The main aim is to develop an intervention to change knowledge, communication and attitudes regarding renal replacement therapy (RRT). The second main aim is to investigate whether this intervention has an impact on the proportion of patients…
ID
Source
Brief title
Condition
- Renal disorders (excl nephropathies)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcomes are change in knowledge, attitude, and communication about
RRT among both the patient and their family and friends.
Secondary outcome
The secondary outcome is the proportion of patients who undergo haemodialysis,
peritoneal dialysis or pre-emptive transplantation as their first form of RRT.
Background summary
Transplantation with the kidney from a living donor has significant advantages
for patient and transplant survival when compared to transplantation with a
kidney from a cadaveric donor. Moreover, patient and transplant survival is
most optimal when dialysis can be completely avoided. However, a large
proportion of patients first start dialysis before they are transplanted with a
kidney from a living donor. The goal of this project is to gain insights into
the factors which play a roll in pre-emptive transplantation and based on this
knowledge to improve the patient education in the pre treatment phase.
Study objective
The main aim is to develop an intervention to change knowledge, communication
and attitudes regarding renal replacement therapy (RRT). The second main aim is
to investigate whether this intervention has an impact on the proportion of
patients undergoing haemodialysis, peritoneal dialysis or transplantation as
their first form of RRT.
Study design
Prospective randomised cross-over study.
Intervention
The intervention consists of a first intake consultation and a home-based
educational meeting. The patient invites their family and friends to attend the
house-call educational meeting. During this meeting the social worker will
discuss the kidney, kidney disease, possible treatment options, and the
consequences for quality of life. There will be the possibility to ask
questions and to discuss these topics. Written information (leaflets) will be
left behind after the meeting.
Study burden and risks
Participants will be asked to complete 3 questionnaires (T0, T1, & T2). The
kidney patient will host the meeting in their home which could be stressful. If
desired the meeting can therefore take place at another location outside the
hospital. Participation in the educational meeting could be confronting for
both the patient and their family as this will take place early in the clinical
course during a largely asymptomatic phase. Due to the patient-centred nature
of this study participants will not be asked to make extra trips to the
hospital and no extra physical test will be carried out. Those under 18 years
of age will not be included in the study.
Postbus 2040
3000 CA, Rotterdam
NL
Postbus 2040
3000 CA, Rotterdam
NL
Listed location countries
Age
Inclusion criteria
1. Indication for renal replacement therapy within 1 or 2 years (MDRD 25 ml/min)
2. 18 years and above
Exclusion criteria
1. Participants must have sufficient understanding of written and spoken Dutch (in order to be able to give fully informed consent and to complete the questionnaires).
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL33591.078.10 |