Mobile app-based education for CAPD self-care in CKD patients: insights from a scoping review
-
Published: October 31, 2025
-
Page: 193-206
Abstract
Chronic Kidney Disease (CKD) requires optimal self-management, especially for patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD), where education and adherence play a central role in treatment success. Although the use of mobile health technologies has increased, evidence regarding their educational potential in CAPD care remains fragmented. This scoping review aimed to identify and synthesize existing evidence on mobile app-based educational interventions for CAPD self-management in CKD patients, focusing on the most effective features, learning outcomes, and implementation barriers. A comprehensive literature search was conducted through PubMed, Cochrane Library, ScienceDirect, and Google Scholar for studies published in English from 2014 to 2024, following PRISMA-ScR guidelines. Twenty studies met the inclusion criteria, consisting of eight quantitative, seven qualitative, and five mixed-method designs. The review found that mobile app-based education improved patients’ knowledge, adherence to dialysis procedures, and self-monitoring behavior. The most effective features included interactive educational modules, personalized care reminders, symptom-tracking tools, and two-way communication between patients and healthcare providers. Nevertheless, several challenges were identified, such as limited digital literacy, inconsistent app usability, and lack of integration with clinical systems. These findings indicate that mobile educational applications have strong potential to enhance CAPD self-management by providing accessible, interactive, and patient-centered learning tools, while emphasizing the need for standardized evaluation frameworks and longitudinal studies to assess their long-term effectiveness and clinical impact.
- Digital health
- Mobile apps for CAPD education
- Patient engagement
- Peritoneal dialysis
- Self-management

This work is licensed under a Creative Commons Attribution 4.0 International License.
- Brown, E. A., Ryan, L., & Corbett, R. W. (2023). A novel program of supportive two-exchange assisted continuous ambulatory peritoneal dialysis for frail patients with end-stage kidney disease. Peritoneal Dialysis International, 43(1), 100–103.
- Cao, F., Hong, F., Ruan, Y., & Lin, M. (2023). Effect of patient-empowerment interaction model on self-management ability of peritoneal dialysis patients: a randomized controlled trial. Patient Preference and Adherence, 873–881.
- Cao, F., Li, L., Lin, M., Lin, Q., Ruan, Y., & Hong, F. (2018). Application of instant messaging software in the follow‐up of patients using peritoneal dialysis, a randomised controlled trial. Journal of Clinical Nursing, 27(15–16), 3001–3007. https://doi.org/https://doi.org/10.1111/jocn.14487
- Chae, Y. J., & Kim, H. S. (2024). Effects of a mobile application on improving self‐management of adult patients receiving peritoneal dialysis: A randomized controlled trial. Japan Journal of Nursing Science, 21(1), e12555.
- Devia, M., Vesga, J., Sanchez, R., Sanabria, R. M., & Figueiredo, A. E. (2022). Development of an instrument to assess self-management capacity of patients receiving peritoneal dialysis: CAPABLE. Peritoneal Dialysis International, 42(4), 370–376.
- Dey, V., Jones, A., & Spalding, E. M. (2016). Telehealth: Acceptability, clinical interventions and quality of life in peritoneal dialysis. SAGE Open Medicine, 4. https://doi.org/10.1177/2050312116670188
- Harrington, D. M., Myers, L., Eisenman, K., Bhise, V., Nayak, K. S., & Rosner, M. H. (2014). The use of a tablet computer platform to optimize the care of patients receiving peritoneal dialysis: a pilot study. Blood Purification, 37(4), 311–315. https://doi.org/https://doi.org/10.1159/000365440
- Hayashi, A., Yamaguchi, S., Waki, K., Fujiu, K., Hanafusa, N., Nishi, T., Tomita, H., Kobayashi, H., Fujita, H., & Kadowaki, T. (2017). Testing the feasibility and usability of a novel smartphone-based self-management support system for dialysis patients: a pilot study. JMIR Research Protocols, 6(4), e7105. https://doi.org/https://doi.org/10.2196/resprot.7105
- Imtiaz, R., Atkinson, K., Guerinet, J., Wilson, K., Leidecker, J., & Zimmerman, D. (2017). A pilot study of okkidney, a phosphate counting application in patients on peritoneal dialysis. Peritoneal Dialysis International, 37(6), 613–618. https://doi.org/10.3747/pdi.2017.00050
- Kiberd, J., Khan, U., Stockman, C., Radhakrishnan, A., Phillips, M., Kiberd, B. A., West, K. A., Soroka, S., Chan, C., & Tennankore, K. K. (2018). Effectiveness of a web-based eHealth portal for delivery of care to home dialysis patients: a single-arm pilot study. Canadian Journal of Kidney Health and Disease, 5, 2054358118794415.
