Chronic Kidney DiseasesDDEPNCT06756113
Digital Dyadic Empowerment Program on Lifestyle Modification for Chronic Kidney Disease Management
A study testing Digital Dyadic Empowerment in people with Chronic Kidney Diseases, run by National Cheng Kung University at 1 site in Taiwan.
Trial summary
The goal of this clinical trial is to find out if the Digital Dyadic Empowerment Program (DDEP) can help people with chronic kidney disease (CKD) and their care partners make healthy lifestyle changes. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Chronic Kidney Diseases
- What is being tested?
- Digital Dyadic Empowerment
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 208 participants
- Where
- 1 siteTaiwan
- Study dates
- 13 Jan 2025to 15 Oct 2025
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient has a diagnosis of Chronic Kidney Disease for at least six months;
- The patient can identify a helpful significant other, and both parties are willing to participate;
- The patient can communicate in Mandarin or Taiwanese.
Who cannot join
- The significant other is a healthcare provider;
- The patient or the significant other has a mental illness diagnosis;
- The patient is currently receiving renal replacement therapies;
- Neither the patient nor the significant other uses a smartphone or the LINE messaging app.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Digital Dyadic Empowerment Program (DDEP) on Lifestyle Modification for Chronic Kidney Disease Management: A Randomized Controlled Trial
The goal of this clinical trial is to find out if the Digital Dyadic Empowerment Program (DDEP) can help people with chronic kidney disease (CKD) and their care partners make healthy lifestyle changes. The main questions this study will answer are:
- Does DDEP help protect kidney function?
- Does DDEP support healthier daily habits?
Read more
Researchers will compare two groups:
- One group will receive the DDEP and get usual medical care.
- The other group will get usual medical care only.
Participants will:
- Receive usual care with or without DDEP for six months.
- Visit the clinic at the start and end of the study for health checks and tests.
- Practice healthy habits at home with or without help from DDEP.
This study aims to show if adding DDEP to regular care can make it easier for people with CKD and their care partners to live healthier lives.
Read the detailed description
This randomized controlled trial (RCT) aims to evaluate the long-term effects of the Digital Dyadic Empowerment Program (DDEP) in comparison to routine care for people with chronic kidney disease (CKD) and their significant others. The study will assess whether the DDEP can improve health outcomes such as kidney function, health-promoting lifestyle behaviors, and the quality of relationships between significant others over a six-month period. The trial will follow the Consolidated Standards of Reporting Trials (CONSORT) 2010 and CONSORT-EHEALTH guidelines to ensure rigorous reporting and transparency.
Baseline assessments will occur in a private clinic room and will include demographic information, disease-related characteristics, and self-reported measures. Participants in both groups will also complete the Trans-Theoretical Model (TTM) staging inventory to evaluate their readiness for lifestyle changes. Dyads assigned to the intervention group will receive DDEP setup instructions and training on platform use during the baseline visit. Throughout the study, dyads will be encouraged to utilize the platform for self-management tasks at home, including diet tracking, exercise planning, and monitoring blood pressure.
- Conditions
- Chronic Kidney Diseases
- Being tested
- Digital Dyadic Empowerment, Usual Care
- Keywords
- digital health, dyadic empowerment, healthy lifestyle
- Medical subject headings
- Renal Insufficiency, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Digital Dyadic EmpowermentBehavioural
Also called LINE Official Account - Kidney Lifestyle
The Digital Dyadic Empowerment Intervention utilizes LINE, a prominent instant messaging App in Taiwan, integrated with an extended application to deliver comprehensive lifestyle modification support to Chronic Kidney Disease (CKD) dyads. Key features of this intervention include:
- Access to CKD Health Education Information;
- Supportive Information for Significant Others;
- Physiological Values Logging for Self-Monitoring;
- Reminders for Clinical Appointments and Daily Self-Management Tasks;
- Kidney Health Diary for Lifestyle Modification Progress Tracking;
- Frequently Asked Questions (FAQs) and Consultation with Healthcare Providers.
This intervention aims to enhance the overall well-being of CKD dyads by promoting education, self-monitoring, adherence to appointments, and efficient communication with healthcare providers.
Usual CareBehavioural
All patients in this study received regular nephrology care at National Cheng Kung University Hospital. Nephrologists conducted routine examinations and provided diagnoses based on test results. The patient's condition (e.g., changes in kidney function), treatment plan, prognosis, and risks were explained to both the patient and family members. The treatment plan included medication, monitoring blood pressure, dietary and exercise at home, and consultations with the Health Education Center for kidney care or nutrition advice.
| Study group | Role | What they receive |
|---|---|---|
| Digital Dyadic Empowerment + Usual Care | Experimental | The intervention group (Digital Dyadic Empowerment + Usual Care) will receive usual care and utilize LINE, a prominent instant messaging App in Taiwan, to assist in lifestyle modification at home along with support from the significant other. Receives: Behavioral: Digital Dyadic Empowerment; Behavioral: Usual Care |
| Usual Care | Active comparator | The control group will receive usual care only. Receives: Behavioral: Usual Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in eGFR at 6 Months (Patient-specific)
For each patient, change from Baseline (Followup score - Baseline score) in the estimated Glomerular Filtration Rate (eGFR) by the Isotope Dilution Mass Spectrometry - Modification of Diet in Renal Disease (IDMS-MDRD) Equation at 6 months was obtained through the patient's biochemical test reports. Higher eGFR numbers generally indicate better kidney functions.
