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Trial registered on ANZCTR
Registration number
ACTRN12621000768897
Ethics application status
Approved
Date submitted
27/04/2021
Date registered
21/06/2021
Date last updated
7/10/2022
Date data sharing statement initially provided
21/06/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
eConsent for kidney biopsy: impact on the patient experience
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Scientific title
The patient experience of kidney biopsy: A randomised controlled trial evaluating video-assisted consent versus standard consent for percutaneous ultrasound-guided kidney biopsy in adults
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Secondary ID [1]
302186
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None
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Universal Trial Number (UTN)
U1111-1256-3099
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Trial acronym
N/A
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Linked study record
N/A
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Health condition
Health condition(s) or problem(s) studied:
Percutaneous Kidney Biopsy
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Informed Consent
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Condition category
Condition code
Renal and Urogenital
316856
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants in the video-assisted (intervention) group will watch a 6 minute audiovisual consent animation describing the procedure of percutaneous kidney biopsy. This will be shown prior to the participant's consultation with their doctor.
Content of the animation video is based on the recently published national CARI guidelines and its translation into the kidney biopsy pathway, approved by the RBWH Forms Review Committee. The final video is structured into 10 sections: “reasons for kidney biopsy”, “preparing for kidney biopsy”, “the procedure”, “post-procedure”, “benefits”, “risks of not having a kidney biopsy”, “alternatives”, “risks of kidney biopsy”, “patients at increased risk of
complications” and “conclusion”.
The audio narrative steps the participant through what is displayed in the video. The visual content is augmented by written subtitles and captions.The patient-centric animation was developed in English and will be translated into five other commonly spoken languages (Vietnamese, Arabic, Mandarin, Cantonese and Spanish).
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Intervention code [1]
318485
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Other interventions
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Comparator / control treatment
Participants in the control group will be consented following the current conventional consent process, i.e. conversation with a medical practitioner prior to signing the consent form.
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Control group
Active
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Outcomes
Primary outcome [1]
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Patient’s comprehension, evaluated using a 10-item knowledge questionnaire developed specifically for the study.
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Assessment method [1]
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Timepoint [1]
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Immediately after signing the consent form.
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Secondary outcome [1]
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Patient reported experience measure (PREM), assessed by a modified KidneyPREM.
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Assessment method [1]
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Timepoint [1]
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Immediately after signing the consent form.
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Secondary outcome [2]
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Spielberger State-Trait Anxiety Inventory (STAI Y-6 Item)
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Assessment method [2]
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Timepoint [2]
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At 2 timepoints:
Baseline- immediately before watching the consent animation (intervention group) or immediately before talking with their doctor (control group)
Immediately after signing the consent form
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Secondary outcome [3]
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Five-point Likert scale, to evaluate satisfaction with the informed consent process
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Assessment method [3]
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Timepoint [3]
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Immediately after signing the consent form.
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Secondary outcome [4]
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Recorded time taken to consent (in minutes), as measured by a digital stopwatch.
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Assessment method [4]
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Timepoint [4]
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Control group: from when the participant begins their consultation with their doctor to when they sign the consent form.
Intervention group: from when the participant begins to watch the animation video to when they sign the consent form.
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Eligibility
Key inclusion criteria
All consecutive patients scheduled to undergo a percutaneous kidney biopsy will receive information about the study and be invited to participate. Those that agree will be required to sign written informed consent to proceed into the study.
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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?
No
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Key exclusion criteria
< 18 years of age.
Individuals not competent to consent or refuse to consent to medical treatment.
Legally blindness (defined as having corrected acuity of no better than 6/60 and/or a vision field of no more than 10 degrees).
