Fluid Restriction and Quality of Life on Dialysis
Exploring the Effects of a Brief Values-Based Intervention on Adherence to Fluid Restriction Recommendations and Quality of Life in Haemodialysis Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Oxfordshire
-
Oxford, Oxfordshire, United Kingdom
- Renal and Transplant Medicine Unit (and satellite units), Oxford University Hospitals NHS Foundation Trust
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Currently receiving haemodialysis for end-stage kidney disease
- Aged 18+
- Adequate fluency in written and spoken English to undertake the intervention and complete measures (assessed by research psychologist during discussion of study commitment)
- Willing and able to participate in face-to-face and/or digital delivery of a psychological intervention (e.g. if digital delivery is requested or/or necessitated by Covid 19 restrictions patient has access to a computer, tablet or phone).
- Identified by clinical staff as having difficulty with adherence to fluid intake recommendations.
- Consents to participation, including recording of video sessions for fidelity/adherence rating and supervision.
Exclusion Criteria:
• Lack of capacity to consent
- Poorly controlled diabetes resulting in recent hospital admissions for hypo/hyperglycaemic episode(s)
- Intellectual disability that prevents self-management of fluid intake
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ACT Matrix
Participants will each receive the ACT Matrix intervention.
Participants will be randomised to multiple start dates, producing different baseline durations.
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Participants will receive a 4 session psychological intervention based on the ACT Matrix
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: baseline phase week 2
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
baseline phase week 2
|
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Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: baseline phase week 4
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
baseline phase week 4
|
|
Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: baseline phase week 6
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
baseline phase week 6
|
|
Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: baseline phase week 8 (those randomised to 8 and 10 week baselines only)
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
baseline phase week 8 (those randomised to 8 and 10 week baselines only)
|
|
Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: baseline phase week 10 (those randomised to 10 week baseline only)
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
baseline phase week 10 (those randomised to 10 week baseline only)
|
|
Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: intervention phase week 2
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
intervention phase week 2
|
|
Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: intervention phase week 4
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
intervention phase week 4
|
|
Dialysis Diet and Fluid Intake Non-Adherence Questionnaire (Vlamink et al., 2001)
Time Frame: 4 week (from end of intervention) follow-up
|
This brief four-item measure assesses adherence to diet and fluid requirements over the previous 14 days.
It includes the following items: 1) On how many days during the last 14 didn't you follow your diet guidelines?
2) To what degree did you deviate from your diet guidelines?
(0-no deviation to 4 - very severe deviation) 3) On how many days during the last 14 didn't you follow your fluid guidelines?
4) To what degree did you deviate from your fluid guidelines?
(0-no deviation to 4 - very severe deviation).
|
4 week (from end of intervention) follow-up
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Interdialytic weight gain
Time Frame: Baseline phase week 1
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participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 1
|
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Interdialytic weight gain
Time Frame: Baseline phase week 2
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 2
|
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Interdialytic weight gain
Time Frame: Baseline phase week 3
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 3
|
|
Interdialytic weight gain
Time Frame: Baseline phase week 4
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 4
|
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Interdialytic weight gain
Time Frame: Baseline phase week 5
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 5
|
|
Interdialytic weight gain
Time Frame: Baseline phase week 6
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 6
|
|
Interdialytic weight gain
Time Frame: Baseline phase week 7 (those randomised to 8 or 10 week follow-up)
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 7 (those randomised to 8 or 10 week follow-up)
|
|
Interdialytic weight gain
Time Frame: Baseline phase week 8 (those randomised to 8 or 10 week follow-up)
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 8 (those randomised to 8 or 10 week follow-up)
|
|
Interdialytic weight gain
Time Frame: Baseline phase week 9 (those randomised to 10 week baselines)
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 9 (those randomised to 10 week baselines)
|
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Interdialytic weight gain
Time Frame: Baseline phase week 10 (those randomised to 10 week baseline)
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
Baseline phase week 10 (those randomised to 10 week baseline)
|
|
Interdialytic weight gain
Time Frame: intervention week 1
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
intervention week 1
|
|
Interdialytic weight gain
Time Frame: intervention week 2
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
intervention week 2
|
|
Interdialytic weight gain
Time Frame: intervention week 3
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
intervention week 3
|
|
Interdialytic weight gain
Time Frame: intervention week 4
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
intervention week 4
|
|
Interdialytic weight gain
Time Frame: four week follow-up
|
participant's interdialytic weight gain between each dialysis session will be obtained from medical records if possible.
