A quality improvement collaborative to scale up shared haemodialysis care for patients on centre based haemodialysis

A quality improvement collaborative to scale up Shared Haemodialysis Care for patients on centre based haemodialysis

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN93999549

Enrollment

586

Registered

2017-05-02

Start date

2016-10-01

Completion date

Unknown

Last updated

2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Specialty: Renal disorders, Primary sub-specialty: Renal disorders

Interventions

In this cohort study approximately 600 dialysis patients are recruited from 12 dialysis centres. Once consent has been taken patients will be given questionaires to complete that include demographics,

a measure of patient activation, quality of life, renal symptom score, metacognition, confidence with self-needling and health literacy (6 monthly). In addition there is a 6 monthly health economic sh

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Established on centre based haemodialysis 2. Capacity to give written informed consent to participate in the study 3. Aged 18 years and over

Exclusion criteria

Exclusion criteria: 1. People who are too unwell to engage in the study, as judged by the clinical team 2. People unable to understand written and verbal communication in English 3. Unable to give informed consent

Design outcomes

Primary

Measure	Time frame
Whether or not HD patients can learn and complete 5 or more out of 14 tasks, is collected on paper forms for the 12 participating renal units over three, six-month duration, time periods or steps (Step 1 (baseline): 0 to 6 months, Step 2: 6 to 12 months; Step 3: 12 to 18 months.	—

Secondary

Measure	Time frame
1. Number and proportion of HD patients who have Home HD or dialyse in centre independently will be measured by an event driven status change form that will identify when patients commence home haemodialysis and using information from the 3 monthly completed task summary sheets to determine whether patients are dialysing independently at dialysis centres 2. Economic evaluation will take an NHS and social care perspective and will compare Shared Haemodialysis Care with usual care in a cost-utility analysis using a cost-per quality adjusted life years (QALYs) approach at endline 3. Health related quality of life is assessed using the EQ-5D-5L at baseline, six and 12 months 4. Costs of the intervention will be collected throughout the study and will include set-up and running costs such as training, room hire, refreshments, materials, staff time, web site and staff	—

Measure

Time frame

1. Number and proportion of HD patients who have Home HD or dialyse in centre independently will be measured by an event driven status change form that will identify when patients commence home haemodialysis and using information from the 3 monthly completed task summary sheets to determine whether patients are dialysing independently at dialysis centres 2. Economic evaluation will take an NHS and social care perspective and will compare Shared Haemodialysis Care with usual care in a cost-utility analysis using a cost-per quality adjusted life years (QALYs) approach at endline 3. Health related quality of life is assessed using the EQ-5D-5L at baseline, six and 12 months 4. Costs of the intervention will be collected throughout the study and will include set-up and running costs such as training, room hire, refreshments, materials, staff time, web site and staff

—

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026