Limitations and Future Research
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This study has certain limitations that should be acknowledged. The small sample size might have affected the study results. Additionally, this study measured the telehealth service use over a period of 4 months. Variations in health technology use may be limited. Another limitation is that the participants were recruited from a PD center in Bangkok, Thailand. This limits the generalization of the findings to patients undergoing CAPD with different characteristics and settings.To better understand participants’ active use, future studies should explore more factors that influence telehealth service use. Furthermore, future research should compare the outcomes across countries to generalize the findings, as telehealth services vary across countries. Moreover, as this was a cross-sectional study, the results may change over time because of the changes in both user behaviors and telehealth services. Thus, longitudinal mixed methods research studies are needed to address this issue.