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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03816111
Registration number
NCT03816111
Ethics application status
Date submitted
12/12/2018
Date registered
25/01/2019
Titles & IDs
Public title
Targeted Education ApproaCH to Improve Peritoneal Dialysis Outcomes Trial
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Scientific title
A Pragmatic, Registry-based, International, Cluster-randomized Controlled Trial Examining the Use of TEACH-PD Training Modules for Incident PD Patients Versus Existing Practices on the Rate of PD-related Infections
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Secondary ID [1]
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AKTN 17.03
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Universal Trial Number (UTN)
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Trial acronym
TEACH-PD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Kidney Disease, Chronic
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Peritoneal Dialysis Catheter-Associated Peritonitis
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Peritoneal Dialysis Catheter Exit Site Infection
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Peritoneal Dialysis Catheter Tunnel Infection
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Condition category
Condition code
Infection
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Studies of infection and infectious agents
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Infection
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Other infectious diseases
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Infection
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Sexually transmitted infections
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Renal and Urogenital
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Kidney disease
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Renal and Urogenital
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - TEACH-PD Training Curriculum
BEHAVIORAL - Current standard PD training
Experimental: TEACH-PD Training Curriculum - All patients at sites randomized to this arm will receive the TEACH-PD Training Curriculum
Active comparator: Current Standard PD Training - All patients at sites randomized to this arm will receive the unit's current PD training materials and plan
BEHAVIORAL: TEACH-PD Training Curriculum
The TEACH-PD training modules have been developed by a core group of renal nurses from the HOME Network in conjunction with senior medical clinicians from the Australasian Kidney Trials Network, eLearning curriculum developers, consumer representatives, and education experts, in line with the International Society for Peritoneal Dialysis guidelines, utilizing modern adult learning principles and best practice eLearning techniques.
BEHAVIORAL: Current standard PD training
Current PD training materials and plan
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to the first occurrence of any PD-related infection
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Assessment method [1]
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Time to the first occurrence of any PD-related infection including exit site infection, tunnel infection or peritonitis
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Timepoint [1]
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From the PD start date until first PD-related infection, assessed up to 4 years
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Secondary outcome [1]
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Time to first exit site infection
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Assessment method [1]
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Time to first exit site infection
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Timepoint [1]
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From the PD start date until first exit site infection, assessed up to 4 years
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Secondary outcome [2]
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Time to first tunnel infection
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Assessment method [2]
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Time to first tunnel infection
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Timepoint [2]
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From the PD start date until first tunnel infection, assessed up to 4 years
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Secondary outcome [3]
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Time to first episode of peritonitis
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Assessment method [3]
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Time to first episode of peritonitis
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Timepoint [3]
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From the PD start date until first peritonitis episode, assessed up to 4 years
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Secondary outcome [4]
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Time to infection-associated catheter removal
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Assessment method [4]
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Time to infection-associated catheter removal
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Timepoint [4]
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From the PD start date until first infection-associated catheter removal, assessed up to 4 years
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Secondary outcome [5]
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Incidence of technique failure - 30 days
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Assessment method [5]
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Incidence of technique failure defined as transfer to haemodialysis for greater than 30-days and/or death within this time
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Timepoint [5]
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Assessed at 30 days after transfer to HD or if death occurs within this period
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Secondary outcome [6]
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Incidence of technique failure - 180 days
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Assessment method [6]
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Incidence of technique failure defined as transfer to haemodialysis for greater than 180-days and/or death within this time
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Timepoint [6]
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Assessed at 180 days after transfer to HD or if death occurs within this period
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Secondary outcome [7]
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Incidence of all-cause hospitalization
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Assessment method [7]
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Incidence of all-cause hospitalization collected via health department hospitalization data linkage
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Timepoint [7]
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Assessed from the PD start date, over up to 4 years
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Secondary outcome [8]
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Incidence of all-cause mortality
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Assessment method [8]
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Incidence of all-cause mortality
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Timepoint [8]
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Assessed from the PD start date, over up to 4 years
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Secondary outcome [9]
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Participant Quality of Life questionnaire
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Assessment method [9]
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Participant-reported Quality of Life measured using EQ-5D-5L (EuroQol-5 dimensions questionnaire). EQ-5D-5L measures quality of life using 2 methods - a descriptive scale and a Visual Analogue Scale. The descriptive scale comprises 5 dimensions (mobility, self care, usual activities, pain/discomfort, anxiety/ depression). Each dimension has 5 measurement levels: no problems (1), slight problems (2), moderate problems (3), severe problems (4), and extreme problems (5). Numbers associated with levels can be used to report an index score.
The VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).
