Knowledge Systems Research Articles

Key factors in the choice of appropriate outcomes for clinical trials.

Health research is the foundation of medical knowledge and healthcare system recommendations. Therefore, choosing appropriate outcomes in studies of therapeutic interventions is a fundamental step in producing evidence and, subsequently, for decision-making. In this article, we propose three key factors for the choice of outcomes: the inclusion of patient-reported outcomes, since they focus on the patient's perception of their health status and quality of life; the consideration of clinically relevant outcomes, which are direct measurements of the patient's health status and, therefore, will be decisive in decision-making; and the use of core outcome sets, a tool that standardizes the measurement and interpretation of outcomes, facilitating the production and synthesis of appropriate evidence for the evidence ecosystem. The correct choice of outcomes will help health decision-makers and clinicians deliver appropriate patient-centered care and optimize the use of resources in healthcare and clinical research.

Climate change adaptation through traditional Buffalo knowledge: learning reflection from the Blackfoot indigenous community

ABSTRACT This paper highlights the potential of Indigenous Buffalo knowledge as a valuable resource for adapting to the impacts of climate change. Buffalo, particularly in regions where they have been traditionally reared, have played a crucial role in Indigenous cultures and livelihoods. Indigenous communities have developed an intimate understanding of buffalo behaviour, ecological interactions, and their relationship with changing environmental conditions. This traditional Buffalo knowledge encompasses observations, practices, and Indigenous knowledge systems passed down through generations, providing insights into adaptive strategies that can be applied in the face of climate change. Following decolonial and relational theoretical frameworks, we used deep listening to learn how traditional Buffalo knowledge contributed to climate change adaptation strategies in Indigenous communities; how does integrating traditional Buffalo knowledge into climate change adaptation policies and practices contribute to the resilience of vulnerable communities? What challenges and opportunities are associated with incorporating traditional Buffalo knowledge into mainstream climate change adaptation efforts?

What drives trust in regulatory agencies? Probing the relevance of governmental level and performance through a cross-national elite experiment on EU regulation

Abstract Trust between constituent actors within the European Union (EU)’s multilevel regulatory regimes is decisive for regulatory success. Trust drives information flows, increases compliance, and improves cooperation within these regimes. Despite its importance, systematic knowledge regarding the drivers of trust within regulatory regimes is limited. This paper inquires whether trust in regulatory agencies is influenced by their affiliation with the national or EU governmental level, as well as by their performance. While existing literature predominantly focuses on why citizens place their trust in governments or regulatory agencies, this paper presents original insights regarding the formation of trust among elites within the regulatory regime, including politicians, ministerial officials, agency officials, interest groups, and regulated entities. We employ data obtained from a large-scale vignette experiment conducted in six countries involving 752 decision-makers from relevant organizations. The experimental results suggest that both public and private elite actors’ trust assessment of regulatory agencies does not hinge on cues associated with the governmental level, but rather depends on agency performance. Accordingly, belonging to the national or EU governmental level does not create a difference in trust assessment of regulatory agencies in itself. It, however, shows that particularly elite actors are rather sensitive in terms of the performance of a regulatory agency.

Materials Necessary for the Formation of a Correct Knowledge of the History of Colonialism in South Africa? Reassessing the Historical Productions of Donald Moodie and Their Implications

ABSTRACT The contribution of the Rev. Dr John Philip and Donald Moodie to South African historiography has received some attention from historians, but the extent and duration of Moodie’s attempts to challenge Philip’s version of South African history have not been quite so fully explored. Nor have Moodie’s subsequent publications. This article examines Moodie’s dispute with Philip and their conflicting conceptions of history, and what Moodie’s less well-known publications reveal about his notions of the history of South Africa. In the process, it rediscovers Moodie’s mysteriously lost only full-length historical narrative and examines what the contestations around the colonial archive in the first half of the nineteenth century reveal about the challenges of the colonial archive and South African historiography today. It suggests that Moodie’s works can be located against a backdrop of conservative British intellectual thought in South Africa and that understanding the influence of Moodie’s publications is important in historicising the development of colonial knowledge systems in South Africa.

