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Trial registered on ANZCTR
Registration number
ACTRN12616000038493
Ethics application status
Approved
Date submitted
11/01/2016
Date registered
19/01/2016
Date last updated
4/01/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
A nurse-led self-management program for people with chronic kidney disease (stages 3-5).
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Scientific title
A pragmatic randomised controlled trial to assess knowledge and self-management behaviours in people with chronic kidney disease (stages 3-5) who receive a nurse-led intervention in Vietnam.
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Secondary ID [1]
288233
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic kidney disease
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Condition category
Condition code
Renal and Urogenital
297377
297377
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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
Social cognitive theory has informed the intervention which consists of a one-hour individual face-to-face session (60 minutes duration), a booklet of ‘Looking After My Kidneys and Health’ (adapted and translated in Vietnamese with permission from Kidney Health Australia and American Kidney Foundation), and two follow up phone calls at week 4 and week 12 (20 to 30 minutes duration). Both the face-to-face session (outpatient clinic) and follow-up phone calls are provided by the nurse (principal researcher). The face-to-face session covers information about chronic kidney disease, medications, lifestyle modifications, and self-management skills based on the content of the booklet. It is also used to set individual self-management goals. Participants will also be asked to use the ‘Looking After My Kidneys and Health’ booklet at home to guide their self-management goals. Information is reinforced during the follow-up phone calls. Adherence to the protocol is monitored by a log of successful phone call follow up sessions and return to the clinic for routine renal care.
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Intervention code [1]
293534
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Treatment: Other
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Comparator / control treatment
Standard renal care at the clinic will be given to all of the participants with chronic kidney disease in this study. There is no structured education about chronic kidney disease and neither any written information provided. Medical and nursing staff deliver very brief verbal instructions on taking medications and basic healthcare advice about returning to the outpatient clinic to be reviewed by a medical practitioner.
At the end of the study participants in the control group will receive the CKD booklet from the Principal researcher.
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Control group
Active
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Outcomes
Primary outcome [1]
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The first primary outcome is chronic kidney disease self-management which is measured by the Vietnamese version of the CKD self-management instrument. The instrument has been validated in the study population.
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Assessment method [1]
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Timepoint [1]
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The outcome will be measured at time point 1: baseline
Repeated measurement: - Time point 2: week 8, Time point 3: week 16
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Primary outcome [2]
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The second primary outcome is chronic kidney disease knowledge assessed using the Vietnamese version of the kidney knowledge survey (KiKS). This instrument measures knowledge related to kidney disease management, such as kidney functions, treatment options for kidney failure, signs and symptoms of disease progression, potential medications that harm or benefit the kidney, blood pressure targets, and other information related to preserving kidney function. The instrument has been validated in the study population.
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Assessment method [2]
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Timepoint [2]
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The outcome will be measured at time point 1: baseline
Repeated measurement: - Time point 2: week 8, Time point 3: week 16
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Secondary outcome [1]
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Blood pressure obtained from patient's medical records.
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Assessment method [1]
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Timepoint [1]
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The outcome will be measured at time point 1: baseline
Repeated measurement: - Time point 3: week 16 when the study ended
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Secondary outcome [2]
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Self-efficacy assessed using the chronic disease self-efficacy 6-item scale (SES)
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Assessment method [2]
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Timepoint [2]
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The outcome will be measured at time point 1: baseline
Repeated measurement: - Time point 2: week 8, Time point 3: week 16 when the study ended
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Secondary outcome [3]
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Health related quality of life assessed by the Vietnamese language version of the SF-36v2.
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Assessment method [3]
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Timepoint [3]
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The outcome will be measured at time point 1: baseline
Repeated measurement: - Time point 3: week 16 when the study ended
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Eligibility
Key inclusion criteria
- People diagnosed with CKD stages 3-5 and not expected to start dialysis during the study
- Contactable via telephone
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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
- Cannot communicate in Vietnamese
- People who are undertaking peritoneal dialysis or haemodialysis
- Significant cognitive impairment
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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)
A computer generated allocation system
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block randomisation and opaque envelopes.
