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Trial registered on ANZCTR


Registration number
ACTRN12616000407493
Ethics application status
Approved
Date submitted
1/02/2016
Date registered
30/03/2016
Date last updated
27/11/2018
Date data sharing statement initially provided
27/11/2018
Type of registration
Retrospectively registered

Titles & IDs
Public title
Coping intervention for home haemodialysis
Scientific title
Staying Home: A brief psychological intervention enhancing the coping skills of home haemodialysis patients to sustain the home treatment modality.
Secondary ID [1] 288456 0
None
Universal Trial Number (UTN)
U1111-1179-0698
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
home haemodialysis 297482 0
Condition category
Condition code
Renal and Urogenital 297669 297669 0 0
Kidney disease
Mental Health 298189 298189 0 0
Studies of normal psychology, cognitive function and behaviour

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Psycho-education intervention to teach coping skills
The Coping Skills Intervention is an education program on applying problem solving skills to everyday problems, based on Problem Solving Therapy techniques. It teaches the use of the Stop Slow Down Think and Act (SSTA) approach for coping with stress.
Topics covered include:
* Stress, kidney failure and coping
* Effective problems solving,
* The SSTA method
* Problem solving styles
* Stress and your body
* Stress and your brain,
* Reactions to stress
* Strategies to slow down eg. distraction, mindfulness, relaxation
* The ABC approach to healthy thinking
* Problem solving step by step approach
* Review problem solving outcomes,
* Coping skills resources
Education will take place over 6 sessions during normal dialysis treatment (ie. during nurse supervised dialysis in the home dialysis education unit), one session per week for 6 weeks.
It will be provided as a one-to-one teaching session, following a manualised program.
A Psychology Intern (Provisional Registration with AHPRA) under supervision of Psychologist, will present the program to the participant.
Participant will be given their education booklet for each of the six sessions, to work on during session and to take home to continue with home practice.
Each education session will last approximately one hour.
Each session will be video recorded for review with supervising Psychologist, to ensure consistency of content and format.
Intervention code [1] 293783 0
Behaviour
Comparator / control treatment
Control arm is randomisation to waitlist for participants.
In this period, all participants will receive standard care. After approximately 12 months, waitlisted participants will be offered the intervention.
Control group
Active

Outcomes
Primary outcome [1] 297209 0
Time using home haemodialysis (ie. days elapsed since commenced use of dialysis at home), will be recorded by the treating team as part of routine care. This data will be collected as an outcome measure.
Timepoint [1] 297209 0
12 months after enrolment in study.
Secondary outcome [1] 320356 0
Change in psychological distress, pre and post intervention, measured by Kessler Psychological Distress Scale. This instrument has been validated for use in the Australian general population and is available in the public domain. It was used in the Australian Survey of Mental Health and Well-being (1997).
Timepoint [1] 320356 0
Baseline and 6 months after enrolment.
Secondary outcome [2] 320357 0
Change in reported use of adaptive coping strategies as measured by self-report scale, namely Brief COPE. This scale has been validated for use in general populations and is available in public domain. It is not specific to this study. For information on the scale, see journal article: Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE, .International Journal of Behavioral Medicine, 4, 92-100
Timepoint [2] 320357 0
Baseline and 6 months after enrolment.

Eligibility
Key inclusion criteria
Dialysis dependent patients attending home training unit;
Aged 18 or above;
Able to give consent;
Able to use spoken English;
Have a viable vascular access that can be cannulated by patient or their carer/dialysis supporter;
Have expressed intention to use home haemodialysis.
Minimum age
18 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
No intention to use home haemodialysis;
Within the first 2 weeks of dialysis and potentially affected by uraemia;
Unable to give consent;
Unable to use written English.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Who is / are masked / blinded?



Intervention assignment
Other design features
Phase
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Withdrawn
Reason for early stopping/withdrawal
Lack of funding/staff/facilities
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD

Funding & Sponsors
Funding source category [1] 292798 0
Hospital
Name [1] 292798 0
Princess Alexandra Hospital
Address [1] 292798 0
199 Ipswich Rd, Woolloongabba Queensland 4102
Country [1] 292798 0
Australia
Primary sponsor type
Hospital
Name
Princess Alexandra Hospital
Address
199 Ipswich Rd, Woolloongabba Queensland 4102
Country
Australia
Secondary sponsor category [1] 291537 0
None
Name [1] 291537 0
Address [1] 291537 0
Country [1] 291537 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 294300 0
Metro South Human Research Ethics Committee
Ethics committee address [1] 294300 0
Centres for Health Research, Princess Alexandra Hospital, Metro South Health
Metro South Hospital and Health Service, Queensland Government
Level 7 TRI, 37 Kent Street WOOLLOONGABBA QLD 4102
Ethics committee country [1] 294300 0
Australia
Date submitted for ethics approval [1] 294300 0
12/05/2015
Approval date [1] 294300 0
28/07/2015
Ethics approval number [1] 294300 0
HREC/15/QPAH/291

Summary
Brief summary
Successful transition to home dialysis and maintenance of a home based therapy is influenced not only by medical and demographic factors but also by psychosocial stressors. There is evidence from other medical conditions that coping skills influence patients’ psychological well-being. Our previous research has suggested that people with adaptive coping skills, such as problem solving and active coping, are more likely to sustain home haemodialysis. Based on this research, we believe that by providing home haemodialysis patients with additional adaptive coping skills they are more likely to sustain the use of a home therapy.
A coping skills intervention program has been modified for use by people learning home haemodialysis. The program has been developed by psychologists who work with patients of a nephrology department, and is designed to be delivered by any health practitioner. It includes basic skills in stress management, problem solving, mindfulness and healthy thinking. It is designed to be able to be incorporated into the existing education provided to learners during home haemodialysis training, delivered chair-side during dialysis over six one hour sessions.
This coping skills intervention will be compared with treatment as usual with home haemodialysis learners. The outcomes to be tested are
a) sustainability of home dialysis after training,
b) change in levels of reported distress, and
c) change in reported use of adaptive coping strategies.

The intention of this intervention is to enhance the patient experience of this home based treatment and improve their quality of life.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 63218 0
Ms Jane Nearhos
Address 63218 0
Princess Alexandra Hospital
Home Haemodialysis
Burke St Centre 2nd Floor
199 Ipswich Rd
Woolloongabba QLD 4102
Country 63218 0
Australia
Phone 63218 0
+61 7 31761120
Fax 63218 0
Email 63218 0
jane.nearhos@health.qld.gov.au
Contact person for public queries
Name 63219 0
Ms Jane Nearhos
Address 63219 0
Princess Alexandra Hospital
Home Haemodialysis
Burke St Centre 2nd Floor
199 Ipswich Rd
Woolloongabba QLD 4102
Country 63219 0
Australia
Phone 63219 0
+61 7 31761120
Fax 63219 0
Email 63219 0
jane.nearhos@health.qld.gov.au
Contact person for scientific queries
Name 63220 0
Ms Jane Nearhos
Address 63220 0
Princess Alexandra Hospital
Home Haemodialysis
Burke St Centre 2nd Floor
199 Ipswich Rd
Woolloongabba QLD 4102
Country 63220 0
Australia
Phone 63220 0
+61 7 31761120
Fax 63220 0
Email 63220 0
jane.nearhos@health.qld.gov.au

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment
Trial ceased before recruitment.
What supporting documents are/will be available?
No other documents available
Summary results
No Results