The WISHED Trial: implementation of an interactive health communication application for patients with chronic kidney disease
Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support,...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Harvey, Andrea [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2016 |
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| Schlagwörter: |
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| Anmerkung: |
© Harvey et al. 2016 |
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| Übergeordnetes Werk: |
Enthalten in: Canadian journal of kidney health and disease - Thousand Oaks, CA : Sage Publications, 2014, 3(2016), 1 vom: 15. Juni |
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| Übergeordnetes Werk: |
volume:3 ; year:2016 ; number:1 ; day:15 ; month:06 |
| Links: |
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| DOI / URN: |
10.1186/s40697-016-0120-y |
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SPR037502689 |
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| 520 | |a Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. | ||
| 650 | 4 | |a Home dialysis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Interactive health communication application |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hemodialysis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Peritoneal dialysis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Internet |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Jain, Arsh K. |4 aut | |
| 700 | 1 | |a Bosch, Eric |4 aut | |
| 700 | 1 | |a Moreau, Cathy |4 aut | |
| 700 | 1 | |a Garland, Jocelyn |4 aut | |
| 700 | 1 | |a Brimble, K. Scott |4 aut | |
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10.1186/s40697-016-0120-y doi (DE-627)SPR037502689 (SPR)s40697-016-0120-y-e DE-627 ger DE-627 rakwb eng Harvey, Andrea verfasserin aut The WISHED Trial: implementation of an interactive health communication application for patients with chronic kidney disease 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Harvey et al. 2016 Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. Home dialysis (dpeaa)DE-He213 Interactive health communication application (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Peritoneal dialysis (dpeaa)DE-He213 Internet (dpeaa)DE-He213 Walsh, Michael aut Jain, Arsh K. aut Bosch, Eric aut Moreau, Cathy aut Garland, Jocelyn aut Brimble, K. Scott aut Enthalten in Canadian journal of kidney health and disease Thousand Oaks, CA : Sage Publications, 2014 3(2016), 1 vom: 15. Juni (DE-627)783301154 (DE-600)2765462-X 2054-3581 nnns volume:3 year:2016 number:1 day:15 month:06 https://dx.doi.org/10.1186/s40697-016-0120-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2446 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2016 1 15 06 |
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10.1186/s40697-016-0120-y doi (DE-627)SPR037502689 (SPR)s40697-016-0120-y-e DE-627 ger DE-627 rakwb eng Harvey, Andrea verfasserin aut The WISHED Trial: implementation of an interactive health communication application for patients with chronic kidney disease 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Harvey et al. 2016 Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. Home dialysis (dpeaa)DE-He213 Interactive health communication application (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Peritoneal dialysis (dpeaa)DE-He213 Internet (dpeaa)DE-He213 Walsh, Michael aut Jain, Arsh K. aut Bosch, Eric aut Moreau, Cathy aut Garland, Jocelyn aut Brimble, K. Scott aut Enthalten in Canadian journal of kidney health and disease Thousand Oaks, CA : Sage Publications, 2014 3(2016), 1 vom: 15. Juni (DE-627)783301154 (DE-600)2765462-X 2054-3581 nnns volume:3 year:2016 number:1 day:15 month:06 https://dx.doi.org/10.1186/s40697-016-0120-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2446 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2016 1 15 06 |
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10.1186/s40697-016-0120-y doi (DE-627)SPR037502689 (SPR)s40697-016-0120-y-e DE-627 ger DE-627 rakwb eng Harvey, Andrea verfasserin aut The WISHED Trial: implementation of an interactive health communication application for patients with chronic kidney disease 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Harvey et al. 2016 Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. Home dialysis (dpeaa)DE-He213 Interactive health communication application (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Peritoneal dialysis (dpeaa)DE-He213 Internet (dpeaa)DE-He213 Walsh, Michael aut Jain, Arsh K. aut Bosch, Eric aut Moreau, Cathy aut Garland, Jocelyn aut Brimble, K. Scott aut Enthalten in Canadian journal of kidney health and disease Thousand Oaks, CA : Sage Publications, 2014 3(2016), 1 vom: 15. Juni (DE-627)783301154 (DE-600)2765462-X 2054-3581 nnns volume:3 year:2016 number:1 day:15 month:06 https://dx.doi.org/10.1186/s40697-016-0120-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2446 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2016 1 15 06 |