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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
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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
The sample size was calculated by using the G*Power 3.1 sample size calculation program with an effect size of 0.5 for Wilcoxon-Mann-Whitney test (two groups), a = 0.05, power of 80%, and allocation ratio N2/N1 is 1. The sample size is 134 participants (67 participants per group). However, allowing for an attrition rate of 20% (14 participants added per group), the sample has been increased to 162 participants in total (81 participants in the control group and 81 participants in the intervention group).
Data will be entered into and analysed using SPSS. The statistical analysis will involve independent t-test, paired t-test, Wilcoxon signed rank test, and two-way mixed analysis of variance (ANOVA).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
2/11/2015
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Date of last participant enrolment
Anticipated
31/01/2016
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Actual
5/02/2016
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Date of last data collection
Anticipated
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Actual
3/06/2016
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Sample size
Target
162
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Accrual to date
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Final
135
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Recruitment outside Australia
Country [1]
7497
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Viet Nam
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State/province [1]
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Hanoi
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Funding & Sponsors
Funding source category [1]
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Other Collaborative groups
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Name [1]
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Australia Awards Scholarship
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Address [1]
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Department of Foreign Affairs and Trade
Queensland State Office
Level 6, 150 Charlotte Street, Brisbane QLD 4000 Australia.
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Country [1]
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Australia
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Funding source category [2]
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University
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Name [2]
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Queensland University of Technology
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Address [2]
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School of Nursing
Queensland University of Technology
Level 4, 88 Musk Ave, Kelvin Grove
Qld 4059 Australia
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Nguyen Thi Nguyet
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Address
School of Nursing, Queensland University of Technology
N Block, Room 501
Victoria Park Rd
Kelvin Grove QLD 4059
Australia
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Country
Viet Nam
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
291410
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Queensland University of Technology University Human Research Ethics Committee (EC00171)
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Ethics committee address [1]
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Office of Research Ethics & Integrity Level 4, 88 Musk Avenue, Kelvin Grove 4059.QLD
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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22/07/2015
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Approval date [1]
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29/10/2015
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Ethics approval number [1]
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UHREC1500000678
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Summary
Brief summary
The aim of this study is to evaluate the effectiveness of a nurse-led intervention in changing the self-management behaviour of people with CKD in Vietnam. The expected study outcomes are improved chronic kidney disease self-management and chronic kidney disease specific knowledge, increased chronic disease self-efficacy levels, better blood pressure control and improved health related quality of life.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
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/AnzctrAttachments/369848-ethics approval forms 29102015.pdf
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Attachments [2]
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/AnzctrAttachments/369848-ETH_Info-Consent_20151028.pdf
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Attachments [3]
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/AnzctrAttachments/369848-Research Flow Chart 2015.pdf
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Attachments [4]
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/AnzctrAttachments/369848-Ethics variation approved 1500000678.pdf
(Ethics approval)
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Contacts
Principal investigator
Name
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Ms Nguyen Thi Nguyet
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Address
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School of Nursing, Queensland University of Technology
N Block, Room 501
Victoria Park Rd
Kelvin Grove QLD 4059
Australia
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Country
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Australia
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Phone
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+61731380280
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Fax
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+617 3138 3814
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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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Nguyen Thi Nguyet
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Address
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School of Nursing, Queensland University of Technology
N Block, Room 501
Victoria Park Rd
Kelvin Grove QLD 4059
Australia
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Country
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Australia
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Phone
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+61731380280
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Fax
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+617 3138 3814
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Email
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[email protected]
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Contact person for scientific queries
Name
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Nguyen Thi Nguyet
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Address
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School of Nursing, Queensland University of Technology
N Block, Room 501
Victoria Park Rd
Kelvin Grove QLD 4059
Australia
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Country
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Australia
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Phone
62452
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+61731380280
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Fax
62452
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+617 3138 3814
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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.
Download to PDF