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Timepoint [9]
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Completed at baseline, 6, 12, 18 and 24 months
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Secondary outcome [10]
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Health-care cost-effectiveness analysis
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Assessment method [10]
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Difference in the incremental cost per Quality Adjusted Life Years gained between treatment arms
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Timepoint [10]
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Assessed from the PD start date, over up to 4 years
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Eligibility
Key inclusion criteria
* Patients new to PD;
* Patients > 18 years of age,
* Need to undergo PD training;
* Are able to provide informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/07/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/04/2025
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Actual
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Sample size
Target
1500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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Canberra Hospital - Canberra
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Recruitment hospital [2]
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St Vincent's Hospital Sydney - Darlinghurst
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Recruitment hospital [3]
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Gosford Hospital - Gosford
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Recruitment hospital [4]
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Lismore Hospital - Lismore
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Recruitment hospital [5]
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Orange Hospital - Orange
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Recruitment hospital [6]
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [7]
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Liverpool Hospital - Sydney
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Recruitment hospital [8]
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Nepean/Blacktown Hospital - Sydney
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Recruitment hospital [9]
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Prince of Wales Hospital - Sydney
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Recruitment hospital [10]
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Royal Prince Alfred/Concord Hospital - Sydney
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Recruitment hospital [11]
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St George Hospital - Sydney
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Recruitment hospital [12]
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Tamworth Hospital - Tamworth
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Recruitment hospital [13]
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The Tweed Hospital - Tweed Heads
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Recruitment hospital [14]
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Royal Darwin Hospital - Darwin
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Recruitment hospital [15]
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Princess Alexandra Hospital - Brisbane
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Recruitment hospital [16]
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Cairns Hospital - Cairns
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Recruitment hospital [17]
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Royal Brisbane and Women's Hospital - Herston
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Recruitment hospital [18]
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Mackay Base Hospital - Mackay
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Recruitment hospital [19]
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Logan Hospital - Meadowbrook
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Recruitment hospital [20]
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Sunshine Coast University Hospital - Nambour
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Recruitment hospital [21]
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Gold Coast University Hospital - Southport
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Recruitment hospital [22]
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Toowoomba Hospital - Toowoomba
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Recruitment hospital [23]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [24]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [25]
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Launceston General Hospital - Launceston
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Recruitment hospital [26]
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Monash Health - Dandenong
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Recruitment hospital [27]
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St Vincent's Hospital Melbourne - Fitzroy
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Recruitment hospital [28]
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Barwon Health - Geelong
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Recruitment hospital [29]
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Austin Health - Heidelberg
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Recruitment hospital [30]
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Royal Melbourne Hospital - Melbourne
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Recruitment hospital [31]
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Fiona Stanley Hospital - Murdoch
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Recruitment hospital [32]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment hospital [33]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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- Canberra
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Recruitment postcode(s) [2]
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2010 - Darlinghurst
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Recruitment postcode(s) [3]
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- Gosford
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Recruitment postcode(s) [4]
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- Lismore
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Recruitment postcode(s) [5]
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- Orange
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Recruitment postcode(s) [6]
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- St Leonards
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Recruitment postcode(s) [7]
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- Sydney
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Recruitment postcode(s) [8]
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- Tamworth
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Recruitment postcode(s) [9]
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2485 - Tweed Heads
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Recruitment postcode(s) [10]
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0810 - Darwin
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Recruitment postcode(s) [11]
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- Brisbane
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Recruitment postcode(s) [12]
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- Cairns
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Recruitment postcode(s) [13]
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4029 - Herston
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Recruitment postcode(s) [14]
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4740 - Mackay
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Recruitment postcode(s) [15]
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- Meadowbrook
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Recruitment postcode(s) [16]
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- Nambour
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Recruitment postcode(s) [17]
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- Southport
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Recruitment postcode(s) [18]
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- Toowoomba
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Recruitment postcode(s) [19]
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- Adelaide
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Recruitment postcode(s) [20]
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7000 - Hobart
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Recruitment postcode(s) [21]
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7250 - Launceston
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Recruitment postcode(s) [22]
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- Dandenong
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Recruitment postcode(s) [23]
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3065 - Fitzroy
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Recruitment postcode(s) [24]
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3220 - Geelong
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Recruitment postcode(s) [25]
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- Heidelberg
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Recruitment postcode(s) [26]
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- Melbourne
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Recruitment postcode(s) [27]
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6150 - Murdoch
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Recruitment postcode(s) [28]
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6009 - Nedlands
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Recruitment postcode(s) [29]
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6000 - Perth
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Country [2]
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New Zealand
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State/province [2]
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Blenheim
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Country [3]
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New Zealand
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State/province [3]
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Christchurch
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Country [4]
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New Zealand
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State/province [4]
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Dunedin
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Country [5]
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New Zealand
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State/province [5]
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Gisborne
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Country [6]
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New Zealand
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State/province [6]
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Hamilton
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Country [7]
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New Zealand
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State/province [7]
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Hastings
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Country [8]
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New Zealand
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State/province [8]
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Nelson
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Country [9]
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New Zealand
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State/province [9]
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New Plymouth
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Country [10]
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New Zealand
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State/province [10]
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Palmerston North
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Country [11]
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New Zealand
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State/province [11]
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Wellington
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Country [12]
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New Zealand
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State/province [12]
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Whangarei
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Funding & Sponsors
Primary sponsor type
Other
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Name
The University of Queensland
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The HOME Network
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Australia and New Zealand Dialysis and Transplant Registry
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Address [2]
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Country [2]
0
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Other collaborator category [3]
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Other
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Name [3]
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New Zealand Peritoneal Dialysis Registry
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Address [3]
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Country [3]
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Ethics approval
Ethics application status
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Summary
Brief summary
For many patients peritoneal dialysis (PD) is the preferred form of dialysis to treat kidney disease as it provides greater flexibility and the ability to dialyse at home. However, PD use in Australia has been decreasing over the last 10 years. A big reason for this drop is the risk of infection. The best way to prevent PD related infections is to make sure that patients have good training in PD techniques. The researchers of this study have developed TEACH-PD, a new education package for training both PD nurses and PD patients. The aim of this study is to find out whether TEACH-PD training reduces the number of PD related infections.
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Trial website
https://clinicaltrials.gov/study/NCT03816111
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Neil C Boudville, Prof
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Address
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University of Western Australia & Sir Charles Gairdner Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Individual participant data that underlie the results reported in the primary publication, after deidentification (text, tables, figures and appendices) will be available for individual participant data meta-analysis.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
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When will data be available (start and end dates)?
Beginning 2 years and ending 5 years following main publication. Proposals may be submitted up to 5 years following article publication. After 5 years, the data will be available in the investigator's University's data warehouse but without investigator support other than deposited metadata.
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Available to whom?
An independent review board will assess proposals based on the following criteria: sound science, benefit-risk balancing and research team expertise.
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03816111