{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T10:04:46Z","timestamp":1775815486919,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["NSTC113\u20102628\u2010B\u2010038\u2010003\u2010MY3"],"award-info":[{"award-number":["NSTC113\u20102628\u2010B\u2010038\u2010003\u2010MY3"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["NSTC114\u20102314\u2010B\u2010038\u2010094\u2010MY3"],"award-info":[{"award-number":["NSTC114\u20102314\u2010B\u2010038\u2010094\u2010MY3"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluated the effects of an interactive handgrip game on vascular maturation and grip strength in patients undergoing arteriovenous fistula (AVF) surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a preliminary randomized controlled trial. Thirty patients who underwent AVF surgery were randomly assigned to either an interactive handgrip game group or a soft ball group, with 15 participants in each. Both groups began their respective interventions on the first day after returning home; they engaged in either the interactive handgrip game or soft ball exercises for 30\u2009min per session, twice daily (morning and afternoon) for 2\u2009months. Data were obtained using a self\u2010designed structured questionnaire, a Noblus ultrasound machine, and a Jamar hand dynamometer. Assessments were conducted the day before AVF surgery, at the fourth week, and at the eighth week.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 30 participants with mean age of 56\u2009years adhered fully to the prescribed training sessions. Compared with the soft ball group, the interactive handgrip game group demonstrated greater improvements in blood flow rate at 8\u2009weeks (1230 vs. 930\u2009mL\/min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and in handgrip strength at both 4\u2009weeks (14 vs. 12\u2009kg;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and 8\u2009weeks (18 vs. 14\u2009kg;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No significant time\u2010by\u2010group interactions were observed for vein diameter or fistula depth. Participants also reported high satisfaction (scores 4.6\u20135) and strong agreement on the feasibility of the interactive handgrip game (mean\u2009=\u20095).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A 2\u2010month regimen of an interactive handgrip game yielded significantly greater vascular maturation and grip strength relative to soft ball exercises. In addition, the game resulted in high patient satisfaction and was feasible to implement, supporting its potential as an effective intervention for AVF maturation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      : NCT05493046\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.70045","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T06:44:30Z","timestamp":1767336270000},"page":"343-350","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of an Interactive Handgrip Game on Vascular Maturation and Grip Strength in Patients Undergoing Arteriovenous Fistula Surgery: A Feasibility Randomized Controlled Trial"],"prefix":"10.1111","volume":"30","author":[{"given":"Yi\u2010Chin","family":"Luo","sequence":"first","affiliation":[{"name":"School of Nursing, College of Nursing, Taipei Medical University  Taipei Taiwan"},{"name":"Department of Internal Medicine Mackay Memorial Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping\u2010Hsuan","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Interaction Design National Taipei University of Technology  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying\u2010Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nephrology Mackay Memorial Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei\u2010Chen","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Nephrology Mackay Memorial Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u2010Wen","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Taipei Medical University Hospital  Taipei Taiwan"},{"name":"Division of Nephrology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yen\u2010Chun","family":"Fan","sequence":"additional","affiliation":[{"name":"College of Nursing, National Taipei University of Nursing and Health Sciences  Taipei Taiwan"},{"name":"Department of Allied Health Education and Digital Learning National Taipei University of Nursing and Health Sciences  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6419-9309","authenticated-orcid":false,"given":"Hsiao\u2010Yean","family":"Chiu","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing, Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Taipei Medical University Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000514550"},{"key":"e_1_2_12_3_1","unstructured":"United States Renal Data System \u201c2019 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States \u201d(2019) Bethesda MD: National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases; 2019."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.02.001"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00620116"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2017.24.3.98"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221100446"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12875"},{"issue":"6","key":"e_1_2_12_9_1","first-page":"74","article-title":"Using Interdisciplinary Cooperation to Improve the Rate of Proper Performance of a Handgrip Among Hemodialysis Patients With Arteriovenous Fistula Construction","volume":"64","author":"Hsiao Y. 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J.","year":"2013","journal-title":"Taiwan Yi Xue Za Zhi"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211001166"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000502332"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1033486"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2015.93"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.promfg.2015.07.101"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.70045","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T09:31:14Z","timestamp":1775813474000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.70045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,1]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/hdi.70045"],"URL":"https:\/\/doi.org\/10.1111\/hdi.70045","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,1]]},"assertion":[{"value":"2025-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}