|
four week follow-up
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Valuing Questionnaire
Time Frame: baseline week 1
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 1
|
|
Valuing Questionnaire
Time Frame: baseline week 2
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 2
|
|
Valuing Questionnaire
Time Frame: baseline week 3
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 3
|
|
Valuing Questionnaire
Time Frame: baseline week 4
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 4
|
|
Valuing Questionnaire
Time Frame: baseline week 5
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 5
|
|
Valuing Questionnaire
Time Frame: baseline week 6
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 6
|
|
Valuing Questionnaire
Time Frame: baseline week 7 (those randomised to 8 and 10 week baselines only)
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 7 (those randomised to 8 and 10 week baselines only)
|
|
Valuing Questionnaire
Time Frame: baseline week 8 (those randomised to 8 and 10 week baselines only)
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 8 (those randomised to 8 and 10 week baselines only)
|
|
Valuing Questionnaire
Time Frame: baseline week 9 (those randomised to 10 week baselines only)
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 9 (those randomised to 10 week baselines only)
|
|
Valuing Questionnaire
Time Frame: baseline week 10 (those randomised to 10 week baselines only)
|
This 10-item questionnaire assesses wellbeing as it relates to a person's ability to live the kind of life they value.
It is designed for weekly administration.
Items include statements such as "I made progress in the areas of life I care most about" and "my behaviour was a good example of what I stand for in life".
Each item is rated on a scale ranging from 1 (not at all true) to 7 (completely true).
|
baseline week 10 (those randomised to 10 week baselines only)
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ; Kim et al., 2010)
Time Frame: Study intake assessment
|
This self-report measure includes 46 questions assessing adherence to medication, diet, fluid intake restrictions and participation in dialysis sessions.
It has excellent psychometric properties.
|
Study intake assessment
|
|
The Clinical Outcomes Routine Evaluation (CORE) -10 (Barkham et al., 2013)
Time Frame: Baseline week 1
|
This measure assesses severity of clinical symptoms, across 10 items, each rated 0-4.
The measure differentiates clinical samples from non-clinical populations.
It has adequate convergent validity when correlated with other clinical measures, and good internal reliability (Cronbach's alpha > .80)
and sensitivity to change (see Connell & Barkham, 2007).
A change on the CORE-10 of six or more points corresponds to statistically reliable change.
Scores on the measure are interpreted as follows: 0-5 (healthy); 6-10 (low level); 11-15 (mild); 16-20 (moderate); 21-25 (moderately severe); 26 + (severe).
|
Baseline week 1
|
|
The Clinical Outcomes Routine Evaluation (CORE) -10 (Barkham et al., 2013)
Time Frame: intervention week 1
|
This measure assesses severity of clinical symptoms, across 10 items, each rated 0-4.
The measure differentiates clinical samples from non-clinical populations.
It has adequate convergent validity when correlated with other clinical measures, and good internal reliability (Cronbach's alpha > .80)
and sensitivity to change (see Connell & Barkham, 2007).
A change on the CORE-10 of six or more points corresponds to statistically reliable change.
Scores on the measure are interpreted as follows: 0-5 (healthy); 6-10 (low level); 11-15 (mild); 16-20 (moderate); 21-25 (moderately severe); 26 + (severe).
|
intervention week 1
|
|
The Clinical Outcomes Routine Evaluation (CORE) -10 (Barkham et al., 2013)
Time Frame: intervention week 4
|
This measure assesses severity of clinical symptoms, across 10 items, each rated 0-4.
The measure differentiates clinical samples from non-clinical populations.
It has adequate convergent validity when correlated with other clinical measures, and good internal reliability (Cronbach's alpha > .80)
and sensitivity to change (see Connell & Barkham, 2007).
A change on the CORE-10 of six or more points corresponds to statistically reliable change.
Scores on the measure are interpreted as follows: 0-5 (healthy); 6-10 (low level); 11-15 (mild); 16-20 (moderate); 21-25 (moderately severe); 26 + (severe).
|
intervention week 4
|
|
The Clinical Outcomes Routine Evaluation (CORE) -10 (Barkham et al., 2013)
Time Frame: Four week follow-up
|
This measure assesses severity of clinical symptoms, across 10 items, each rated 0-4.
The measure differentiates clinical samples from non-clinical populations.
It has adequate convergent validity when correlated with other clinical measures, and good internal reliability (Cronbach's alpha > .80)
and sensitivity to change (see Connell & Barkham, 2007).
A change on the CORE-10 of six or more points corresponds to statistically reliable change.
Scores on the measure are interpreted as follows: 0-5 (healthy); 6-10 (low level); 11-15 (mild); 16-20 (moderate); 21-25 (moderately severe); 26 + (severe).
|
Four week follow-up
|
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EQ-5D-5L (EuroQuol Group, 2009).
Time Frame: Baseline phase week 1
|
This widely used measure assesses quality of life across five domains: mobility, self-care, usual activities, pain / discomfort, anxiety/depression.
