- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04360408
The Energy Conservation Education Intervention
The Energy Conservation Education Intervention For People With End-stage Kidney Disease Receiving Haemodialysis (EVEREST)
Fatigue is the most common symptom reported by 70 - 85 % of people with end-stage kidney disease (ESKD) receiving haemodialysis (HD). Educational interventions involving energy conservation strategies are helpful in reducing fatigue. However, the effectiveness of energy conservation has not been previously studied in people with ESKD receiving HD. This study aims to develop and evaluate the effectiveness of energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST) in Nepal.
Symptom Management Theory (SMT) will guide this study. A pragmatic cluster randomised controlled trial (pCRT) will be conducted in one dialysis centre in Nepal. People on HD who meet the eligibility criteria will be invited to participate. The primary outcome is fatigue severity and the secondary outcome are other renal symptoms, occupational performance and health-related quality of life. Intention to treat analysis will occur and will include a change in the primary and secondary outcome. The study will provide evidence about the feasibility and effectiveness of EVEREST for symptom management.
Study Overview
Status
Conditions
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Participants diagnosed with ESKD and undergoing haemodialysis for ≥ 3 months, aged 18 years and above, able to speak and understand Nepali language and willing to participate will be included in this study.
Exclusion Criteria:
Participants who are in the early stage of CKD or not dependent on HD, those acutely ill, diagnosed with cognitive impairment and those who are not willing to participate will be excluded.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Participant of the cluster randomised to the intervention group will receive both the usual care from their healthcare providers and EVEREST delivered by the researcher who is a nurse.
|
The total program consisting of three educational sessions (at Week -1, week -3 and week -5) and one booster session (week -10) over a period of 12 weeks.
Participants will receive individual, face to face education during their regular HD session.
Education will be provided over 30-45 minutes for the first session, 30 minutes in the next two sessions and 30-45 minutes for the booster session.
The lead researcher, who is a nurse, will deliver the entire intervention to avoid information bias.
The simple language will be used, and emphasis will be given on the objectives of each session.
|
No Intervention: Control
Participants of the cluster randomised to the control group will receive usual care (standard care with no formalised, structured or tailored interventional to reduce symptom/s) from their healthcare providers
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Fatigue Symptom Inventory (FSI)
Time Frame: Baseline and week 4
|
Fatigue Symptom Inventory (FSI) will be used to assess the severity, frequency, interference associated with fatigue and daily pattern of fatigue.
The scale consists of 14 items rated on the 11-point items.
|
Baseline and week 4
|
Changes in Fatigue Symptom Inventory (FSI)
Time Frame: Baseline and week 8
|
The scale consists of 14 items rated on the 11-point items.
|
Baseline and week 8
|
Changes in Fatigue Symptom Inventory (FSI)
Time Frame: Baseline and week 12
|
The scale consists of 14 items rated on the 11-point items.
|
Baseline and week 12
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Other renal symptoms
Time Frame: Baseline and Week 12
|
Other renal symptoms will be measured using the renal version of the IPOS (IPOS-Renal).
It is a short 11-item measure, combining the most common symptoms experienced by renal patients and additional items from IPOS on concerns beyond symptoms, such as information needs, practice issues, family anxiety during the past three days.
Ten questions, including 23 subitems, covers physical and psychological symptoms, carer anxiety and practical issues with optional items for any other concern.
Each item is scored using a five-point Likert scale for severity and total score reflect symptom burden.
|
Baseline and Week 12
|
Occupational Performance
Time Frame: Baseline and week 12
|
The Canadian Occupational Performance Measure (COPM) is a valid and reliable instrument that measures the occupational performance.
The COPM is designed to identify changes in the individual's personal perceptions of occupational performance over a period of time.
Individual rates their performance within the area of self-care, productivity and leisure and satisfaction with their performance.
Both scales range from 1-10, with higher values indicating better performance and greater satisfaction.
|
Baseline and week 12
|
Health-related quality of life (HRQoL)
Time Frame: Baseline and Week 12
|
Health-related quality of life will be measured using the SF-36 which is the 36-items self-administered survey of a patient's health.
There are two distinct concepts measured by the SF-36 represented by the physical component summary (PCS) and mental component summary (MCS).
For each sub-scale, items are scored using a Likert scale, summed and transformed on to a scale from 0 (worst health) to 100 (best health)
|
Baseline and Week 12
|
Collaborators and Investigators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SSharma
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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