- Kitrenu, P., Jittanoon, P., & Boonyasopun, U. (2023). Effects of a Community Health Nurse Telehealth Care Program on Self-Management and Quality of Life Among Persons With Peritoneal Dialysis. Journal of Health Research, 37(6), 439–449. https://doi.org/10.56808/2586-940X.1050
- Korzh, O., Titkova, A., Fylenko, Y., & Lavrova, Y. (2022). Evaluation of health-promoting self-care behaviors in hypertensive patients with concomitant chronic kidney disease in primary care. Primary Health Care Research & Development, 23, e48.
- Lew, S. Q., Sikka, N., Thompson, C., Cherian, T., & Magnus, M. (2017). Adoption of telehealth: Remote biometric monitoring among peritoneal dialysis patients in the United States. Peritoneal Dialysis International, 37(5), 576–578. https://doi.org/10.3747/pdi.2016.00272
- Liu, N., Kim, J., Jung, Y., Arisy, A., Nicdao, M. A., Mikaheal, M., Baldacchino, T., Khadra, M., & Sud, K. (2017). Remote monitoring systems for chronic patients on home hemodialysis: field test of a copresence-enhanced design. JMIR Human Factors, 4(3), e7078. https://doi.org/https://doi.org/10.2196/humanfactors.7078
- Lophongpanit, P., Tongsiri, S., & Thongprasert, N. (2019). Social return on investment for patient treated by continuous ambulatory peritoneal Dialysis: a case study in Ubon Ratchathani Province, Thailand. ClinicoEconomics and Outcomes Research, 569–578.
- Marcos Antonio Martı´nez Garcı´a, Rosales, M. S. F., Domı´nguezID, E. L., Vela´zquez, Y. H., & Isidro, S. l D. (2018). Telemonitoring system for patients with chronic kidney disease undergoing peritoneal dialysis: Usability assessment based on a case study. PLOS ONE, November(6), 1–14. https://doi.org/https://doi.org/10.1371/journal. pone.0206600
- Martínez García, M. A., Fernández Rosales, M. S., López Domínguez, E., Hernández Velázquez, Y., & Domínguez Isidro, S. (2018). Telemonitoring system for patients with chronic kidney disease undergoing peritoneal dialysis: usability assessment based on a case study. PloS One, 13(11), e0206600. https://doi.org/https://doi.org/10.1371/journal.pone.0206600
- Mohammed, A. F. I., Aziz, T. M. A., & Eltohamy, O. E. (2020). Zone Tool: Improving Self-Care and Self-Efficacy among Patients with Chronic Kidney Disease. American Journal of Nursing, 8(6), 608–623.
- Mullerpatan, R., Agarwal, B. M., Joshi, A., Nayak, A., & Kulkarni, S. (2023). Health-Related Quality of Life of People with Chronic Kidney Disease in Low-and Middle-Income Countries: A Literature Review. Critical ReviewsTM in Physical and Rehabilitation Medicine, 35.
- Nayak, K. S., Ronco, C., Karopadi, A. N., & Rosner, M. H. (2016). Telemedicine and remote monitoring: supporting the patient on peritoneal dialysis. Peritoneal Dialysis International, 36(4), 362–366.
- Nicdao, M. A., Kim, J., Baldacchino, T., Jung, Y. H., Mikaheal, M., Patekar, A., & Sud, K. (2016). ’My Home Hemo’app-a new telehealth tool for remote monitoring of patients on home haemodialysis. Renal Society of Australasia Journal, 12(2), 41–47.
