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Trial registered on ANZCTR
Registration number
ACTRN12617001617358
Ethics application status
Not required
Date submitted
15/11/2017
Date registered
11/12/2017
Date last updated
24/10/2019
Date data sharing statement initially provided
19/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Understanding how remote patient monitoring supports patients with end stage kidney disease uptake and sustainability of peritoneal dialysis.
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Scientific title
Understanding how remote patient monitoring supports patients with end stage kidney disease uptake and sustainability of peritoneal dialysis.
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Secondary ID [1]
293376
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
End stage kidney disease
305500
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Chronic kidney disease
305501
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Condition category
Condition code
Renal and Urogenital
304752
304752
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0
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Kidney disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
We will conduct a qualitative project involving clinicians who provide peritoneal dialysis care and patients who have experienced peritoneal dialysis and their caregivers in three dialysis centres in New Zealand.
We will use purposive sampling to recruit study participants, once identified they will be sent letter of invitation and informed consent form. If participants agree to participate, they will be contacted by researcher to arrange a time to be interviewed at a place of their convenience.
Face-to-face semi-structured interviews will be conducted with participants in their preferred locations (home or clinic room). Interviews will be recorded and transcribed verbatim.
We anticipate interviews will last between 30-60 minutes.
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Intervention code [1]
299631
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Not applicable
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Determine factors related to remote patient monitoring that influence clinician (nephrologists and peritoneal dialysis nurses) practice at an individual and practice level (semi-structured interview study).
This outcome is assessed with data from semi-structured interviews. Data will be analysed using thematic analysis. This analysis will generate a number of themes that explore the enablers and barriers to use of remote patient monitoring.
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Assessment method [1]
303975
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Timepoint [1]
303975
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At one year after trial commencement
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Secondary outcome [1]
340591
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Determine factors related to remote patient monitoring that support patient choice and maintenance of peritoneal dialysis (semi-structured interview study).
This outcome will be assessed with data from semi-structured interviews. Data will be analysed using thematic analysis. This analysis will generate themes that are related to the value of remote patient monitoring for patients and how this would support them to continue dialysis treatment at home.
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Assessment method [1]
340591
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Timepoint [1]
340591
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At two years post trial commencement
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Eligibility
Key inclusion criteria
Qualitative interviews (Clinicians)
The study population will comprise purposively sampled clinicians who care for patients on or contemplating peritoneal dialysis.
Key Inclusion Criteria:
1). Nephrologists or PD Nurses who regularly care for patients on PD
2). Pre-dialysis Nurses or Nephrologists who provide education regarding PD treatment
3). Have provided informed consent
Qualitative interviews (Patients)
The study population will comprise purposively sampled ESKD patients from at least 3 NZ renal units.
Key Inclusion Criteria:
1) Patients and caregivers over the age of 18 years
2) Patients who are currently or have been treated with peritoneal dialysis
3) Caregivers who are or have performed or assisted in peritoneal dialysis
4) Pre-dialysis patients who are considering peritoneal dialysis
5) Able to provide informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Clinicians who do not regularly care or provide education for patients on or contemplating PD
- Patients or caregivers unable to provide informed consent
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
Qualitative interviews: Qualitative research does not have specific guidelines for sample size, and the process of data saturation, defined as when there are no new data collected, will determine the number of participants.
• The anticipated number of clinician participants in this study sample will be between 10 and 15.
• The anticipated number of patient and caregiver participants in this study sample will be between 30-40.
Participant interviews will face-to-face and semi-structured. All interviews will be audio-recorded and transcribed verbatim. We will enter transcripts of interviews into HyperRESEARCH software (ResearchWare Inc, Version 2.8.3, United States), for line-by-line review by the study team. We will analyse data for emergent themes using the qualitative method of thematic analysis, to provide in-depth knowledge of their beliefs, understanding, experiences and perspectives of peritoneal dialysis and increased support through remote patient monitoring.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/02/2018
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Actual
5/03/2018
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Date of last participant enrolment
Anticipated
3/02/2020
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Actual
29/03/2019
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Date of last data collection
Anticipated
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Actual
29/03/2019
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Sample size
Target
45
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Accrual to date
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Final
42
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Recruitment outside Australia
Country [1]
9363
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New Zealand
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State/province [1]
9363
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Funding & Sponsors
Funding source category [1]
298002
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Commercial sector/Industry
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Name [1]
298002
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Baxter Healthcare Corporation
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Address [1]
298002
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Attn: Kelly Machak
One Baxter Parkway DF5-1W
Deerfield, IL 60015
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Country [1]
298002
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United States of America
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Primary sponsor type
Individual
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Name
Rachael Walker
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Address
Eastern Institute of Technology
510 Gloucester St
Taradale
Napier 4112
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Country
New Zealand
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Secondary sponsor category [1]
297067
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None
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Name [1]
297067
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Address [1]
297067
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Country [1]
297067
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Ethics approval
Ethics application status
Not required
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Ethics committee name [1]
299039
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NZ Health and Disability Ethics Committee
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Ethics committee address [1]
299039
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Ministry of Health, Health and Disability Ethics Committees PO Box 5013. Wellington 6140.
