3 months
Undergoing hemodialysis two times per week on a regular schedule
Possession of a smartphone with active WhatsApp use
Ability to read and understand Indonesian, with support provided in Javanese where necessary.
Disqualifiers
Severe cognitive impairment or diagnosed psychiatric disorders affecting comprehension or participation, as documented in the medical record.
Severe visual, hearing, or communication impairments not corrected by assistive devices
Current hospitalisation or unstable medical condition
Planned kidney transplantation or dialysis modality change during the study period
Trial design
Treatments tested in this trial
- A Theory-based fluid self-management program