Indigenous climate justice in Aotearoa New Zealand: the dangers of (mis)recognition within climate policymaking

This paper explores Indigenous climate justice in the settler-colonial context of Aotearoa New Zealand. We adopt the interdisciplinary approach of Critical Discourse Analysis (CDA) to examine the extent to which Māori knowledge systems (mātauranga Māori) and Māori status as Treaty partners with the Crown (New Zealand Government) were recognised included in New Zealand’s Zero Carbon Act (ZCA). Through our exploration we reflect on and explore Māori experiences of climate injustice through lack of recognition or misrecognition. CDA helps to identify whose voices dominated the ZCA process, revealing unequal power relations between stakeholder groups, the Crown, and Māori. By analysing policy documents, long-form submissions from Māori, and interviews with Māori we shed light on the power dynamics which shaped the ZCA process and the implicit assumptions regarding Māori participation in climate policy decision-making. The misrepresentation of Māori as stakeholders rather than treaty partners perpetuates historical legacies of colonization. By applying CDA within the context of climate justice, we highlight tensions between Māori aspirations for partnership and the actual treatment of Māori as stakeholders rather than Treaty partners. By closely examining the narratives surrounding the formation of the ZCA, CDA reveals the ways in which Māori voices are side-lined, their aspirations and concerns dismissed, their Indigenous knowledge systems (mātauranga-a-iwi and mātauranga-a-hapu) marginalized, and their rights to retain their tino rangatiratanga (sovereignty) violated.

Customer-Care Initiatives of Service Providers and the Uptake of Breast and Cervical Cancer Screening Services in Mutare, Zimbabwe

Social marketing globally promotes social mobilization to increase uptake of recommended health services. The Ministry of Health and Child Care in Zimbabwe markets breast and cervical cancer screening for reproductive-age women. Despite efforts, uptake remains low, particularly in Mutare district. To address this, an analytical cross-sectional study was conducted in Dangamvura suburb to explore the relationship between service providers' customer-care initiatives and screening uptake. Qualitative and quantitative data was collected via interviews with 96 women aged 18 to 49, randomly selected from Dangamvura Poly-Clinic departments. Of these women, 13.5% were screened for breast cancer, 30.3% for cervical cancer, and 78.8% expressed intent to screen. 90.3% had accurate knowledge of breast and cervical cancer, but only 30.3% could identify screening sites. Among those screened, 75.8% intended to retest. Primary motivations for screening included a desire for health status knowledge (39.2%) and reproductive system issues (32.1%). Main barriers for non-screened women were lack of motivation (56%) and fear of positive results (16.7%). Logistic regression indicated protective factors for screening uptake: history of reproductive issues (AOR: 9.0678, p: 0.0029), prior breast cancer screening (AOR: 21.4347, p: 0.0006), and age 31 to 49 (AOR: 0.1754, p: 0.0066). Overall, uptake was low, influenced by customer factors (age, reproductive issues, prior breast cancer screening) and cost factors (perceived wait times, screening duration, perceived costs). Future interventions aimed at improving uptake of screening services should be tailored to address fears, misconceptions, and lack of motivation to screen among women of reproductive age.

UNDERSTANDING POSITIVE PSYCHOLOGY THROUGH THE LENS OF INDIAN KNOWLEDGE SYSTEM: INSIGHTS FROM SHRIMAD BHAGAVAD GITA

In todays educational landscape, where academic success shapes the future of the learners, the intense competition for excellence often pushes them into the dark realm of anxiety and depression. This struggle results in isolation, identity crisis and gives birth to various health issues such as hypertension, obesity, cardiovascular disorders and heightened aggression. Positive Psychology is a branch of psychology that emphasises on the importance of cultivating positive emotions such as joy, gratitude and contentment. It focuses on leveraging personal strengths and mental resilience to help individuals cope with lifes challenges more effectively. Bhagavad Gita holds an important place in Indian knowledge system as its timeless wisdom has guided the people over centuries. What positive psychology says today was said long back by Sri Krishna on the battlefield of Kurukshetra to bring Arjuna out of sadness and confusion and prepare him for the war. Through this paper, an humble attempt has been made to explore the ideas of positive psychology from the perspective of Bhagavad Gita. KEYWORDS: Shrimad Bhagavad Gita, Positive Psychology, Indian knowledge system, Stress Management, School Education.

