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This pilot study is an investigation of context, initiative, mechanism, and outcomes underpinning the introduction of our Flex programme for fostering positive attitudes towards fluids management in people with chronic kidney disease.


In a study investigating knowledge and attitudes of people with CKD receiving maintenance haemodialysis, only two in five participants expressed positive attitudes towards the ‘renal diet’ with explanations that foods were tasteless without salt, too many foods were restricted, and that this hindered social interaction, quite similar to another study where 29–35% of the study population thought that the ‘renal diet’ interfered with life [1]. In this pilot study, we propose the development of a Flex programme for people with CKD that sends out personalised Do's, or micro-behaviours, designed to encourage them to step out of their comfort zone and try new behaviours that improves conformance and attitudes to fluid-intake recommendations.


The ToDo-CR program is an adaptation of Onmi’s Flex program. It uses personalised analytics to interpret important behavioural aspects: physical activity, variety in situational context and social opportunity. The approach is unique in that it integrates ‘real time’ information in space (geographical location) for generating and suggesting context specific actionable micro behaviours (Do’s), based on Australian physical activity and cardiac rehabilitation guidelines. We evaluated ToDo-CRs acceptance and ability to decrease sitting time in cardiac rehabilitation participants. 

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This project is ongoing. The programme and updated Vire app are currently in development. The pilot will start in January 2022.


For this research project Onmi is partnering with Federation University ...

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