MP43-08 USE OF SIP IT INTERVENTION TO REDUCE COMMON PERCEIVED BARRIERS TO INCREASING FLUID INTAKE AMONG ADULT PATIENTS WITH KIDNEY STONES

Abstract

You have accessJournal of UrologyStone Disease: Medical & Dietary Therapy (MP43)1 Apr 2020MP43-08 USE OF SIPIT INTERVENTION TO REDUCE COMMON PERCEIVED BARRIERS TO INCREASING FLUID INTAKE AMONG ADULT PATIENTS WITH KIDNEY STONES Necole Streeper*, Deborah Brunke-Reese, Edison Thomaz, Ashley West, and David Conroy Necole Streeper*Necole Streeper* More articles by this author , Deborah Brunke-ReeseDeborah Brunke-Reese More articles by this author , Edison ThomazEdison Thomaz More articles by this author , Ashley WestAshley West More articles by this author , and David ConroyDavid Conroy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000898.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Compliance with increasing fluid intake to produce at least 2.5L of urine daily for stone prevention is commonly below 50%. We previously identified patient interest in the use of mobile applications (apps) and connected water bottles, and demonstrated that wrist-worn sensors with accelerometers can detect drinking behavior and provide automated lapse detection in fluid intake in the lab setting. From these studies we developed the sipIT intervention which is a context-sensitive behavior change system that incorporates a wrist-worn sensor (Fitbit Versa watch), connected water bottle (H20Pal) and self-monitoring through mobile apps. The purpose of this study was to determine the feasibility and acceptability of sipIT intervention in the clinical setting. In addition, the changes in perceived barriers to increasing fluid intake were evaluated. METHODS: Patients with kidney stones were recruited from the community and a specialty kidney clinic to participate in a 3-month feasibility trial. Patients were given a Fitbit Versa watch with the sipIT app installed and an H20Pal connected water bottle. They completed a questionnaire to determine perceived barriers to increasing fluid intake at baseline, 1 and 3 months. RESULTS: 31 patients with a history of kidney stones were enrolled to participate (58% female, age = 40.0±14.3 years). Findings are based on n=27 who completed the entire 3-month intervention. At the end of the intervention, patients reported that forgetting to drink and lack of thirst were less of a barrier to meeting fluid intake goals, 27% and 48% reduction respectively. Most participants perceived that the sipIT intervention helped them to achieve their fluid intake goals and would recommend it to other patients with a history of kidney stones (83%). CONCLUSIONS: The sipIT intervention may be used to detect drinking behavior and provide automated lapse detection in fluid intake in the clinical setting. The system was acceptable to patients and there was reduction in common perceived barriers to fluid intake. Combining digital tools with behavioral science may improve adherence to fluid intake recommendations. Source of Funding: The project described was supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through Grant UL1 TR000127 and TR002014. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e650-e650 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Necole Streeper* More articles by this author Deborah Brunke-Reese More articles by this author Edison Thomaz More articles by this author Ashley West More articles by this author David Conroy More articles by this author Expand All Advertisement PDF downloadLoading ...