Relationality in Indigenous Climate Change Education Research: A Learning Journey from Indigenous Communities in Bangladesh

Abstract This article explores my relational learning reflections with the Laitu Khyeng Indigenous community in the Chittagong Hill Tracts (CHT), Bangladesh, focusing on Indigenous perspectives on climate change education. Implementing a relational theoretical framework, I share my reflections on relational learning in this research as part of being accountable to the Indigenous community. Through exploring Indigenous land-based climate change research, five central themes emerge Indigenous land rights, relationship with the environment, community-led relationality as collaboration, intergenerational relational knowledge and relationality as ethical reciprocity. The findings explore the intrinsic connection between Indigenous communities and their ancestral territories, emphasising the significance of upholding Indigenous sovereignty over land for sustainable adaptation to climate change. In this article, I highlight the importance of relational learning as a form of education, fostering resilience rooted in preserving traditional practices and spaces. Relationality with the environment is central to Indigenous climate education, promoting understanding and reciprocity with the land. In my learning, I learned that community dynamics and collaborative learning are essential for effective climate education, emphasising collective action and diverse perspectives. In relational learning, inter-generational knowledge transmission ensures the preservation and sharing of traditional land-based knowledge across generations, forming the foundation for sustainable adaptation strategies. Ethical engagement and reciprocity guide research interactions, emphasising mutual respect and cultural sensitivity. By centring Indigenous perspectives and knowledge systems, this study advocates for community-led approaches to climate change education, fostering resilience and environmental stewardship within Indigenous communities.

Enantiomorphs no more: Indigenous agroecology and the future of food sovereignty: Reflections on the U.S. United States Agroecology Summit 2023

I was part of a plenary panel on “Bridge Build­ers” at the 2023 Colorado Food Summit in Denver in December 2023. Echoing a statement I first made at the U.S. Agroecology Summit 2023, I explained how the first “bridge” we are building at The Acequia Institute (TAI) is between Indigenous Knowledge (IK) and so-called Western Science (WS). TAI does this work not to verify and legiti­mize IK by invoking the presumably more rigorous and mathematical methods and materials of WS. TAI enunciates and practices IK through autono­mous place-based food sovereignty initiatives. In this work we have determined how best to inte­grate the methods and materials of selected domains of Western knowledge systems in forms useful for us and the locality. These issues were discussed at the U.S. Agroecology Summit, but in the end they were left largely unresolved. The entire Summit was, as Carmen Cortez and others have rightly observed, plagued by being “Devoid of this spirit of place and people…” (Agroecology Summit ‘Outside Empire’ Subgroup, 2024, p. 2). In my view, it was a gathering fractured by pre-existing and possibly inadvertent and unconscious acts of epistemic violence reminding me of the difference Michael Redclift (1987) observed between top-down environmental managerialism and bottom-up collaborative environmental management. . . .

Intelligent design of reconfigurable flexible assembly fixture for aircraft panels based on smart composite jig model and knowledge graph

The current demand for aircraft panel assembly fixtures necessitates agile manufacturing solutions. Traditional welding fixtures struggle to meet diverse panel types, high quantities, and short manufacturing cycles. Conversely, reconfigurable flexible assembly fixtures offer universality, efficiency and ease of maintenance but heavily rely on designers' experience, hindering knowledge reuse. Existing research on computer-aided fixture design (CAFD) primarily addresses specialized fixtures, neglecting reconfigurable flexible ones, lacking fixture design knowledge systems. Aiming at the above problems, the study proposes an intelligent design method for the reconfigurable flexible assembly fixture for aircraft panels based on the smart composite jig model (SCJM) and knowledge graph (KG). Firstly, based on the SCJM of the aircraft panel type assembly fixture (PSCJM), a configuration design method is proposed to carry out the multi-level design of reconfigurable assembly fixture to instantiate PSCJM containing fixture configuration rules and a module library based on model definition (MBD). Then, a knowledge retrieval method is proposed to search the suitable fixture design knowledge based on KG, assisting designers in achieving the flexible design of aircraft panel reconfigurable assembly fixtures. Finally, practical engineering design validation confirms the method's feasibility and effectiveness in obtaining the reconfigurable flexible assembly fixture design scheme for aircraft panels.

