{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:21:13Z","timestamp":1791566473726,"version":"4.3.4"},"reference-count":91,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>This systematic review examined eHealth solutions used to assess and monitor symptoms among adults with CKD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A systematic review was conducted and reported in accordance with the PRISMA checklist. The review protocol was registered in PROSPERO (CRD4202452973).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seven databases were searched for English language studies that reported eHealth solutions for symptom assessment and monitoring in CKD between January 2000 and May 2024. The methodological quality of studies was evaluated using the Mixed Methods Appraisal Tool and a co\u2010design evaluation tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010eight studies involving 4345 participants with CKD were included. Most of the included studies were non\u2010randomised controlled trials (<jats:italic>n<\/jats:italic>\u2009=\u200916) and non\u2010experimental studies (<jats:italic>n<\/jats:italic>\u2009=\u200913); only a few studies (<jats:italic>n<\/jats:italic>\u2009=\u20099) were randomised controlled trials. Current eHealth solutions varied in technologies and functions but were primarily focused on self\u2010monitoring (<jats:italic>n<\/jats:italic>\u2009=\u200922), data recording (<jats:italic>n<\/jats:italic>\u2009=\u200914), education (<jats:italic>n<\/jats:italic>\u2009=\u200913), providing information (<jats:italic>n<\/jats:italic>\u2009=\u200910) and reminders\/alerts (<jats:italic>n<\/jats:italic>\u2009=\u200910). There was limited evidence from few intervention studies involving eHealth solutions showing improvements in CKD symptoms and\/or health\u2010related quality of life. Among the 14 studies that assessed user satisfaction, satisfaction was high, but challenges and barriers to implementing these solutions were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>eHealth solutions have the potential to facilitate symptom assessment and monitoring for adults with CKD, but further high\u2010quality experimental studies are required to provide better evidence in practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Summary<\/jats:title><jats:p>eHealth symptom assessment and monitoring are increasing in practice. While some adults are willing and able to use eHealth solutions, barriers remain due to limited digital health literacy. As few randomised controlled trials exist, further studies are needed to evaluate the benefits of reducing chronic kidney disease symptom burden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>No Patient or Public Contribution.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.17827","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T23:26:53Z","timestamp":1747265213000},"page":"3560-3591","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["<scp>eHealth<\/scp> Solutions for Symptom Assessment and Monitoring in Adults With Chronic Kidney Disease: A Systematic Review"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4436-9064","authenticated-orcid":false,"given":"Khanh Linh","family":"Bui","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Griffith University  Brisbane Queensland 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