Measured: Before initial intervention and 6 months after initial intervention
Secondary outcomes (4)
Change From Baseline in CKD Stage at 6 Months (Patient-specific)
For each patient, change from Baseline in CKD stage at 6 months was obtained by comparing the CKD stage at baseline and at follow-up, converted into the following three categories: (1) recover (e.g., from Stage 3a [at baseline] to Stage 2 [at follow-up]); (2) stable (e.g., remaining Stage 3a at both baseline and follow-up); and (3) progress (e.g., from Stage 3a [at baseline] to Stage 3b [at follow-up]).
Measured: Before initial intervention and 6 months after initial intervention
Change From Baseline in TTM Stage at 6 Months (Patient-specific)
For each patient, change from Baseline in TTM stage at 6 months was obtained by comparing the TTM stage of change at baseline and at follow-up, converted into the following three categories: (1) regress (e.g., from Preparation [at baseline] to Contemplation [at follow-up]); (2) maintain (e.g., remaining Action at both baseline and follow-up); and (3) advance (e.g., from Action [at baseline] to Maintenance [at follow-up]).
Measured: Before initial intervention and 6 months after initial intervention
Change From Baseline in Health Promoting Lifestyle at 6 Months (Patient-specific)
For each patient, change from Baseline (Followup score - Baseline score) in patient's Health Promoting Lifestyle at 6 months was assessed using the Health Promoting Lifestyle Profile-II Chinese version Revised (HPLP-IICR), a validated scale with 30 items rated on a 4-point Likert scale. The total scores range from 30 to 120, with higher scores indicate better health-promoting lifestyle.
Measured: Before initial intervention and 6 months after initial intervention
Change From Baseline in Dyadic Adjustment at 6 Months
For each participant, change from Baseline (Followup score - Baseline score) in Dyadic Adjustment at 6 months was assessed using the 7-item Dyadic Adjustment Scale (DAS-7). The first six items are rated on a 6-point scale, while the seventh item is rated on a 7-point scale. The total scores range from 0 to 36, with higher scores indicating better relationship quality.
Measured: Before initial intervention and 6 months after initial intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jan 2025
- Study start13 Jan 2025
- Primary completion8 Oct 2025
- Study completion15 Oct 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Chronic Kidney DiseasesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 208 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cheng Kung University
- Sponsor type
- University, hospital or other
- Collaborators
- National Health Research Institutes, Taiwan
- Responsible party
- Principal investigator, Miaofen Yen, National Cheng Kung University
- Investigators
- Miaofen Yen, PhD, Principal investigator, National Cheng Kung University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06756113
- Sponsor's protocol ID
- NHRI-EX114-11106PI
- Acronym
- DDEP
- Status last verified
- Jan 2026
- First submitted
- 24 Dec 2024
- Last updated
- 12 Feb 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Digital Dyadic Empowerment Program (DDEP) on Lifestyle Modification for Chronic Kidney Disease Management: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06756113
- Acronym / sponsor ID
- DDEP / NHRI-EX114-11106PI
- Conditions
- Chronic Kidney Diseases
- Keywords
- digital health, dyadic empowerment, healthy lifestyle
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 208 participants (actual)
- Lead sponsor
- National Cheng Kung UniversityUniversity, hospital or other
- Collaborators
- National Health Research Institutes, Taiwan
- Study start
- 13 Jan 2025 (actual)
- Primary completion
- 8 Oct 2025 (actual)
- Study completion
- 15 Oct 2025 (actual)
- First posted
- 1 Jan 2025 (actual)
- Results
- Posted 12 Feb 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to find out if the Digital Dyadic Empowerment Program (DDEP) can help people with chronic kidney disease (CKD) and their care partners make healthy lifestyle changes. The main questions this study will answer are:
- Does DDEP help protect kidney function?
- Does DDEP support healthier daily habits?
Researchers will compare two groups:
- One group will receive the DDEP and get usual medical care.
- The other group will get usual medical care only.
Participants will:
- Receive usual care with or without DDEP for six months.
- Visit the clinic at the start and end of the study for health checks and tests.
- Practice healthy habits at home with or without help from DDEP.
This study aims to show if adding DDEP to regular care can make it easier for people with CKD and their care partners to live healthier lives.
