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Trial registered on ANZCTR
Registration number
ACTRN12620001315909
Ethics application status
Approved
Date submitted
2/11/2020
Date registered
7/12/2020
Date last updated
6/07/2024
Date data sharing statement initially provided
7/12/2020
Date results provided
20/06/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Modifiable physical factors that predict physical functioning for patients receiving peritoneal dialysis.
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Scientific title
Modifiable physical factors that predict physical functioning for patients receiving peritoneal dialysis.
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Secondary ID [1]
302677
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None
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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:
People with end stage kidney disease receiving peritoneal dialysis
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Condition category
Condition code
Renal and Urogenital
317535
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0
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Kidney disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The primary objective is to investigate what modifiable physical factors contribute to physical functioning in patients receiving peritoneal dialysis. This 12 month longitudinal cohort study will assess physical activity levels / sedentary behaviour, muscle strength
and cardiorespiratory fitness as predictors of physical function at three time points (baseline, six months and twelve months) in PD patients.
Each assessment session includes;
- Collection of demographic information (age, height, weight, waist / hip girth, medical history, dialysis history)
- Assessment of physical function via the Short Physical Performance Battery and Short Form 36 Physical Functioning Scale.
- Assessment of maximal isometric muscular strength of bicep strength, quadriceps strength and abdominal strength using a hand-held dynamometer and hand grip strength using a hand-grip dynamometer.
- Assessment of cardiorespiratory fitness via total distance walked during a six-minute walk test
At the conclusion of these assessments, two devices are given to participants to wear from midnight of the following day.
- Assessment of physical activity levels via a GENEActiv Accelerometer that participants wear on their wrist for 7-days
- Assessment of sedentary behaviour levels via a ActivPAL Inclinometer that participants wear on their mid-upper thigh for 7-days
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Intervention code [1]
318961
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Not applicable
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Comparator / control treatment
No comparator or control
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Objective physical function measured via the Short Physical Performance Battery assessing walking speed, standing balance, and sit-to stand performance
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Assessment method [1]
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Timepoint [1]
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Baseline, six-months post-baseline and 12-months post baseline
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Secondary outcome [1]
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Self-reported physical function measured via the Short-Form 36 - Physical Functioning Scale instrument
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Assessment method [1]
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Timepoint [1]
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Baseline, six-months post-baseline and 12-months post baseline
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Eligibility
Key inclusion criteria
1. Over 18 years of age
2. Receiving a form of peritoneal dialysis in South Australia
3. Medical clearance (treating Nephrologist)
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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
1. Unable to give written consent
2. Unable to understand English or adequate translator services available.
3. Acute event that would deem the participant unsafe for participation (to be determined by nephrologist).
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Descriptive statistics will describe the cohort demographics. Pearson correlation tests will be used to examine the associations between predictor variables and physical functioning at baseline, and to determine two additional confounders to be used in the final model (in addition to the duration on dialysis). Individual linear regression models will be used with the SPPB to identify the strongest single predictor within each category of predictors (muscle strength, and sedentary behaviour / physical activity change scores) to include in the final model. Multivariate linear regression with the three final predictor variables (one muscle strength, one activity and cardiorespiratory fitness) and three confounders (time on dialysis and two others) with physical function as the outcome will be conducted. Removal of predictor variables from the model will illustrate the predictive strengths via the level of variance explained. A conservative power calculation suggests 30% power with a sample size of 60 participants based on a three-predictor and three-confounder model with R2 = 0.15, 5% explained variance per predictor. The PD population in South Australia is approximately 106..
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
6/05/2019
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Date of last participant enrolment
Anticipated
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Actual
3/11/2021
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Date of last data collection
Anticipated
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Actual
3/11/2022
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Sample size
Target
60
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Accrual to date
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Final
82
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of South Australia
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Address [1]
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Corner of North Terrace and, Frome Rd,
Adelaide SA 5001
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Country [1]
307117
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Australia
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Primary sponsor type
University
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Name
University of South Australia
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Address
Corner of North Terrace and, Frome Rd,
Adelaide SA 5001
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
307689
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Address [1]
307689
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Country [1]
307689
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Other collaborator category [1]
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Government body
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Name [1]
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Central Northern Adelaide Renal Transplantation Service - Clinical Research Group
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Address [1]
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Royal Adelaide Hospital
Port Rd, Adelaide SA 5000
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Country [1]
281526
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307229
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Central Adelaide Local Health Network Human Research Ethics Committee
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Ethics committee address [1]
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The Queen Elizabeth Hospital Ground Floor, Basil Hetzel Institute 28 Woodville Road WOODVILLE SOUTH SA 5011
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Ethics committee country [1]
307229
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Australia
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Date submitted for ethics approval [1]
307229
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16/08/2018
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Approval date [1]
307229
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29/10/2018
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Ethics approval number [1]
307229
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R20180810
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Summary
Brief summary
The primary objective is to investigate what modifiable physical factors contribute to physical functioning in patients receiving peritoneal dialysis (PD). This 12 month longitudinal cohort study will assess physical activity levels / sedentary behaviour, muscle strength and cardiorespiratory fitness as predictors of physical function at three time points (baseline, six months and twelve months) in PD patients. Physical activity, sedentary behaviour, muscular strength and cardiorespiratory fitness have all been demonstrated as modifiable physical factors that can be positively modified through exercise based interventions. However, to best inform exercise prescription, understanding of the modifiable physical factors that contribute to physical function is required. This research project will be the first to determine the specific modifiable (physical activity and physical impairment) predictors of physical functioning in patients receiving PD. This project could significantly expand knowledge in this field, inform clinical practice and surveillance testing to improve early risk detection, and lead to future PD-specific exercise based interventions targeting physical functioning, improved quality of life and clinical outcomes.
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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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Mr Brett Tarca
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Address
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Att: Brett Tarca (P2-42a)
University of South Australia
Reply Paid 2471
Adelaide, SA 5001
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Country
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Australia
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Phone
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+61 8 8302 2906
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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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Brett Tarca
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Address
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Att: Brett Tarca (P2-42a)
University of South Australia
Reply Paid 2471
Adelaide, SA 5001
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Country
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Australia
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Phone
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+61 8 8302 2906
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Fax
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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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Brett Tarca
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Address
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Att: Brett Tarca (P2-42a)
University of South Australia
Reply Paid 2471
Adelaide, SA 5001
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Country
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Australia
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Phone
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+61 8 8302 2906
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Participants will be provided with an individual report pertaining to their own scores throughout the 12-month study period. However, our ethics protocol stipulates that no individual data (including de-identified data) will be made available.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
9596
Informed consent form
380856-(Uploaded-02-11-2020-12-05-48)-Study-related document.docx
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