A Feasibility Cluster Randomised Control Trial of a Person-Centred Fluid Adherence Intervention for Adults Receiving Haemodialysis.

IF 1.8 4区医学 Q2 UROLOGY & NEPHROLOGY

Nephron Pub Date : 2025-07-10 DOI:10.1159/000546103

Hemamali Jagodage, Ann Bonner, Amanda McGuire, Charrlotte Seib

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引用次数: 0

Abstract

Introduction: Adherence to fluid restriction is an essential component of haemodialysis (HD) self-management, although educational interventions are rarely adjusted to meet a person's health literacy abilities. This study aimed to evaluate the feasibility of a person-centred intervention to improve fluid adherence in adults receiving HD.

Methods: A pragmatic, clustered, randomised control feasibility trial involved adults receiving HD for at least 3 months. The control group received standard care while the intervention group received standard care plus a 12-week self-management program that included 4 face-to-face individual teach-back sessions. Randomisation was based on HD treatment shifts. Primary outcomes were acceptability and feasibility (recruitment, retention, and completion rates) and secondary outcomes included patient-reported measures (knowledge, self-efficacy, health literacy, health-related quality of life [HRQoL]) and clinical outcomes (interdialytic weight gain [IDWG] and blood pressure [BP]).

Results: The recruitment rate was 53.2% (50/94 screened) with participants (mean age 51 years, SD = 12.52) randomly allocated to intervention (n = 25) and control groups (n = 25). Overall, patient-reported outcome completion rates at baseline and 12 weeks were 88% and 90%, respectively. Retention rates for the intervention and control groups were 96% and 92%, respectively. There were no between group differences at baseline. At 12 weeks, significant improvements were found in the intervention group for knowledge, self-efficacy, health literacy, self-care index, and IDWG, but not HRQoL. The study found mixed results for BP.

Conclusion: This intervention was feasible and acceptable to deliver in the clinical setting during HD treatment and has the potential to improve health outcomes for adults on HD.

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一项以人为中心的液体依从性干预成人血液透析的可行性随机对照试验

导读：坚持液体限制是血液透析（HD）自我管理的重要组成部分，尽管教育干预很少调整以满足一个人的健康素养能力。本研究旨在评估以人为中心的干预措施改善成人HD患者液体依从性的可行性。方法：一项实用的、聚集的、随机对照的可行性试验，涉及接受HD治疗至少3个月的成年人。对照组接受标准治疗，干预组接受标准治疗，外加为期12周的自我管理项目，其中包括4次面对面的个别辅导。随机化是基于HD治疗班次。主要结局包括可接受性和可行性（招募率、保留率和完成率），次要结局包括患者报告的措施（知识、自我效能、健康素养、健康相关生活质量[HRQoL]）和临床结局（透析期间体重增加[IDWG]和血压[BP]）。结果：招募率为53.2%（50/94筛选），参与者（平均年龄51岁，SD = 12.52）随机分为干预组（n = 25）和对照组（n = 25）。总体而言，患者报告的基线和12周的结局完成率分别为88%和90%。干预组和对照组的保留率分别为96%和92%。在基线时两组间无差异。12周时，干预组在知识、自我效能、健康素养、自我保健指数和IDWG方面均有显著改善，但HRQoL无显著改善。研究发现英国石油公司的结果好坏参半。结论：该干预措施在HD治疗期间的临床环境中是可行和可接受的，并且有可能改善HD成人的健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nephron UROLOGY & NEPHROLOGY-

CiteScore

5.00

自引率

0.00%

发文量

期刊介绍： ''Nephron'' comprises three sections, which are each under the editorship of internationally recognized leaders and served by specialized Associate Editors. Apart from high-quality original research, ''Nephron'' publishes invited reviews/minireviews on up-to-date topics. Papers undergo an innovative and transparent peer review process encompassing a Presentation Report which assesses and summarizes the presentation of the paper in an unbiased and standardized way.