This study is a 6-month, pragmatic, multi-center, sequentially recruited, stratified, open-label randomized controlled trial (RCT) conducted in Malaysia. It aims to determine the clinical effectiveness of a culturally adapted, gamified mobile health app (MyNutriKidney®) supplementing standard care, compared to standard care alone, for improving dietary self-management among 200 adults with Chronic Kidney Disease (CKD) stages 3-5. Participants will be randomly assigned (1:1, stratified by age and education) into either (i) the intervention group (MyNutriKidney® app + standard care) or (ii) the control group (standard care, including routine dietary counseling and printed materials). The co-primary outcomes are changes in Dietary Adherence (measured by CKD Diet Score) and Nutrition Literacy (measured by NLS score) from baseline to 6 months.
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Change in Dietary Adherence Score
Timeframe: Change from Baseline (Month 0) to 6 Months (Month 6).
Change in Nutrition Literacy Score
Timeframe: Change from Baseline (Month 0) to 6 Months (Month 6).
Zulfitri 'Azuan bin Mat Daud, Dietitian Lecturer [Dr]