ClinicalTrials.gg
Enrolling by invitationNCT06990672Updated May 25, 2025

WeChat-Based Digital Therapy to Improve Fluid Intake in Kidney Stone Patients: Study Protocol

An interventional study of Standard care and Experimental in Urinary Calculi, Postoperative Care and Chronic Disease Prevention, sponsored by The University of Hong Kong. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-25.

Sponsored by The University of Hong Kong · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year 1 month ago, but the record still lists the study as enrolling by invitation.
Phase
Not applicable
Study type
Interventional
Enrollment
148
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn Whether the WeChat-based applet works to prevent urinary calculi for postoperative patients. The main questions it aims to answer are:

Dose the WeChat-based applet intervention increase the amount of fluid intake and urine output? Researchers will compare the WeChat-based applet intervention to a usual care to see if the WeChat-based applet works to prevent urinary calculi occurence.

Participants will:

  1. Using the WeChat-based applet or a placebo every day for 3 months
  2. Keep a record of their fluid intake, urine output, number of urinary calculi recurrence
Read the detailed description

The study outcomes will be reported to adhere to the guidelines outlined in the Consolidated Standards of Reporting Trials (CONSORT) 2010 statements. Reporting measures of central tendency (mean, median) and dispersion (standard deviation, range) for continuous variables, as well as frequencies and percentages for categorical variables. Statistical tests such as a t-test and chi-square test will be employed for continuous and categorical variables within two groups. The principal analysis will compare the fluid intake volume between the intervention and control groups using the t-test. Secondary outcomes such as The Wisconsin Stone Quality of Life Questionnaire (WISQOL), Patient Health Questionnaire-9 Items (PHQ-9), International Physical Activity Questionnaire (IPAQ-SF ) and The Electronic Health Literacy Scale (eHEALS) will use repeated measures of Analysis of Variance (ANOVA) since they are measured over time and between two groups. If necessary, subgroup analyses will be conducted to explore whether the effect of the intervention varies across different demographic or clinical subgroups. Intention-to-treat (ITT) analysis will be used to assess the impact of the treatment and its generalizability. A significance level of p \< 0.05 will be utilized to determine statistical significance, and all data analysis procedures will be conducted using the SPSS (Statistical Product and Service Solutions) 26.0 software package.The researcher is granted access to the complete trial dataset, with a contractual agreement established with the statistician to manage the data confidentially in accordance with the research protocol.

02

Conditions studied

  • Urinary Calculi
  • Postoperative Care
  • Chronic Disease Prevention

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Keywords

  • Fluid Adherence
  • Urinary Calculi
  • Digital Therapeutic
  • WeChat Applet
  • Post-operative
03

In context

Urinary Calculi

94 studies on the registry are indexed under Urinary Calculi; 20 are open to participants now.

This study's planned enrollment of 148 is above the median of 120 across 61 interventional studies indexed under Urinary Calculi.

Browse Urinary Calculi studies →

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,292 studies on the registry; 348 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • With a history of urinary calculi and having received urolithiasis surgery before
  • 24-hour fluid intake \< 2500 ml
  • Age ≥ 18 years old
  • Able to use WeChat daily
  • Able to read and write

Exclusion criteria

Exclusion Criteria:

  • Participants with obstructive uropathy, chronic urosepsis, renal failure, and renal tubular acidosis
  • Participants with congestive heart failure, psychiatric conditions, pregnancy, and primary hyperparathyroidism
  • Participants experienced complicated urolithiasis surgery.
  • History of recurrent UTI (urinary tract infection) (>3/year)
  • Medication use increases stone risk.
  • Participants with physical disabilities
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
148 participants (estimated)

Study arms

  • Other
    Standard care

    Standard care or usual care such as receiving standard dietary and verbal education counselling will be delivered in this arm

    Other: Standard care

  • Experimental
    WeChat Applet Intervention

    WeChat Applet intervention involving both standard care and WeChat applet will be delivered to the experimental arm

    Other: Experimental

Interventions

  • OtherStandard care

    Receiving standard dietary and regular recommendations such as education profile and counseling to achieve a fluid intake ≥ 2500 ml, providing verbal health education counseling regarding urological calculi prevention during the hospitalization, and adequate fluid intake in person on the day of discharge. Prepare a fixed-capacity water bottle. Phone calls will be given at each follow-up phase to collect primary and secondary data via the questionnaires.

  • OtherExperimental

    Receive the same standard dietary counseling and education handout but also the WeChat applet intervention. A WeChat-based applet will be developed for fluid intake adherence improvement and self-monitoring to prevent urinary calculi, including fluid intake reminders, fluid value recording, urine value and coluor recording, and health education, an interactive platform for communication among post-operative patients with urinary stones. The applet will tailor the daily notification to participants of fluid intake to increase their fluid consumption to more than 2,500 ml. Extra education information regarding the benefits of adherence will be provided to the experimental group only via the applet. Phone calls will be given at each follow-up phase to collect primary and secondary data via the questionnaires.

06

What researchers measure

Primary outcomes

  1. 24-hour urine volume (ml)

    24-hour urine volume (ml) : Measurement method: Participants will void into a calibrated container upon waking in the morning and record the precise start time (e.g., 8:00 AM). At the same time point 24 hours later, urine volume will be remeasured. Cumulative urine output will be tracked using a WeChat-based applet or alternative recording tools.

