{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T18:08:52Z","timestamp":1789063732616,"version":"build-2803163510"},"reference-count":13,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Chronic kidney disease (CKD) affects over 850 million individuals worldwide and requires sustained patient education, shared decision-making, and self-management support. Digital health platforms may facilitate these needs; however, many lack comprehensive, user-centered design and fail to address practical and psychosocial patient concerns.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to describe the formative co-design of Renaclic, a digital platform developed with patients and health care professionals (HCPs) to support CKD education and self-management in the French health care context.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A three-stage user-centered design (UCD) study was conducted between April and August 2021. Stage 1 included benchmarking of 10 French-language CKD platforms and semistructured interviews with 8 stakeholders (3 HCPs: 1 nephrologist, 1 general practitioner, 1 nurse; 5 patients: 2 novice and 3 expert users). Stage 2 consisted of two virtual co-design focus groups incorporating card-sorting and interface design activities. Stage 3 translated identified needs into structured content categories and a low-fidelity prototype. Qualitative data were analyzed thematically.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Benchmarking revealed fragmented educational content, limited practical guidance on home dialysis logistics, insufficient coverage of lifestyle and psychosocial concerns, and minimal interactive features. Interviews identified five main themes: need for reliable centralized information, anxiety during care transitions, demand for practical lifestyle guidance, importance of reassuring language, and value of moderated peer exchange. More than 30 thematic content items were generated and organized through card-sorting into five consolidated content categories that structured the platform\u2019s information architecture. Co-design sessions informed mobile accessibility, simplified navigation pathways, and integration of educational, symptom-tracking, and community-oriented functionalities.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This formative study demonstrates how participatory UCD with diverse CKD stakeholders can generate a structured, context-sensitive digital platform framework. Renaclic provides a replicable model for early-stage co-design of digital health interventions in chronic disease management. Future research will evaluate usability, engagement, and implementation in real-world settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/80680","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T17:41:48Z","timestamp":1789062108000},"page":"e80680-e80680","source":"Crossref","is-referenced-by-count":0,"title":["Renaclic for Chronic Kidney Disease Self-Management: Formative User-Centered Co-Design Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0572-4588","authenticated-orcid":false,"given":"Julie","family":"Mataranga","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7415-835X","authenticated-orcid":false,"given":"Fiona","family":"Puppo Capodano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-3123","authenticated-orcid":false,"given":"Josue","family":"Srougbo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris","family":"Galland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8258-5759","authenticated-orcid":false,"given":"Adrien","family":"Ugon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2830-2548","authenticated-orcid":false,"given":"Sylvia","family":"Pelayo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1048-6636","authenticated-orcid":false,"given":"Corinne","family":"Isnard Bagnis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"issue":"11","key":"R1","doi-asserted-by":"publisher","first-page":"1803","DOI":"10.1093\/ndt\/gfz174","article-title":"A single number for advocacy and communication-worldwide more than 850 million individuals have kidney diseases","volume":"34","author":"Jager","journal-title":"Nephrol Dial Transplant"},{"issue":"5S","key":"R2","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1016\/j.kint.2022.06.008","article-title":"KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease","volume":"102","author":"Kidney Disease: Improving Global Outcomes (KDIGO) Diabetes Work Group","journal-title":"Kidney Int"},{"issue":"10105","key":"R3","doi-asserted-by":"publisher","first-page":"1888","DOI":"10.1016\/S0140-6736(17)30788-2","article-title":"Global kidney health 2017 and beyond: a roadmap for closing gaps in care, research, and policy","volume":"390","author":"Levin","journal-title":"Lancet"},{"issue":"4","key":"R4","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1016\/j.xkme.2021.03.009","article-title":"Integrated digital health system tools to support decision making and treatment preparation in CKD: The PREPARE NOW Study","volume":"3","author":"Green","journal-title":"Kidney Med"},{"issue":"5","key":"R5","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051206","article-title":"Optimizing care delivery in patients with chronic kidney disease in the United States: proceedings of a multidisciplinary roundtable discussion and literature review","volume":"13","author":"Hirsch","journal-title":"J Clin Med"},{"issue":"9","key":"R6","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.25122\/jml-2023-0153","article-title":"The impact of mobile health applications on the outcomes of patients with chronic kidney disease: a systematic review and meta-analysis","volume":"16","author":"Ghozali","journal-title":"J Med Life"},{"issue":"8","key":"R7","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1038\/s41581-022-00585-w","article-title":"Patient-centred clinical trial design","volume":"18","author":"Tong","journal-title":"Nat Rev Nephrol"},{"key":"R8","unstructured":"ISO 9241-210:2019. 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