# A Novel Mobile Application for Childhood Nephrotic Syndrome Management

> **NIH NIH K23** · EMORY UNIVERSITY · 2023 · $183,531

## Abstract

Project Summary/Abstract
This proposal is a multidisciplinary research and training plan to rigorously evaluate and refine a user-centered
mobile application (app) for childhood nephrotic syndrome management and enable the applicant, Chia-shi
Wang, to obtain the skills needed for an independent research career in kidney disease intervention
development and implementation. The broad objectives of the research proposal are to improve self-
management and clinical outcomes of childhood nephrotic syndrome, one of the most common chronic kidney
diseases in children. The disease is characterized by a relapsing-remitting pattern in the majority of patients
and has high rates of complications and treatment side effects. Vigilant home care is central to disease
management, yet many families find it difficult to adhere with the demands. Our interdisciplinary team has built
a novel mobile app (UrApp) to assist families with self-management. UrApp has excellent technical validity and
was well-received by users in preliminary usability testing. In this proposal, we will conduct a pilot randomized
trial in three pediatric sites among caregivers of children with newly diagnosed nephrotic syndrome to evaluate
the efficacy of UrApp in improving behavioral and biologic outcomes (Aim 1). Concurrently, we will perform
process evaluation to determine influences on the effectiveness of UrApp (Aim 2). Lastly, we will engage
caregiver stakeholders to use the results of the clinical trial and process evaluation to refine UrApp and plan a
future user-centered, full-scale clinical trial (Aim 3). The anticipated outcome is the development of a novel,
pragmatic, technology-based intervention that is ready for full-scale testing in a user-centered clinical trial. This
proposal is made possible by the applicant’s exceptional research environment. Emory’s Division of Pediatric
Nephrology is one of the largest pediatric nephrology programs in the U.S. with many successful, extensive
research collaborations with other pediatric institutions, ensuring the feasibility of the current proposal. A strong
alliance between Emory University, Children’s Healthcare of Atlanta, and Georgia Institute of Technology
enabled the developed of UrApp and provides multidisciplinary mentorship in clinical trial research, behavior
science, implementation science, and biostatistics. The mentorship, along with the courses available at Emory,
will provide exceptional training for the applicant. In addition, the research activities will provide Chia-shi Wang
with hands-on training in qualitative research, mixed-methods analysis, process evaluation methodology, and
stakeholder engagement methodology. These new skills will augment the applicant’s background in clinical
practice, clinical trials research, and quantitative research with expertise in behavioral and implementation
sciences. The successful completion of the proposal will therefore provide Chia-shi Wang with a distinctive
skillset to enable an i...

## Key facts

- **NIH application ID:** 10655360
- **Project number:** 5K23DK118189-05
- **Recipient organization:** EMORY UNIVERSITY
- **Principal Investigator:** Chia-shi Wang
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $183,531
- **Award type:** 5
- **Project period:** 2019-09-01 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10655360

## Citation

> US National Institutes of Health, RePORTER application 10655360, A Novel Mobile Application for Childhood Nephrotic Syndrome Management (5K23DK118189-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10655360. Licensed CC0.

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