- Olivares-Gandy, H. J., Domínguez-Isidro, S., López-Domínguez, E., Hernández-Velázquez, Y., Tapia-McClung, H., & Jorge de-la-Calleja. (2019). A telemonitoring system for nutritional intake in patients with chronic kidney disease receiving peritoneal dialysis therapy. Computers in Biology and Medicine, 109, 1–13. https://doi.org/https://doi.org/10.1016/j.compbiomed.2019.04.012
- Polanco, E., Aquey, M., Collado, J., Campos, E., Guzman, J., Cuevas‐Budhart, M. A., Divino‐Filho, J. C., & Ramos‐Sanchez, A. (2021). A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management. Therapeutic Apheresis and Dialysis, 25(6), 970–978. https://doi.org/https://doi.org/10.1111/1744-9987.13635
- Pungchompoo, W., Parinyajittha, S., Pungchompoo, S., & Kumtan, P. (2020). Effectiveness of a self‐management retraining program improving the quality of life of people receiving continuous ambulatory peritoneal dialysis. Nursing & Health Sciences, 22(2), 406–415.
- Rini, I. S., Rahmayani, T., Sari, E. K., & Lestari, R. (2021). Differences in the quality of life of chronic kidney disease patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis. Journal of Public Health Research, 10(2), jphr-2021.
- Schrauben, S. J., Rivera, E., Bocage, C., Eriksen, W., Amaral, S., Dember, L. M., Feldman, H. I., & Barg, F. K. (2022). A qualitative study of facilitators and barriers to self-management of CKD. Kidney International Reports, 7(1), 46–55.
- Shaw, G., Whelan, M. E., Armitage, L. C., Roberts, N., & Farmer, A. J. (2020). Are COPD self-management mobile applications effective? A systematic review and meta-analysis. NPJ Primary Care Respiratory Medicine, 30(1), 11.
- Sinuraibhan, S., Ramasoot, S., Wungpatcharapon, S., & Kakaew, K. (2020). A Prototype for a Mobile Peritoneal Dialysis Unit, Case Study of Lamsonthi Model, Lopburi Province. Journal of Architectural/Planning Research and Studies (JARS), 17(1), 65–78.
- Sridharan, N. D., Fish, L., Yu, L., Weisbord, S., Jhamb, M., Makaroun, M. S., & Yuo, T. H. (2018). The associations of hemodialysis access type and access satisfaction with health-related quality of life. Journal of Vascular Surgery, 67(1), 229–235.
- Sriyuktasuth, A., Chuengsaman, P., Kusakunniran, W., Khurat, A., & Rattana-umpa, N. (2023). Telehealth Service for Patients Receiving Continuous Ambulatory Peritoneal Dialysis: A Pilot Study. Siriraj Medical Journal, 75(1), 46–54. https://doi.org/10.33192/smj.v75i1.260529
- Sriyuktasuth, A., Puwarawuttipanit, W., Chuengsaman, P., & Kusakunniran, W. (2023). Factors Influencing Telehealth Service Use and Health Outcomes in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis: Cross-Sectional Study. Journal of Medical Internet Research, 25, e48623.
- Suarilah, I., & Lin, C. (2022). Factors influencing self‐management among Indonesian patients with early‐stage chronic kidney disease: A cross‐sectional study. Journal of Clinical Nursing, 31(5–6), 703–715.
- Talbot, B., Farnbach, S., Tong, A., Chadban, S., Sen, S., Garvey, V., Gallagher, M., & Knight, J. (2022). Patient and Clinician Perspectives on the use of Remote Patient Monitoring in Peritoneal Dialysis. Canadian Journal of Kidney Health and Disease, 9. https://doi.org/10.1177/20543581221084499
- Viglino, G., Neri, L., Barbieri, S., & Tortone, C. (2020). Videodialysis: a pilot experience of telecare for assisted peritoneal dialysis. Journal of Nephrology, 33(1), 177–182. https://doi.org/10.1007/s40620-019-00647-6
- Wahab, S. N., Rusyaidi, M. H., & Amri, A. N. (2023). Continuous Ambulatory Peritoneal Dialysis (CAPD) Treatment Record Mobile App. International Journal of Synergy in Engineering and Technology, 4(2), 139–149.
- Xu, X., Ma, T., Tian, X., Li, S., Pei, H., Zhao, J., Zhang, Y., Xiong, Z., Liao, Y., & Li, Y. (2022). Telemedicine and clinical outcomes in peritoneal dialysis: A propensity-matched study. American Journal of Nephrology, 53(8–9), 663–674. https://doi.org/https://doi.org/10.1159/000525917
- Yang, Y., Chen, H., Qazi, H., & Morita, P. P. (2020). Intervention and evaluation of mobile health technologies in management of patients undergoing chronic dialysis: scoping review. JMIR MHealth and UHealth, 8(4), e15549.