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Trial registered on ANZCTR
Registration number
ACTRN12615000014550
Ethics application status
Approved
Date submitted
10/03/2014
Date registered
12/01/2015
Date last updated
12/01/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Motivational interviewing for people undergoing home dialysis to improve treatment adherence: A randomised controlled trial.
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Scientific title
Motivational interviewing conducted by nurses for people undergoing home dialysis to improve treatment adherence: A randomised controlled trial.
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Secondary ID [1]
283559
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nil known
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Universal Trial Number (UTN)
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Trial acronym
MIA Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patients with End Stage Kidney Disease (ESKD) on automated peritoneal dialysis and/or haemodialysis
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Condition category
Condition code
Renal and Urogenital
290857
290857
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Intervention Group
Group 1, Motivational Interviewing intervention: Following completion of the questionnaire (10 minutes) and random allocation, each participant in Group 1 will receive information relating to their treatment from the registered nurse will conduct a once off 30 minutes interview, with Motivational Interviewing strategies using the 5As model. This model is designed to formally involve you in decision making about the education and information you receive for your care. Any other routine or usual care from the regular medical and nursing clinicians from the Home Independent Dialysis treatment service HIDTS will also be provided."
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Intervention code [1]
288253
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Behaviour
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Comparator / control treatment
Group 2, the Control Group (Routine or Usual care): Following completion of the questionnaire and random allocation, each participant in Group 2 will receive an assessment along with written and verbal information using the usual education processes by the registered nurses from the HIDTS service. Any other routine or usual care from the regular medical and nursing clinicians from the HIDTS will also be provided.
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Control group
Active
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Outcomes
Primary outcome [1]
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Self-management of dialysis sessions (a composite outcome)as prescribed over 12 weeks as measured by the validated instrument, Strategies Used by People to Promote Health (SUPPH), Objective measurements including pathology results and treatment times for patients with ESKD.
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Assessment method [1]
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Timepoint [1]
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Baseline, 6 weeks and 12 weeks
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Secondary outcome [1]
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Diet and fluid adherence measured by the Morisky scale for Adherence for patients with ESKD.
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Assessment method [1]
311922
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Timepoint [1]
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Baseline, Week 6 and Week 12
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Eligibility
Key inclusion criteria
Participants undergoing automated peritoneal dialysis, haemodialysis and ESKD patients who attend and or receive renal services from nurses of the Home Independent and Dialysis Treatment Services (HIDTS).
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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
<18 years of age
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Study design
Purpose of the study
Educational / counselling / training
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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)
About 72 participants are expected to participate in this study and the duration of participation is expected to be 12 weeks. Once consent has been obtained, the Renal Nurses will ring the off site randomiser. Participants will either be in the control group or the intervention. They will be randomly allocated into one of the two (2) groups:Group 1 (Motivational Interviewing Intervention) and Group 2 (Routine or Usual Care). Particpants and those providing the treatment will be blinded to the randomisation process. Participants will be blinded to the Intervention as they are unaware as to whom has been trained in the counselling intervention. The researcher is blinded to the data collection and input.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software will randomly allocate the participants.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Sample Size: To see a minimum clinical difference of 15 points on the primary outcome measure the SUPPH (self-efficacy scale) with a standard deviation of 10, using a 5% level of significance and 80% power, 36 patients per group was required. That is 36 in the intervention and 36 in the control groups.
Data Analysis: All statistical data will be analysed using SPSS. Categorical data will be expressed as frequencies and percentages. Fisher’s exact test and logistic regression will be used to compare differences between groups. Continuous data will be expressed as the difference between 12 weeks and baseline, and will be described by means and standard deviations. ANOVA and t-tests will be used to analyse the relationships between two or more groups.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/10/2013
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Actual
31/10/2013
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Date of last participant enrolment
Anticipated
1/04/2014
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Actual
3/03/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
72
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Royal Brisbane & Womens Hospital - Herston
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Recruitment postcode(s) [1]
9039
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4029 - Royal Brisbane Hospital
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Funding & Sponsors
Funding source category [1]
288328
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Charities/Societies/Foundations
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Name [1]
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Royal Brisbane and Women's Hospital Foundation
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Address [1]
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Butterfield St
Herston QLD 4029
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Country [1]
288328
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Australia
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Primary sponsor type
Individual
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Name
Carol Reid
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Address
School of Nursing
Queensland University of Technology
Victoria Park Rd, Kelvin grove, 4171
Brisbane, QLD
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Country
Australia
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Secondary sponsor category [1]
288893
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None
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Name [1]
288893
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Address [1]
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Country [1]
288893
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Psycho-educational support is recommended as essential for patients undertaking self-management of their dialysis treatment An intervention such as motivational interviewing (MI), the use of the 5 As model and information giving from nurses may promote behavioural change to enhance adherence to prescribed treatments and to reduce risk factors associated with severe life threatening medical complications. This randomized controlled trial will examine the effectiveness of this intervention for people with ESKD and who live at home, undergoing either automated peritoneal dialysis or haemodialysis. This intervention may improve adherence to dialysis session times; fluid and dietary intake, diet and taking prescribed medications.
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Trial website
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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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Dr Carol Reid
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Address
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Queensland University of Technology
Victoria Park Rd
Kelvin Grove QLD 4059
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Country
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Australia
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Phone
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61 7 31389607
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Carol Reid
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Address
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Queensland University of Technology
Victoria Park Rd
Kelvin Grove QLD 4059
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Country
44183
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Australia
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Phone
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61 7 31389607
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Fax
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Email
44183
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[email protected]
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Contact person for scientific queries
Name
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Carol Reid
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Address
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Queensland University of Technology
Victoria Park Rd
Kelvin Grove, 4029
Queensland
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Country
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Australia
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Phone
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61 7 31389607
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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