Detailed description
This randomized controlled trial (RCT) aims to evaluate the long-term effects of the Digital Dyadic Empowerment Program (DDEP) in comparison to routine care for people with chronic kidney disease (CKD) and their significant others. The study will assess whether the DDEP can improve health outcomes such as kidney function, health-promoting lifestyle behaviors, and the quality of relationships between significant others over a six-month period. The trial will follow the Consolidated Standards of Reporting Trials (CONSORT) 2010 and CONSORT-EHEALTH guidelines to ensure rigorous reporting and transparency.
Baseline assessments will occur in a private clinic room and will include demographic information, disease-related characteristics, and self-reported measures. Participants in both groups will also complete the Trans-Theoretical Model (TTM) staging inventory to evaluate their readiness for lifestyle changes. Dyads assigned to the intervention group will receive DDEP setup instructions and training on platform use during the baseline visit. Throughout the study, dyads will be encouraged to utilize the platform for self-management tasks at home, including diet tracking, exercise planning, and monitoring blood pressure.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Digital Dyadic Empowerment + Usual Care | Experimental | Behavioral: Digital Dyadic Empowerment, Behavioral: Usual CareThe intervention group (Digital Dyadic Empowerment + Usual Care) will receive usual care and utilize LINE, a prominent instant messaging App in Taiwan, to assist in lifestyle modification at home along with support from the significant other. |
| Usual Care | Active comparator | Behavioral: Usual CareThe control group will receive usual care only. |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- The patient has a diagnosis of Chronic Kidney Disease for at least six months;
- The patient can identify a helpful significant other, and both parties are willing to participate;
- The patient can communicate in Mandarin or Taiwanese.
Key exclusion criteria (4 listed)
- The significant other is a healthcare provider;
- The patient or the significant other has a mental illness diagnosis;
- The patient is currently receiving renal replacement therapies;
- Neither the patient nor the significant other uses a smartphone or the LINE messaging app.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Digital Dyadic EmpowermentAlso: LINE Official Account - Kidney LifestyleThe Digital Dyadic Empowerment Intervention utilizes LINE, a prominent instant messaging App in Taiwan, integrated with an extended application to deliver comprehensive lifestyle modification support to Chronic Kidney Disease (CKD) dyads. Key features of this intervention include: 1. Access to CKD Health Education Information; 2. Supportive Information for Significant Others; 3. Physiological Values Logging for Self-Monitoring; 4. Reminders for Clinical Appointments and Daily Self-Management Tasks; 5. Kidney Health Diary for Lifestyle Modification Progress Tracking; 6. Frequently Asked Questions (FAQs) and Consultation with Healthcare Providers. This intervention aims to enhance the overall well-being of CKD dyads by promoting education, self-monitoring, adherence to appointments, and efficient communication with healthcare providers. | Behavioural | Digital Dyadic Empowerment + Usual Care |
| Usual CareAll patients in this study received regular nephrology care at National Cheng Kung University Hospital. Nephrologists conducted routine examinations and provided diagnoses based on test results. The patient's condition (e.g., changes in kidney function), treatment plan, prognosis, and risks were explained to both the patient and family members. The treatment plan included medication, monitoring blood pressure, dietary and exercise at home, and consultations with the Health Education Center for kidney care or nutrition advice. | Behavioural | Digital Dyadic Empowerment + Usual Care, Usual Care |
Primary outcome
Change From Baseline in eGFR at 6 Months (Patient-specific)
Time frame: Before initial intervention and 6 months after initial intervention
For each patient, change from Baseline (Followup score - Baseline score) in the estimated Glomerular Filtration Rate (eGFR) by the Isotope Dilution Mass Spectrometry - Modification of Diet in Renal Disease (IDMS-MDRD) Equation at 6 months was obtained through the patient's biochemical test reports. Higher eGFR numbers generally indicate better kidney functions.
4 secondary outcomes
Change From Baseline in CKD Stage at 6 Months (Patient-specific)
Time frame: Before initial intervention and 6 months after initial intervention
Change From Baseline in TTM Stage at 6 Months (Patient-specific)
Time frame: Before initial intervention and 6 months after initial intervention
Change From Baseline in Health Promoting Lifestyle at 6 Months (Patient-specific)
Time frame: Before initial intervention and 6 months after initial intervention
Change From Baseline in Dyadic Adjustment at 6 Months
Time frame: Before initial intervention and 6 months after initial intervention
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Feb 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Miaofen Yen, PhD principal investigator
National Cheng Kung University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Digital Dyadic Empowerment in people with Chronic Kidney Diseases, run by National Cheng Kung University at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Feb 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in eGFR at 6 Months (Patient-specific) (time frame: Before initial intervention and 6 months after initial intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Feb 2026; AzTrials last refreshed its copy on 30 Oct 2026.