PEDAGOGICAL MONITORING OF PROFESSIONAL TRAINING FUTURE SPECIALISTS IN THE SOCIAL SPHERE IN THE PROCESS OF APPLICATION OF ELECTRONIC LEARNING

The article examines the content of pedagogical monitoring of e-learning of future social workers in higher education institutions. The modern level of e-learning in the institution of higher education has been revealed. Special forms and methods of working with students - future specialists in the social sphere are analyzed and substantiated. The list of necessary conditions for the formation of applicants for higher education with a system of theoretical knowledge, practical abilities and skills necessary for the effective realization of oneself as a professional social worker is provided; development and formation of theoretical knowledge that will contribute to the development of the student as a future specialist in the social sphere. The purpose of the article is to identify the problems of professional training and to study the special requirements for the development and implementation of electronic training courses in the process of professional training of social sector specialists capable of solving social problems. Considerable attention is paid to the problems of pedagogical interaction between the teacher and the student, based on the analysis, the strengths of e-learning are highlighted, and the expediency of its use is clarified. The main tasks are defined as follows: to identify and generalize the components of professional self-development as one of the complex forms of transformation of the inner world, which occurs in the process of self-movement of a person along his life path, on which a person knows himself, builds himself, understands the essence of his functioning; to investigate the peculiarities of vocational pre-university education as a focus for personal development on self-building, professional self-determination for the successful growth of professionals in the social sphere. Based on the results of the generalized analysis, it was concluded that the effectiveness and feasibility of e-learning takes into account not only the general principles of learning, but also the specifics of a specific field or subject. These technologies allow students to independently organize their educational process, develop independent work skills and improve their knowledge. The proposed e-learning technologies can be used in universities, faculties and departments where future specialists in social spheres are trained, as well as in advanced training courses with the aim of increasing readiness to interact with clients based on mastering a set of knowledge and skills aimed at transforming informational and reflective, professional-practical and professional-development technologies in the real conditions of the environment of the higher education institution. The conclusions confirmed the substantiation of the necessary pedagogical conditions for improving the quality of extracurricular activities in the environment of institutions of professional pre-higher education regarding future social workers in the conditions of globalization.

Research on economic growth in smart cities based on wireless sensor networks

With the acceleration of urbanization, the concept of smart city is rising gradually. Wireless sensor network as an important technical support of smart city, its application in environmental monitoring and water resources management has a profound impact on economic growth. Water resource is one of the most dependent resources for human beings. With the growth of world population and the rapid development of economy, water resource crisis is constant, water pollution, water shortage and water waste coexist. How to build a perfect water resource economic policy is a worldwide problem at present. At present, the formulation of water resources policies is often based on experience or the knowledge system of decision makers. Due to the dynamic nature of water resources utilization and the incomplete information of decision makers, there are often policy failures, which affect economic growth. Based on this, this paper uses system dynamics model to study the mechanism of water resources management policies affecting economic growth by taking Gansu, Tianjin and Zhejiang as three qualitatively representative arid areas, transitional areas and water-rich areas. The research results show that under the same water resources policy coupling, different regions also have different eco-economic effects. The effect of coupled water resources policy is better than that of single water resources management policy.

Sistem Pendukung Keputusan Pemilihan Kepala Cabang SCO di JNE Menerapkan Kombinasi Metode Dematel dan Aras

The head of the SCO (Sales Counter Officer) branch is a person who has good experience, knowledge and skills to lead and process finances every day who offer products available from the goods delivery service at the JNE Ekpress company. The SCO branch head also plays a role in organizing and coordinating SCO workers on duty, starting from arranging shifts, taking work records, and minimizing losses caused by SCO input errors. Decision Support Systems are computer-based systems consisting of several components, namely language system components, knowledge system components and problem processing system components, which are interconnected with each other in making a decision. through the use of data and decision models in order to solve a problem. DEMATEL (Decision Making Trial And Evaluation Laboratory) aims to find direct (dependency) in a variable system. The Additive Ratio Assessment (ARAS) method is a method used for ranking criteria. In carrying out the ranking process, this method is very suitable for use in selecting candidates for SCO branch heads. Where the highest value is the best value of the final result. Based on the test results, it is known that Rahmad is a candidate who meets the criteria to become the new SCO branch head with a score of 0.957972 or 96%.

Maye Ma Leka – Reframing Congolese-Swedish Colonial Entaglements

This article will discuss an artistic research project exploring a repressed part of Swedish colonial history by unboxing and unfolding a hidden trove of photographs and films amassed by Swedish Missionaries in Congo. The transdisciplinary and transnational research project explores how material traces of Swedish colonial history can support contemporary discourses, processes, and practices of recovery from the colonial period's devaluation of indigenous knowledge systems. By developing a participatory practice based on artistic research methods, the project contributes new perspectives on critical re-examinations and future knowledge in artistic research.

