{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:44:44Z","timestamp":1787330684262,"version":"build-2736575974"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100020950","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["NSTC 113-2314-B-039-034"],"award-info":[{"award-number":["NSTC 113-2314-B-039-034"]}],"id":[{"id":"10.13039\/501100020950","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Science and Technology Council","award":["NSTC 113-2410-H-024-012-MY2"],"award-info":[{"award-number":["NSTC 113-2410-H-024-012-MY2"]}]},{"DOI":"10.13039\/501100007300","name":"China Medical University","doi-asserted-by":"publisher","award":["CMU112-S-53"],"award-info":[{"award-number":["CMU112-S-53"]}],"id":[{"id":"10.13039\/501100007300","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Peritoneal dialysis (PD) is a home-based therapy that requires sustained technical competence; however, technique degradation and infection risk may occur over time. This pilot study aimed to examine the preliminary effects of a developed mobile-based situational simulation peritoneal dialysis training system (Mbs-PDTS) as a retraining intervention for adult patients undergoing PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An exploratory, two-arm, open-label cluster trial was conducted at a university hospital in Taiwan, with PD nurses serving as the unit of allocation. The intervention group received Mbs-PDTS in addition to usual care, whereas the control group received usual care alone. PD-related knowledge and technical skills were assessed at baseline and at 1 and 2 months. Infection-related outcomes, including peritonitis and PD catheter-related infection, were monitored over a 6-month follow-up. Linear mixed-effects models, generalized estimating equations, and exploratory time-to-event analyses were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty participants completed the study, with 15 in each group. Compared with usual care, the Mbs-PDTS intervention was associated with significant group \u00d7 time interactions for PD-related knowledge and technical skills (both p &lt; 0.001), with improvements observed in the intervention group. No statistically significant differences were observed in infection-related outcomes. Given the small number of infection-related events, these analyses were interpreted descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This pilot study provides preliminary evidence that the Mbs-PDTS may improve PD-related knowledge and technical skills in adult patients undergoing PD. Larger multicenter studies with longer follow-up are needed to confirm its effects and evaluate its potential impact on infection-related outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261481014","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:51:28Z","timestamp":1787151088000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and preliminary evaluation of a mobile-based situational simulation retraining system for patients undergoing peritoneal dialysis: A pilot study"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1597-2809","authenticated-orcid":false,"given":"Jun-Ming","family":"Su","sequence":"first","affiliation":[{"name":"National University of Tainan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Ching","family":"Liao","sequence":"additional","affiliation":[{"name":"China Medical University"},{"name":"China Medical University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I-Kuan","family":"Wang","sequence":"additional","affiliation":[{"name":"China Medical University Hospital"},{"name":"China Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6766-2469","authenticated-orcid":false,"given":"Chih-Jung","family":"Wu","sequence":"additional","affiliation":[{"name":"China Medical University"},{"name":"China Medical University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5471-7969","authenticated-orcid":false,"given":"Ya-Fang","family":"Ho","sequence":"additional","affiliation":[{"name":"China Medical University"},{"name":"China Medical University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.09.020316"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5001929"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2009.00117"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-011-0079-7"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2011.00109"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12114"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-22335-4"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00078"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608221080586"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2020.04.010"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-022-02833-4"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2013.00207"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00120"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.14631218"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686080602600609"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfu313"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-30785-z"},{"key":"e_1_3_8_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-019-02100-w"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-021-05039-2"},{"key":"e_1_3_8_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12490"},{"key":"e_1_3_8_22_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2015.00277"},{"key":"e_1_3_8_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-020-01867-w"},{"key":"e_1_3_8_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1370-1"},{"key":"e_1_3_8_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608251328517"},{"key":"e_1_3_8_26_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12050593"},{"key":"e_1_3_8_27_2","first-page":"1","article-title":"Application of virtual reality for peritoneal dialysis exchange learning in patients with end-stage renal disease and cognitive impairment","author":"Lee CMS","year":"2022","unstructured":"Lee CMS, Fong KNK, Mok MMY, et al. 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