    Time frame: Up to three months

  2. 24-hour fluid intake volume (ml)

    24-hour fluid intake volume (ml) : Measurement method: Participants will record all fluid consumption (including water, tea, coffee, herbal tea, and other eligible liquids) over a standardized 24-hour period using a WeChat-based applet. Recording will begin and end at the same time daily.

    Time frame: Up to three months

Secondary outcomes

  1. Wisconsin Stone Quality of Life Questionnaire (WISQOL)

    Scale range: A 5-point scale from 1 to 5 yielding a total score range between 28 and 140 points, a higher score indicates a better quality of life

    Time frame: Up to three months

  2. Patient Health Questionnaire-9 items (PHQ-9)

    9 items with a cumulative score on the PHQ-9 range from 0 to 27 points, the higher score represented a greater severity of depressive symptoms;

    Time frame: Up to three months

  3. International Physical Activity Questionnaire-Short Form (IPAQ-SF)

    score Calculation: Metabolic Equivalent of Task (MET) = MET value (3.3-8) × activity duration (minutes) × frequency (days) Classification: \<600 MET-min/week = low activity; 600-3000 MET-min/week = middle activity; \>3000 MET-min/week = high activity

    Time frame: [Time Frame: Up to three months]

  4. eHealth Literacy Scale (eHEALS)

    A scale including 8 items with a five-point Likert scale; Scale range: 8-40 points (higher scores indicate better eHealth literacy)

    Time frame: Up to three months

  5. Number of outpatient visits or readmission

    The number of outpatient visits is defined as the frequency of medical consultations during the study period due to urinary calculi-related symptoms (e.g., hematuria, pain) or complications (e.g., urinary tract infections). Readmission is defined as hospitalization events resulting from stone recurrence, severe complications, or surgical requirements.

    Time frame: Up to three months

07

Study locations

1 site
08

References and documents

Publications

  • 1. Shafi, H., et al., An overview of treatment options for urinary stones. Caspian journal of internal medicine, 2016. 7(1): p. 1. 2. Sorokin, I., et al., Epidemiology of stone disease across the world. World journal of urology, 2017. 35: p. 1301-1320. 3. Romero, V., H. Akpinar, and D.G. Assimos, Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Reviews in urology, 2010. 12(2-3): p. e86. 4. Zeng, G., et al., Prevalence of kidney stones in China: an ultrasonography based cross-sectional study. BJU international, 2017. 120(1): p. 109-116. 5. Johnson, C.M., et al., Renal stone epidemiology: a 25-year study in Rochester, Minnesota. Kidney international, 1979. 16(5): p. 624-631. 6. Pearle, M.S., et al., Urologic diseases in America project: urolithiasis. The Journal of urology, 2005. 173(3): p. 848-857. 7. Moftakhar, L., et al., Prevalence and risk factors of kidney stone disease in population aged 40-70 years old in Kharameh cohort study: a cross-sectional population-based study in southern Iran. BMC urology, 2022. 22(1): p. 205. 8. Fakheri, R.J. and D.S. Goldfarb, Ambient temperature as a contributor to kidney stone formation: implications of global warming. Kidney international, 2011. 79(11): p. 1178-1185. 9. Becerra, A.Z., et al., Contemporary assessment of the economic burden of upper urinary tract stone disease in the United States: analysis of one-year health care costs, 2011-2018. Journal of Endourology, 2022. 36(4): p. 429-438. 10. Lotan, Y., et al., Primary prevention of nephrolithiasis is cost-effective for a national healthcare system. BJU international, 2012. 110(11c): p. E1060-E1067. 11. Mitra, P., D.K. Pal, and M. Das, Does quality of drinking water matter in kidney stone disease: A study in West Bengal, India. Investig Clin Urol, 2018. 59(3): p. 158-165. 12. Mathiyalagen, P., et al., A case-control study on environmental and biological risk factors for renal calculi persisting in a coastal Union Territory, India.

Individual participant data

Plan to share: Yes — Datas collect from Primary outcome such as 24-hour urine volume (ml);24-hour fluid intake volume (ml) and secondary outcome such as The Wisconsin Stone Quality of Life Questionnaire (WISQOL);PHQ-9 (patient health questionnaire-9 items);IPAQ-SF (International Physical Activity Questionnaire);The eHEALS (Electronic Health Literacy Scale);The number of outpatient visits; recurrence rate will be shared. Part of the demographic data such as the time of using WeChat, gender, age, the type of surgery and BMI will shared.

Supporting information: Informed consent form

Time frame: The data will be available for 3 years: The start date: 1 Dec 2025; The end date: 30 Nov 2028.

Access criteria: IPD and supporting information collected in this study will be accessible exclusively to accredited researchers. These researchers must be members of academic institutions or research organizations relevant to the field of this study and possess a clear research purpose along with a rational analysis plan. Additionally, researchers are required to sign a data use agreement to ensure the confidentiality and compliant use of the data. Content Available for Access: Researchers will have access to de-identified IPD, encompassing participants' baseline characteristics, interventions, follow-up data, and primary and secondary outcome measures. Supporting information, such as the study protocol and statistical analysis plan, will also be provided to aid researchers in understanding the data structure and analysis methods. Mechanism of Access: Data access will be facilitated through a secure online data-sharing platform. Researchers are required to register and submit data access application.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06990672
Collaborators
Shenzhen Qianhai Shekou Free Trade Zone Hospital
Responsible party
ZHOU Xue (DN Candidate, The University of Hong Kong) — Principal investigator
First posted
May 25, 2025
Start date
Mar 1, 2025
Primary completion
Oct 1, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
May 25, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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