Each domain is rated on a five-level scale: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems.
Additionally, respondents complete a health thermometer rating their current health status on a scale from 0 to 100.
The EQ-5D-5L is a widely used measure for assessing health status with normative data available for UK samples.
|
Baseline phase week 1
|
|
EQ-5D-5L (EuroQuol Group, 2009).
Time Frame: Intervention week 1
|
This widely used measure assesses quality of life across five domains: mobility, self-care, usual activities, pain / discomfort, anxiety/depression.
Each domain is rated on a five-level scale: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems.
Additionally, respondents complete a health thermometer rating their current health status on a scale from 0 to 100.
The EQ-5D-5L is a widely used measure for assessing health status with normative data available for UK samples.
|
Intervention week 1
|
|
EQ-5D-5L (EuroQuol Group, 2009).
Time Frame: Intervention week 4
|
This widely used measure assesses quality of life across five domains: mobility, self-care, usual activities, pain / discomfort, anxiety/depression.
Each domain is rated on a five-level scale: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems.
Additionally, respondents complete a health thermometer rating their current health status on a scale from 0 to 100.
The EQ-5D-5L is a widely used measure for assessing health status with normative data available for UK samples.
|
Intervention week 4
|
|
EQ-5D-5L (EuroQuol Group, 2009).
Time Frame: Four week follow-up
|
This widely used measure assesses quality of life across five domains: mobility, self-care, usual activities, pain / discomfort, anxiety/depression.
Each domain is rated on a five-level scale: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems.
Additionally, respondents complete a health thermometer rating their current health status on a scale from 0 to 100.
The EQ-5D-5L is a widely used measure for assessing health status with normative data available for UK samples.
|
Four week follow-up
|
|
Dialysis Symptoms Index (Weisbord et al., 2004)
Time Frame: Baseline week 1
|
Measure of common physical and psychological symptoms experienced by people on dialysis
|
Baseline week 1
|
|
Dialysis Symptoms Index (Weisbord et al., 2004)
Time Frame: Intervention week 1
|
Measure of common physical and psychological symptoms experienced by people on dialysis
|
Intervention week 1
|
|
Dialysis Symptoms Index (Weisbord et al., 2004)
Time Frame: Intervention week 4
|
Measure of common physical and psychological symptoms experienced by people on dialysis
|
Intervention week 4
|
|
Dialysis Symptoms Index (Weisbord et al., 2004)
Time Frame: Four week follow-up
|
Measure of common physical and psychological symptoms experienced by people on dialysis
|
Four week follow-up
|
|
CompACT (Francis, Dawson & Golijani-Moghaddam, 2016)
Time Frame: Baseline week 1
|
This 23-item questionnaire assesses psychological flexibility.
In addition to a total score, three subscale scores reflecting openness to experience, behavioural awareness and valued action can be derived.
Each item is rated on a scale ranging from 0 (strongly disagree) to 6 (strongly agree).
|
Baseline week 1
|
|
CompACT (Francis, Dawson & Golijani-Moghaddam, 2016)
Time Frame: Intervention week 1
|
This 23-item questionnaire assesses psychological flexibility.
In addition to a total score, three subscale scores reflecting openness to experience, behavioural awareness and valued action can be derived.
Each item is rated on a scale ranging from 0 (strongly disagree) to 6 (strongly agree).
|
Intervention week 1
|
|
CompACT (Francis, Dawson & Golijani-Moghaddam, 2016)
Time Frame: Intervention week 4
|
This 23-item questionnaire assesses psychological flexibility.
In addition to a total score, three subscale scores reflecting openness to experience, behavioural awareness and valued action can be derived.
Each item is rated on a scale ranging from 0 (strongly disagree) to 6 (strongly agree).
|
Intervention week 4
|
|
CompACT (Francis, Dawson & Golijani-Moghaddam, 2016)
Time Frame: Four week follow-up
|
This 23-item questionnaire assesses psychological flexibility.
In addition to a total score, three subscale scores reflecting openness to experience, behavioural awareness and valued action can be derived.
Each item is rated on a scale ranging from 0 (strongly disagree) to 6 (strongly agree).
|
Four week follow-up
|
|
Intervention Credibility/Expectancy Questionnaire (Devilly & Borkovec, 2000)
Time Frame: Intervention week 1
|
measure of participants' views on intervention credibility
|
Intervention week 1
|
|
Intervention Credibility/Expectancy Questionnaire (Devilly & Borkovec, 2000)
Time Frame: Four week follow-up
|
measure of participants' views on intervention credibility
|
Four week follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Catherine H Crane, DPhil, University of Oxford
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PID15290
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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