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10.1186/s40697-016-0120-y doi (DE-627)SPR037502689 (SPR)s40697-016-0120-y-e DE-627 ger DE-627 rakwb eng Harvey, Andrea verfasserin aut The WISHED Trial: implementation of an interactive health communication application for patients with chronic kidney disease 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Harvey et al. 2016 Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. Home dialysis (dpeaa)DE-He213 Interactive health communication application (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Peritoneal dialysis (dpeaa)DE-He213 Internet (dpeaa)DE-He213 Walsh, Michael aut Jain, Arsh K. aut Bosch, Eric aut Moreau, Cathy aut Garland, Jocelyn aut Brimble, K. Scott aut Enthalten in Canadian journal of kidney health and disease Thousand Oaks, CA : Sage Publications, 2014 3(2016), 1 vom: 15. Juni (DE-627)783301154 (DE-600)2765462-X 2054-3581 nnns volume:3 year:2016 number:1 day:15 month:06 https://dx.doi.org/10.1186/s40697-016-0120-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2446 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2016 1 15 06 |
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10.1186/s40697-016-0120-y doi (DE-627)SPR037502689 (SPR)s40697-016-0120-y-e DE-627 ger DE-627 rakwb eng Harvey, Andrea verfasserin aut The WISHED Trial: implementation of an interactive health communication application for patients with chronic kidney disease 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Harvey et al. 2016 Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. Home dialysis (dpeaa)DE-He213 Interactive health communication application (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Peritoneal dialysis (dpeaa)DE-He213 Internet (dpeaa)DE-He213 Walsh, Michael aut Jain, Arsh K. aut Bosch, Eric aut Moreau, Cathy aut Garland, Jocelyn aut Brimble, K. Scott aut Enthalten in Canadian journal of kidney health and disease Thousand Oaks, CA : Sage Publications, 2014 3(2016), 1 vom: 15. Juni (DE-627)783301154 (DE-600)2765462-X 2054-3581 nnns volume:3 year:2016 number:1 day:15 month:06 https://dx.doi.org/10.1186/s40697-016-0120-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2446 GBV_ILN_2704 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2016 1 15 06 |
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Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. © Harvey et al. 2016 |
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Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. © Harvey et al. 2016 |
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Background Despite many advantages over facility-based therapies, less than 25 % of prevalent dialysis patients in Ontario are on a home therapy. Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. Trial registration ClinicalTrials.gov #NCT01403454, registration date: July 21, 2011. © Harvey et al. 2016 |
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Interactive health communication applications, web-based packages for patients, have been shown to have a beneficial effect on knowledge, social support, self-efficacy, and behavioral and clinical outcomes but have not been evaluated in patients with chronic kidney disease (CKD). Web-based tools designed for patients with CKD exist but to our knowledge have not been assessed in their ability to influence dialysis modality decision-making. Objective To determine if a web-based tool increases utilization of a home-based therapy in patients with CKD starting dialysis. Design This is a multi-centered randomized controlled study. Setting Participants will be recruited from sites in Canada. Participants Two hundred and sixty-four consenting patients with an estimated glomerular filtration rate (eGFR) less than 20 ml/min/1.73 $ m^{2} $ who have received modality education will be enrolled in the study. Measurements The primary outcome will be the proportion of participants who are on dialysis using a home-based therapy within 3 months of dialysis initiation. Secondary outcomes will include the proportion of patients intending to perform a home-based modality and measures of dialysis knowledge, decision conflict, and social support. Methods The between-group differences in frequencies will be expressed as either absolute risk differences and/or by calculating the odds ratio and its associated 95 % confidence interval. Conclusions This study will assess whether access to a website dedicated to supporting and promoting home-based dialysis therapies will increase the proportion of patients with CKD who initiate a home-based dialysis therapy. 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Scott</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Canadian journal of kidney health and disease</subfield><subfield code="d">Thousand Oaks, CA : Sage Publications, 2014</subfield><subfield code="g">3(2016), 1 vom: 15. 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