Leveraging Behavioral Modification Technology for the Prevention of Kidney Stones

Overview

Journal Curr Opin Urol

Specialty Urology

Date 2023 Nov 14

PMID 37962162

Authors

Leonid I Aksenov

Necole M Streeper

Charles D Scales Jr

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: The purpose of this review is to examine the use of technology to help promote and maintain behaviors that decrease stone recurrence.

Recent Findings: Behavior change is a complex process with various interacting components. Recent developments have sought to utilize technology in combination with behavioral change techniques to promote behavior that lowers stone recurrence risk. Smart water bottles are becoming a popular way to accurately measure fluid intake with variable impact on adherence to the recommended daily fluid intake. Mobile apps have also been explored as a method to improve fluid intake. Interventions that combine smart water bottles, mobile apps, and behavioral change techniques have shown the most promise in promoting increased daily fluid intake. Other technologies, such as smart pill dispensers and hydration monitors, have potential applications in promoting behavioral change for stone disease but have yet to be evaluated for this purpose.

Summary: There is a limited number of studies exploring technology as a means to promote and maintain behaviors that decrease urinary stone recurrence. Future research is needed to elucidate how to maximize the potential of these technologies and better understand which behavioral change techniques best promote habit formation for the prevention of stones.

Citing Articles

Non-invasive approaches to hydration assessment: a literature review.

Tahar A, Zrour H, Dupont S, Pozdzik A Urolithiasis. 2024; 52(1):132.

PMID: 39325254 DOI: 10.1007/s00240-024-01630-y.

References

Parks J, Goldfischer E, Coe F . Changes in urine volume accomplished by physicians treating nephrolithiasis. J Urol. 2003; 169(3):863-6. DOI: 10.1097/01.ju.0000044922.22478.32. View

Gadkari A, McHorney C . Unintentional non-adherence to chronic prescription medications: how unintentional is it really?. BMC Health Serv Res. 2012; 12:98. PMC: 3375198. DOI: 10.1186/1472-6963-12-98. View

Checchi K, Huybrechts K, Avorn J, Kesselheim A . Electronic medication packaging devices and medication adherence: a systematic review. JAMA. 2014; 312(12):1237-47. PMC: 4209732. DOI: 10.1001/jama.2014.10059. View

Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W . The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013; 46(1):81-95. DOI: 10.1007/s12160-013-9486-6. View

Rodin D, Shapiro Y, Pinhasov A, Kreinin A, Kirby M . An accurate wearable hydration sensor: Real-world evaluation of practical use. PLoS One. 2022; 17(8):e0272646. PMC: 9401113. DOI: 10.1371/journal.pone.0272646. View

Dugas M, Gao G, Agarwal R . Unpacking mHealth interventions: A systematic review of behavior change techniques used in randomized controlled trials assessing mHealth effectiveness. Digit Health. 2020; 6:2055207620905411. PMC: 7036494. DOI: 10.1177/2055207620905411. View

Borofsky M, Dauw C, York N, Terry C, Lingeman J . Accuracy of daily fluid intake measurements using a "smart" water bottle. Urolithiasis. 2017; 46(4):343-348. DOI: 10.1007/s00240-017-1006-x. View

Scales Jr C, Desai A, Harper J, Lai H, Maalouf N, Reese P . Prevention of Urinary Stones With Hydration (PUSH): Design and Rationale of a Clinical Trial. Am J Kidney Dis. 2020; 77(6):898-906.e1. PMC: 8124076. DOI: 10.1053/j.ajkd.2020.09.016. View

Cohen R, Fernie G, Roshan Fekr A . Fluid Intake Monitoring Systems for the Elderly: A Review of the Literature. Nutrients. 2021; 13(6). PMC: 8233832. DOI: 10.3390/nu13062092. View

10.

Wright H, Alshara L, DiGennaro H, Kassis Y, Li J, Monga M . The impact of smart technology on adherence rates and fluid management in the prevention of kidney stones. Urolithiasis. 2021; 50(1):29-36. DOI: 10.1007/s00240-021-01270-6. View

11.

Tasian G, Ross M, Song L, Sas D, Keren R, Denburg M . Annual Incidence of Nephrolithiasis among Children and Adults in South Carolina from 1997 to 2012. Clin J Am Soc Nephrol. 2016; 11(3):488-96. PMC: 4791823. DOI: 10.2215/CJN.07610715. View

12.

Choudhry N, Krumme A, Ercole P, Girdish C, Tong A, Khan N . Effect of Reminder Devices on Medication Adherence: The REMIND Randomized Clinical Trial. JAMA Intern Med. 2017; 177(5):624-631. PMC: 5470369. DOI: 10.1001/jamainternmed.2016.9627. View

13.

Conroy D, Dubansky A, Remillard J, Murray R, Pellegrini C, Phillips S . Using Behavior Change Techniques to Guide Selections of Mobile Applications to Promote Fluid Consumption. Urology. 2016; 99:33-37. DOI: 10.1016/j.urology.2016.09.015. View

14.

Khambati A, Matulewicz R, Perry K, Nadler R . Factors Associated with Compliance to Increased Fluid Intake and Urine Volume Following Dietary Counseling in First-Time Kidney Stone Patients. J Endourol. 2017; 31(6):605-610. DOI: 10.1089/end.2016.0836. View

15.

Kok D . The preventive treatment of recurrent stone-formation: how can we improve compliance in the treatment of patients with recurrent stone disease?. Urolithiasis. 2015; 44(1):83-90. PMC: 4724361. DOI: 10.1007/s00240-015-0842-9. View

16.

Tarplin S, Monga M, Stern K, McCauley L, Sarkissian C, Nguyen M . Predictors of Reporting Success With Increased Fluid Intake Among Kidney Stone Patients. Urology. 2015; 88:49-56. DOI: 10.1016/j.urology.2015.10.024. View

17.

Lotan Y, Buendia Jimenez I, Lenoir-Wijnkoop I, Daudon M, Molinier L, Tack I . Increased water intake as a prevention strategy for recurrent urolithiasis: major impact of compliance on cost-effectiveness. J Urol. 2012; 189(3):935-9. DOI: 10.1016/j.juro.2012.08.254. View

18.

Pearle M, Goldfarb D, Assimos D, Curhan G, Denu-Ciocca C, Matlaga B . Medical management of kidney stones: AUA guideline. J Urol. 2014; 192(2):316-24. DOI: 10.1016/j.juro.2014.05.006. View

19.

Manzo B, Cabrera J, Emiliani E, Sanchez H, Eisner B, Torres J . Impact of the adherence to medical treatment on the main urinary metabolic disorders in patients with kidney stones. Asian J Urol. 2021; 8(3):275-279. PMC: 8356059. DOI: 10.1016/j.ajur.2020.07.002. View

20.

Marcolino M, Oliveira J, DAgostino M, Ribeiro A, Alkmim M, Novillo-Ortiz D . The Impact of mHealth Interventions: Systematic Review of Systematic Reviews. JMIR Mhealth Uhealth. 2018; 6(1):e23. PMC: 5792697. DOI: 10.2196/mhealth.8873. View