Early home-based group education to support informed decision-making among patients with end-stage renal disease: a multi-centre randomized controlled trial

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Emma K MasseyWillem Weimar

Abstract

The aim was to test the effectiveness of early home-based group education on knowledge and communication about renal replacement therapy (RRT). We conducted a randomized controlled trial using a cross-over design among 80 end-stage renal disease (ESRD) patients. Between T0 and T1 (weeks 1-4) Group 1 received the intervention and Group 2 received standard care. Between T1 and T2 (weeks 5-8) Group 1 received standard care and Group 2 received the intervention. The intervention was a group education session on RRT options held in the patient's home given by social workers. Patients invited members from their social network to attend. Self-report questionnaires were used at T0, T1 and T2 to measure patients' knowledge and communication, and concepts from the Theory of Planned Behaviour such as attitude. Comparable questionnaires were completed pre-post intervention by 229 attendees. Primary RRT was registered up to 2 years post-intervention. Multilevel linear modelling was used to analyse patient data and paired t-tests for attendee data. Statistically significant increases in the primary targets knowledge and communication were found among patients and attendees after receiving the intervention. The intervention also had a signifi...Continue Reading

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Citations

Jan 15, 2016·Seminars in Dialysis·Douglas S JohnsonKlemens B Meyer
Mar 25, 2019·BMJ Open·Steef RedekerUNKNOWN ‘Nierteam aan Huis’ consortium
Nov 14, 2017·Transplant International : Official Journal of the European Society for Organ Transplantation·Mathilde C PronkEmma K Massey
Jun 2, 2020·JMIR Formative Research·Amy D WatermanMaria Aurora Posadas Salas
Apr 17, 2020·Clinical Kidney Journal·Lisa BurnappFrank J M F Dor
Aug 15, 2021·Transplant International : Official Journal of the European Society for Organ Transplantation·Steef RedekerUNKNOWN Kidney Team at Home consortium
Oct 15, 2021·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Steef RedekerUNKNOWN Kidney Team at Home consortium
Nov 9, 2021·The Cochrane Database of Systematic Reviews·Janet JullDawn Stacey

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