Hagar’s spirituality prior to and after captivity: An African and gendered perspective

This study is an exploration of the Hagar narrative from the perspective of African Womanist Theology. The article focuses on the spirituality of Hagar before and after her captivity (Gn 16). The research takes an Afrocentric perspective and uses a postcolonial lens to comment on the preceding text as well as consider how this story is captured in Judaism, Christianity and Islam. At the core of the article is an attempt at reclaiming the African in Hagar who is largely portrayed in the stories of Sarah and Abraham within a Hebrew perspective which itself is arguably imperial. The aim is to inspire modern African women (and in the diaspora) to reclaim their African spirituality within their stories and experiences. Summarily, the article is a critique of the colonial project, slavery and its legacies in dehumanising and disenfranchising people and African knowledge systems. The article is structured as follows: firstly, it introduces the Hagar and/or Hajar traditions from the perspectives of Judaism, Christianity and Islam. Secondly, it takes a step back to consider Hagar’s identity as an Egyptian princess before she encountered Sarah and Abraham. The article also discusses how Hagar’s past in Egypt had a bearing on her spiritual encounters when she and her son Ishmael and/or Ismail were exiled. Finally, the article concludes with a recommendation for continued reflection on an African spirituality narrative of the Hagar traditions alongside the predominant narratives from Abrahamic religions.Contribution: This article demonstrates that the religious scriptures must be read from liberation perspectives such as the postcolonial paradigm to inspire the recovery of authentic experiences of the oppressed and displaced, and it is an inspiration to African women to reclaim their true identity and spirituality.

ODS lecture, development studies association 2023 stories from the Global South: the interplay of climate science, ‘action’ and the implications for development

ABSTRACT Calls for humanity to act on environmental changes are becoming increasingly critical. The growing polycrisis including the impact of ongoing conflicts in contested geopolitical spaces and the struggles for ways to sustain a livelihood in areas of precarity and poverty, are just some of the intersecting challenges which have given rise to a Code Red alarm by the United Nations surrounding issues related to climate change. Rich narratives and stories of climate actions from Africa offer examples of potential paths. This paper explores how such narratives inform local development and climate action. A key message is that stories and narratives, created by various peoples, disciplines, and systems of knowledge, can all be powerful genres and sources for agentic change that can inspire and embolden development practice and action.

FORMATION OF HEALTH-SAVING COMPETENCE FOR PERSPECTIVE PHARMACISTS IN THE PROCESS OF PROFESSIONAL TRAINING: THEORETICAL CONCEPTS

The article describes the content of key competencies, the content of which is a set of universal knowledge acquired by an individual, which is characterised by a wide level of generalisation, including general scientific and general professional categories, concepts, laws, principles, and regularities of functioning of science, technology, and modern Ukrainian society. The article describes the components of the concept of «health-saving competence», which is several important key competencies for a perspective pharmacist that contribute to the preservation of his/her health and adherence to a healthy lifestyle and at the same time create a holistic model of this competence. Within these competencies, the following competencies are distinguished and described: cognitive, general psychological, informational, emotional, reflective, and communicative. In addition, health-saving values and value orientations are highlighted and characterised. The author defines the essential features and content of the first general theoretical concept of the issue of the formation for perspective pharmacists’ health-saving competence in the process of professional training. In the same context, the author specifies and characterises the content of the following theoretical concepts - conceptual and categorical. As educational legislative acts and governmental documents regulating the formation of health-saving competence for perspective pharmacists at medical universities are important in the context of our research issue, therefore, these legislative acts and governmental documents constitute the essence of the third theoretical concept of the formation of the phenomenon being investigated. Thereby, it has been proved that nowadays the educational process in medical universities should be subordinated to the main purpose - to create conditions for the effective obtaining of systematic professional knowledge by perspective pharmacists, the acquisition of skills and social experience in maintaining their health and the health of other people.

Advances in the Causes and Treatment of Floating Toes after the Weil Osteotomy: A Scoping Review.

