Breaking Barriers in Home Dialysis: Augmented Reality, Real-Time Training, and Remote Support.

Abstract

Home dialysis offers significant benefits in terms of patient quality of life, autonomy, and cost-effectiveness, yet adoption remains low due to substantial educational, logistical, and structural barriers. Augmented reality (AR) and live virtual support present a promising solution to improve patient education, enhance provider training, and offer real-time remote assistance. This article explores current barriers to home dialysis adoption, the role of AR in overcoming these challenges, and the neuroscience behind effective learning. By integrating AR with evidence-based learning science, we propose a model for more effective home dialysis education that could reduce dropout rates and improve patient retention. We also examine key implementation considerations, including cost, provider responsibility, and reimbursement mechanisms. Early applications of AR in dialysis training, such as guiding ICU staff on new devices, suggest a growing recognition of its value. Future research should assess the impact of AR on skill acquisition, long-term retention, patient confidence, and cost-effectiveness to inform broader implementation strategies.