The effect of a novel, digital physical activity and emotional well-being intervention on health-related quality of life in people with chronic kidney disease: trial design and baseline data from a multicentre prospective, wait-list randomised controlled trial (kidney BEAM)

C G Walklin; Hannah M L Young; E Asghari; S Bhandari; R E Billany; N Bishop; K Bramham; J Briggs; J O Burton; J Campbell; E M Castle; J Chilcot; N Cooper; V Deelchand; M P M Graham-Brown; A Hamilton; M Jesky; P A Kalra; P Koufaki; K McCafferty; A C Nixon; H Noble; Z L Saynor; C Sothinathan; M W Taal; J Tollitt; D C Wheeler; T J Wilkinson; J H Macdonald; S A Greenwood

doi:10.1186/s12882-023-03173-7

The effect of a novel, digital physical activity and emotional well-being intervention on health-related quality of life in people with chronic kidney disease: trial design and baseline data from a multicentre prospective, wait-list randomised controlled trial (kidney BEAM)

BMC Nephrol. 2023 May 2;24(1):122. doi: 10.1186/s12882-023-03173-7.

Authors

C G Walklin^#¹, Hannah M L Young^#², E Asghari³, S Bhandari⁴, R E Billany⁵, N Bishop⁶, K Bramham⁷, J Briggs¹, J O Burton⁵, J Campbell⁸, E M Castle⁹, J Chilcot¹⁰, N Cooper⁵, V Deelchand¹¹, M P M Graham-Brown⁵, A Hamilton¹², M Jesky¹³, P A Kalra¹⁴, P Koufaki¹⁵, K McCafferty¹⁶, A C Nixon^{17

18}, H Noble¹⁹, Z L Saynor²⁰, C Sothinathan²¹, M W Taal²², J Tollitt²³, D C Wheeler²⁴, T J Wilkinson²⁵, J H Macdonald²⁶, S A Greenwood¹

Affiliations

¹ Renal Therapies, King's College Hospital NHS Trust, London, UK.
² Leicester Diabetes Centre, Leicester General Hospital, Leicester, UK. [email protected].
³ Department of Nephrology, Guy's and St Thomas' NHS Trust, London, UK.
⁴ Department of Nephrology, Hull University Teaching Hospitals NHS Trust, Hull, UK.
⁵ Department of Health Sciences, University of Leicester, Leicester, UK.
⁶ School of Sport, Exercise and Health Sciences, University of Loughborough, Loughborough, UK.
⁷ Department of Women's Health, King's College London, London, UK.
⁸ Faculty of Health, Education and Society, University of Northampton, Northampton, UK.
⁹ School of Physiotherapy, Department of Health Sciences, Brunel University, London, UK.
¹⁰ Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
¹¹ Department of Nephrology, Royal Free Hospital, London, UK.
¹² Department of Nephrology, Royal Exeter Hospital, Devon, UK.
¹³ Department of Nephrology, Nottingham NHS Trust, Nottingham, UK.
¹⁴ Department of Nephrology, Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, UK.
¹⁵ Dietetics, Nutrition and Biological Sciences, Queen Margaret University, Edinburgh, UK.
¹⁶ Department of Nephrology, Barts Health NHS Trust, London, UK.
¹⁷ Department of Renal Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK.
¹⁸ Division of Cardiovascular Sciences, The University of Manchester, Manchester, UK.
¹⁹ School of Nursing and Midwifery, Queen's University, Belfast, UK.
²⁰ School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, UK.
²¹ Department of Physiotherapy, Chelsea and Westminster NHS Trust, London, UK.
²² Centre for Kidney Research and Innovation, University of Nottingham, Nottingham, UK.
²³ Department of Renal Medicine, University College London, London, UK.
²⁴ National Institute of Health Research Leicester Biomedical Research Centre , Leicester, UK.
²⁵ Institute for Applied Human Physiology, Bangor University, Bangor, Gwynedd, UK.
²⁶ Faculty of life sciences and medicine, King's College London, London, UK.

^# Contributed equally.

Abstract

Background: Physical activity and emotional self-management has the potential to enhance health-related quality of life (HRQoL), but few people with chronic kidney disease (CKD) have access to resources and support. The Kidney BEAM trial aims to evaluate whether an evidence-based physical activity and emotional wellbeing self-management programme (Kidney BEAM) leads to improvements in HRQoL in people with CKD.

Methods: This was a prospective, multicentre, randomised waitlist-controlled trial, with health economic analysis and nested qualitative studies. In total, three hundred and four adults with established CKD were recruited from 11 UK kidney units. Participants were randomly assigned to the intervention (Kidney BEAM) or a wait list control group (1:1). The primary outcome was the between-group difference in Kidney Disease Quality of Life (KDQoL) mental component summary score (MCS) at 12 weeks. Secondary outcomes included the KDQoL physical component summary score, kidney-specific scores, fatigue, life participation, depression and anxiety, physical function, clinical chemistry, healthcare utilisation and harms. All outcomes were measured at baseline and 12 weeks, with long-term HRQoL and adherence also collected at six months follow-up. A nested qualitative study explored experience and impact of using Kidney BEAM.

Results: 340 participants were randomised to Kidney BEAM (n = 173) and waiting list (n = 167) groups. There were 96 (55%) and 89 (53%) males in the intervention and waiting list groups respectively, and the mean (SD) age was 53 (14) years in both groups. Ethnicity, body mass, CKD stage, and history of diabetes and hypertension were comparable across groups. The mean (SD) of the MCS was similar in both groups, 44.7 (10.8) and 45.9 (10.6) in the intervention and waiting list groups respectively.

Conclusion: Results from this trial will establish whether the Kidney BEAM self management programme is a cost-effective method of enhancing mental and physical wellbeing of people with CKD.

Trial registration: NCT04872933. Registered 5th May 2021.

Keywords: Digital health; KDQoL-SF; Mixed-methods; Quality of life; SF-36; Telemedicine; e-health.

Publication types

Randomized Controlled Trial
Multicenter Study
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Exercise
Female
Humans
Male
Middle Aged
Prospective Studies
Quality of Life*
Renal Insufficiency, Chronic* / therapy
Telemedicine
Waiting Lists

Associated data

ClinicalTrials.gov/NCT04872933

Grants and funding

NIHR302926/NIHR