Psychosocial Reasons for Transfer to In Center Hemodialysis in Home Dialysis Patients- A Focus Group Study

Patients who start home dialysis take on an added responsibility and that can be challenging. The investigators are interested in studying the patient and care partner perspective on the challenges that the participants faced on home dialysis and what interventions could help support them better by holding focus group discussions.

Study Overview

• Status: Completed
• Conditions: ESRD
• Intervention / Treatment: Other: None. This is a qualitative interview study.

Detailed Description

Home dialysis has many advantages compared to in-center hemodialysis (ICHD) including better quality of life and lower healthcare costs. Transfer from home dialysis to ICHD is disruptive to the patients' lives and in some cases may be preventible. Patients do not infrequently transfer to ICHD due to psychosocial reasons, which may be multi-factorial and hard to capture.

The aim of this study is to explore patients' and care partners' perspectives and experiences of the psychosocial factors that make home dialysis challenging and that ultimately contribute to transfer to ICHD during focus group discussions. The investigators will ask them to describe issues that may compound patient and care partner burnout; for those who have already transferred to hemodialysis, the investigators will specifically ask what factors contributed to their transfer off of home dialysis. the investigators will also ask for feedback on what interventions may have helped to prevent the transfer and/or burnout.

• Understanding patient's perspectives and experiences will help the investigators improve patient experience and identify the gaps in health care delivery.
• Help plan interventions and scale-out a solution to identify patients experiencing challenges that put them at risk of transfer to ICHD.
• Lay the groundwork to develop surveys that can be used in the future.
• To enable a truly patient-centered care model, understanding the issues in more detail is critical.

• Study Type: Observational
• Enrollment (Actual): 35

Contacts and Locations

Study Locations

• United States
  • California
    • San Jose, California, United States, 95128
      • Satellite Healthcare Inc

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

ESRD patients at Satellite health care who transferred to ICHD from home dialysis in the last year and home dialysis patients who are identified as high risk for transfer to ICHD by the clinical team.

Description

Inclusion Criteria:

• Patients currently on home dialysis (maintenance peritoneal dialysis or home hemodialysis), preferably identified as high risk of transfer to in center HD at Satellite healthcare by the clinical team, OR their care partner
• Patients who transferred from home dialysis to ICHD in the last 12 (preferably 6) months, preferably those who had transferred mostly because of psychosocial reasons such as nonconducive living conditions, patient preference, the burden of treatment, loss of care partner, etc, OR their care partner.
• Age >=20 years

Exclusion Criteria:

• Lack of decision-making capacity
• Non English-speaking

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patients and care partner experience on home dialysis	During the focus group discussion, the participants will be asked to account their experience on home dialysis and the challenges that they faced while on the modality. Since it is a qualitative study the responses will be grouped to identify any common themes.	At the time of focus group discussion

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
patient and care partner perspective on possible interventions	During the focus group discussion the participants will be asked if there were any interventions that were offered or if there are any interventions that would have helped support them better on home dialysis. Since it is a qualitative study the responses will be grouped to identify any common themes.	At the time of the focus group discussion
comparison between groups	Different themes between the participant responses will be compared after a thematic analysis.	At the time of focus group

Collaborators and Investigators

• Sponsor: Satellite Healthcare
• Investigators: Principal Investigator: Wael F Hussein, MBBS, Satelite Health care

Study record dates

Study Major Dates

• Study Start (Actual): August 10, 2021
• Primary Completion (Actual): January 31, 2022
• Study Completion (Actual): July 25, 2022

Study Registration Dates

• First Submitted: August 13, 2021
• First Submitted That Met QC Criteria: August 19, 2021
• First Posted (Actual): August 26, 2021

Study Record Updates

• Last Update Posted (Actual): July 26, 2022
• Last Update Submitted That Met QC Criteria: July 25, 2022
• Last Verified: July 1, 2022

More Information

Terms related to this study

• Keywords: home hemodialysis; Peritoneal dialysis; patient perspective; home dialysis
• Other Study ID Numbers: SIH128_Transfer to ICHD

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: No individual person data will be available to anyone other than Satellite Healthcare Research employees.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No