This is a survey of dialysis patients and staff to determine both the readiness of ESRD patients to use mHealth as well as the Readiness of the dialysis center staff (healthcare technicians, nurses and administrative staff) to utilize mHealth in order to assist patients who may have barriers to do so for themselves.

This is a cross-sectional observational study. Approximately 700 ESRD patients currently on dialysis will be recruited from Satellite In-Center (Hemodialysis) and WellBound (Home Dialysis) Centers in the US. These will include centers in Texas, Tennessee, and California. In addition, about 100 dialysis staff will be recruited to complete a staff mHealth Questionnaire.

Patients and staff will be asked questions that conform to Khatun's conceptual model.

• Technological readiness:

  • Availability of the devices and internet
  • Ability to use the devices

• Human resource readiness:

  • Socio-demographics
  • Awareness of mHealth services

• Motivational readiness

  • Concerns (cost/privacy/ other)
  • Attitudes/intentions: Current use or potential for use.

Inclusion Criteria:

• • On dialysis (either in-center or home) at a participating Satellite Healthcare center within the recruitment period

  • Any Satellite Dialysis staff member with patient interaction.

Exclusion Criteria:

• Age < 18 years
• Inability to participate because of cognitive impairment or active psychological condition

All Dialysis patients and staff at participating centers (both in-center and home-based) who volunteer to participate in the study by completing the one-time survey. Centers selected for participation were in California, Tennessee, and Texas.