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation performed using a computerised sequence generation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Statistical analysis will be performed and checked with IBM SPSS Statistics software (version 26.0,IBM Corp, Armonk, NY). Continuous variables will be compared with independent 2-sample t-tests and nominal variables will be compared with x2. Analysis of covariance will be used to compare baseline (pre-consent) and final (post-consent) Spielberger State-Trait Anxiety Inventory scores.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2021
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Actual
21/07/2021
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Date of last participant enrolment
Anticipated
8/05/2023
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Actual
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Date of last data collection
Anticipated
8/05/2023
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Actual
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Sample size
Target
120
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Accrual to date
54
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Royal Brisbane & Womens Hospital - Herston
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Recruitment postcode(s) [1]
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4029 - Herston
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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RBWH research foundation
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Address [1]
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Block 20 Royal Brisbane and Women’s Hospital, Butterfield St, Herston QLD 4006
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Pedro Henrique Franca Gois
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Address
Nephrology Department - Fraser Coast Hospital and Health Service
Cnr Nissen Street &, Urraween Rd, Pialba QLD 4655
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Martin Wolley
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Address [1]
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Kidney Health Service
Metro North Hospital and Health Service
Level 9 Butterfield Street, Herston QLD 4029.
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Marina Wainstein
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Address [1]
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Kidney Health Service
Metro North Hospital and Health Service
Level 9 Butterfield Street, Herston QLD 4029.
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Country [1]
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Helen Healy
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Address [2]
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Kidney Health Service
Metro North Hospital and Health Service
Level 9 Butterfield Street, Herston QLD 4029.
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Country [2]
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Australia
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Other collaborator category [3]
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Individual
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Name [3]
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Ann Bonner
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Address [3]
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G16 Clinical Sciences 2, Level 2.15
Griffith University, Southport, QLD 4215
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Country [3]
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Australia
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Other collaborator category [4]
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Individual
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Name [4]
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Rebecca Sauderson
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Address [4]
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Drummoyne Dermatology
Suite 1, 109 Victoria Road,
Drummoyne NSW 2047.
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Country [4]
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Australia
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Other collaborator category [5]
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Individual
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Name [5]
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Vera Yueyue Miao
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Address [5]
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Drummoyne Dermatology
Suite 1, 109 Victoria Road,
Drummoyne NSW 2047.
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Country [5]
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Australia
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Other collaborator category [6]
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Individual
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Name [6]
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Kylie-Anne Mallitt
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Address [6]
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Centre for Big Data Research in Health
UNSW Australia
Sydney NSW 2052, Australia
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Country [6]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Nepean Blue Mountains Local Health District Human Research Ethics Committee
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Ethics committee address [1]
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PO Box 63, Penrith, NSW 2751
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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12/06/2018
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Approval date [1]
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18/07/2018
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Ethics approval number [1]
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HREC/18/Nepean/78
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Ethics committee name [2]
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RBWH - Human Research Ethics Committee
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Ethics committee address [2]
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Level 7, Block 7 Royal Brisbane and Women’s Hospital Butterfield Street, Herston, Qld 4029
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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19/10/2020
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Approval date [2]
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03/12/2020
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Ethics approval number [2]
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LNR/2020/QRBW/69706
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Summary
Brief summary
Informed medical consent is how clinicians communicate important information to patients about procedures/treatments they are recommending. The process of communication is highly individualised, time consuming and at a pace that is usually set by the healthcare worker. It is therefore not surprising that patients report variable and inconsistent comprehension and understanding of clinicians’ explanations of procedures/treatments. The literature demonstrates that audiovisual consent, when used to supplement current methods, improves the patient experience, including higher satisfaction, better comprehension and less anxiety. We will, for the first time in the procedure of kidney biopsies, evaluate patient reported benefits of video-assisted electronic consent compared to a conventional consent process, that being a clinician consenting the patient.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Pedro Henrique Franca Gois
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Address
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Nephrology Department - Fraser Coast Hospital and Health Service
Cnr Nissen Street &, Urraween Rd, Pialba QLD 4655
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Country
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Australia
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Phone
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+61 743256113
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Pedro Henrique Franca Gois
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Address
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Nephrology Department - Fraser Coast Hospital and Health Service
Cnr Nissen Street &, Urraween Rd, Pialba QLD 4655
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Country
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Australia
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Phone
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+61 743256113
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Pedro Henrique Franca Gois
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Address
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Nephrology Department - Fraser Coast Hospital and Health Service
Cnr Nissen Street &, Urraween Rd, Pialba QLD 4655
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Country
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Australia
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Phone
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+61 743256113
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Fax
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Email
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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
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.
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