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Kidney Week

Abstract: FR-PO0047

Using Artificial Intelligence (AI)-Assisted Short Message Service (SMS) Text Messaging to Support Patients with CKD: Early Lessons from a Community Nephrology Pilot

Session Information

Category: Artificial Intelligence, Digital Health, and Data Science

  • 300 Artificial Intelligence, Digital Health, and Data Science

Author

  • Lowentritt, Joshua E., Generated Health, Inc, Wilmington, Delaware, United States

Group or Team Name

  • Generated Health
Background

Patients with chronic kidney disease (CKD) require ongoing education and self-management, yet community nephrology practices often lack scalable tools to support engagement between visits. SMS-based programs may extend care team capacity. This study's objective was to evaluate patient engagement, response patterns, and patient feedback from a pilot SMS-based program using AI support in patients with CKD.

Methods

Thirty patients with CKD stages 2–4 from a community nephrology practice were enrolled during routine visits (August–September 2025). All had established nephrology care and SMS capability; 18 had diabetes and 28 had hypertension. Patients participated in a 6-month SMS-based program (October 2025–February 2026) including prompts for blood pressure and glucose (if applicable), symptom checks, and educational messaging. AI was used to interpret patient responses.

Results

Over 6 months, 25 of 30 patients (83%) responded to at least one message. A total of 700 responses were submitted, including 347 physiologic readings. Patients also submitted 74 clinical questions across topics including device use, condition education, and medications. Among 15 respondents to a net promoter score (NPS) query, the NPS was 67. Patients reported improved awareness and valued the accessibility of ongoing support.

Conclusion

An SMS-based CKD support program using AI was feasible and generated sustained patient engagement in a community nephrology setting. These findings support further development of scalable approaches to enhance CKD self-management and care delivery.

Funding

  • Commercial Support – Generated Health, Inc.