The floating toe deformity is classified as a forefoot deformity wherein the distal portion of the toe does not establish touch with the ground, resulting in a suspended or elevated position while the finger is in a relaxed state. At first, it garnered considerable interest as a complication It is worth noting that this condition is particularly common in children under the age of 8, which usually disappears as the individual reaches maturity. Studies have shown that with the aggravation of floating toe deformity, its adverse effects on patients' gait and overall quality of life also increase. Despite the prevalence of floating toe deformity in clinical settings, there is a lack of comprehensive literature investigating its underlying causes and potential preventive strategies. This scope review follows the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) statement guidelines for scope reviews. The literature was obtained from various full-text databases, including China National Knowledge Infrastructure Database (CNKI), Wanfang Database, PubMed, and Web of Science Database. Our search focused on published literature related to floating toes, Weil osteotomy, and distal metatarsal osteotomy, up until March 1, 2023. The literature search and data analysis are conducted by two independent reviewers. If there are any disagreements, a third researcher will participate in the discussion and negotiate a decision. Furthermore, two experienced foot and ankle surgeons conducted a thorough literature analysis for this review. Sixty-two articles were included. Through the clinical analysis of the structural changes of the forefoot before and after operation, the classification of floating toe was described, the causes of pathological floating toe were summarized, and the possible intervention measures for the disease were put forward under the advice of foot and ankle surgery experts. We comprehensively summarize the current knowledge system about the etiology of floating toe and put forward the corresponding intervention strategy. We recommend that future studies will focus on the improvement of surgical procedures, such as the combination of Weil osteotomy, proximal interphalangeal (PIP) arthrodesis and flexor tendon arthrodesis.

Leaders’ knowledge systems in strategizing communication in high-uncertain and low-uncertain crises: balancing operational and relational outcomes

Purpose Research on leaders’ knowledge management systems focuses exclusively on how leaders gather and disseminate knowledge in collaboration with external actors. Not much is known about how leaders address the psychological aspects of employees and strategize internal communication. In addition, while previous work has treated high uncertainty as a default feature of crisis, this study aims to propose that perceived uncertainty varies in experience/meaning and has a crucial bearing on the relative balance of cognitive/emotional load on the leader and behavioral/psychological responses. Design/methodology/approach The authors contribute by qualitatively examining the role of leader knowledge systems in designing communication strategies in the context of the COVID-19 crisis by investigating communication characteristics, style, modes and the relatively unaddressed role of compassion/persuasion. In this pursuit, the authors interviewed 21 C-suite leaders, including chief executive officers, chief marketing officers, chief financial officers, chief human resource officers and founders, and analyzed their data using open, axial and selective coding, which were later extracted for representative themes and overarching dimensions. Findings Drawing from grounded theory research, the authors present a framework of knowledge systems and their resultant communication with employees in high uncertain and low uncertain crises. The authors highlight interactions of a set of concepts – leaders’ preparedness, leaders’ support to employees tailored communication adapted to perceived uncertainty, leading to enhanced trust – in the achievement of outcomes related to balancing operational and relational systems with employees. The findings suggest that a structured process of communication helps employees mitigate any concern related to uncertainty and feel confident in their leadership. Originality/value The research has implications for leaders in managing their knowledge systems, for human esources practitioners in designing effective internal communication programs, as well as for scholars in knowledge management, communication and leadership.

Digital Health Support: Current Status and Future Development for Enhancing Dialysis Patient Care and Empowering Patients

Chronic kidney disease poses a growing global health concern, as an increasing number of patients progress to end-stage kidney disease requiring kidney replacement therapy, presenting various challenges including shortage of care givers and cost-related issues. In this narrative essay, we explore innovative strategies based on in-depth literature analysis that may help healthcare systems face these challenges, with a focus on digital health technologies (DHTs), to enhance removal and ensure better control of broader spectrum of uremic toxins, to optimize resources, improve care and outcomes, and empower patients. Therefore, alternative strategies, such as self-care dialysis, home-based dialysis with the support of teledialysis, need to be developed. Managing ESKD requires an improvement in patient management, emphasizing patient education, caregiver knowledge, and robust digital support systems. The solution involves leveraging DHTs to automate HD, implement automated algorithm-driven controlled HD, remotely monitor patients, provide health education, and enable caregivers with data-driven decision-making. These technologies, including artificial intelligence, aim to enhance care quality, reduce practice variations, and improve treatment outcomes whilst supporting personalized kidney replacement therapy. This narrative essay offers an update on currently available digital health technologies used in the management of HD patients and envisions future technologies that, through digital solutions, potentially empower patients and will more effectively support their HD treatments.