None listed
Conditions
Brief summary
Opportunistic screening for chronic kidney disease in the primary care health setting plays an integral role in early detection and subsequent management. However, there are significant deficits in current screening practices despite early identification being a national kidney health priority. Consequently, there is a need to identify strategies to improve screening practices. One potential way is through the education of practice nurses. However equitable access to professional development opportunities, particularly for nurses from rural and remote communities, can be challenging. E-learning provides a potential solution to this challenge. This study will use a single blinded randomised controlled trial to evaluate the effectiveness of an asynchronous e-learning module on learner satisfaction, knowledge acquisition and changes in behavioural intentions related to the primary health care nurses intentions to perform a kidney health check. The primary hypothesis of the study is that participants randomised to an asynchronous e-learning group will have an increase in behavioural intention of at least 0.3 standard deviation within one week follow-up, measured using the theory of planned behaviour, compared with participants randomised to an active control group. Behaviour intention will be evaluated using a an instrument constructed with reference to the Theory of Planned Behaviour and will be the major focus of this study.
Interventions
This study will use a single blinded pre-post interventional randomised controlled trial design to evaluate the effectiveness of an asynchronous internet based e-learning module on Australian primary health care nurses’ knowledge and behavioural intentions in relation to opportunistic screening practices in people at risk of Chronic Kidney Disease (CKD). Participants will be randomised to either an active control (e-learning module focused on CKD screening knowledge only) or intervention arm (in
This study will use a single blinded pre-post interventional randomised controlled trial design to evaluate the effectiveness of an asynchronous internet based e-learning module on Australian primary health care nurses’ knowledge and behavioural intentions in relation to opportunistic screening practices in people at risk of Chronic Kidney Disease (CKD). Participants will be randomised to either an active control (e-learning module focused on CKD screening knowledge only) or intervention arm (interactive e-learning module focused on barriers to opportunistic CKD screening and information related to potential solutions. 9 challenges related to CKD risk identification and screening were identified in a previous study that informed the intervention. Practical solutions to these challenges were developed and delivered by a team of primary health care nurses using a variety of multimedia and other resources in the intervention. The participant identifies which challenges are relevant to them and follows a pathway that presents potential solutions that are specific to their needs). Given that the intervention is an online asynchronous e-learning program it can be completed by participants at any time or any place that is convenient to them as long as they have access to the internet. The intervention was designed in collaboration with primary health care nurses and peer reviewed by nurse educators, nurse practitioners, academics and other key stakeholders in kidney health in Australia. Participants undertaking the active control are expected to complete the module in 60 minutes. Participants undertaking the intervention are expected to complete the intervention within 90 - 150 minutes depending on their level of knowledge on CKD screening (determined by an online survey (i.e. knowledge quiz) prior to starting intervention module. Intervention adherence or fidelity will not be directly assessed as part of this study due to the independent and interactive nature of the intervention which is pragmatic and allows participants to identify challenges that are exclusive and tailored to their personal needs. Participants will not be able complete post intervention surveys unless they have completed the entire e-learning module assigned to them.
Sponsors
University of Newcastle
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participants will be eligible for the study if they are currently working as a nursing aligned health care professional (i.e. practice nurse) in a primary health care in Australia
Exclusion criteria
Anyone who is not currently working as a nursing aligned health care professional (i.e. practice nurse) in a primary health care in Australia
Outcome results
None listed