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Ethics committee country [1]
299039
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New Zealand
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Date submitted for ethics approval [1]
299039
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08/01/2018
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Approval date [1]
299039
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Ethics approval number [1]
299039
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Summary
Brief summary
Supporting patients and clinicians to be confident with home treatment is one of the most important attributes influencing patient selection toward home dialysis. Our hypothesis is that remote patient monitoring for patients considering peritoneal dialysis can support patient decision-making, increase preferences for peritoneal dialysis and enhance treatment characteristics of peritoneal dialysis to align more closely with patient-centered care. To test this hypothesis, this study will explore patient and clinician perceptions of remote patient monitoring to support choosing and sustaining peritoneal dialysis as a treatment modality. The study will seek to understand clinician views of remote patient monitoring to establish how better to support clinicians to recommend peritoneal dialysis. Ultimately, if remote patient monitoring is identified to be acceptable to patients and clinicians, This study could then lead to rigorous testing of remote patient monitoring in clinical trials. In this study we will conduct a qualitative project involving clinicians who provide peritoneal dialysis care and patients who have experienced peritoneal dialysis and their caregivers in three dialysis centres in New Zealand. The study objectives are: • Objective 1: Summarise the current evidence for experiences of patients and caregivers regarding remote patient monitoring (systematic review and thematic synthesis of qualitative studies). • Objective 2: Determine factors related to remote patient monitoring that influence clinician (nephrologists and peritoneal dialysis nurses) practice at an individual and practice level (semi-structured interview study). • Objective 3: Determine factors related to remote patient monitoring that support patient choice and maintenance of peritoneal dialysis (semi-structured interview study) This study will advance knowledge about how remote patient monitoring supports patient choice and maintenance of peritoneal dialysis. This study will enable recommendations about remote patient monitoring in dialysis practice. The findings may encourage inclusion of remote patient monitoring to support uptake of peritoneal dialysis in lower income countries throughout Asia and the Western /Pacific regions for patients who may not have access to alternative dialysis treatments.
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Trial website
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Trial related presentations / publications
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Public notes
Exemption for ethical approval was granted from HDEC as the study was deemed a minimal risk observational study. Localities approval (at each separate hospital is however required).
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Contacts
Principal investigator
Name
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A/Prof Rachael C Walker
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Address
79078
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School of Nursing
Eastern Institute of Technology
504 Gloucester ST
Taradale, Napier 4112
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Country
79078
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New Zealand
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Phone
79078
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+64272349205
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Fax
79078
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Email
79078
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[email protected]
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Contact person for public queries
Name
79079
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Rachael Walker
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Address
79079
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School of Nursing
Eastern Institute of Technology
504 Gloucester ST
Taradale, Napier 4112
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Country
79079
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New Zealand
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Phone
79079
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+64272349205
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Fax
79079
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Email
79079
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[email protected]
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Contact person for scientific queries
Name
79080
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Rachael Walker
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Address
79080
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School of Nursing
Eastern Institute of Technology
504 Gloucester ST
Taradale, Napier 4112
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Country
79080
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New Zealand
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Phone
79080
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+64272349205
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Fax
79080
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Email
79080
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
305
Informed consent form
374005-(Uploaded-19-11-2018-07-16-35)-Study-related document.doc
306
Study protocol
374005-(Uploaded-19-11-2018-07-17-07)-Study-related document.docx
307
Other
Exemption from HDEC scope of review letter attache...
[
More Details
]
374005-(Uploaded-19-11-2018-07-18-55)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF