Hemodialysis
Conditions
Brief summary
To evaluate a web application tool that hemodialysis patients can use outside of dialysis time to log and prioritize their concerns for the nephrologists. Specifically, the investigators will compare the usability of a web application tool to a structured paper form. The investigators will also use data from semi-structured interviews to better understand the experience and acceptability of the web app among patient participants randomized to the web application and among participating nephrologists. Primary outcome -Usability (effectiveness, efficiency, satisfaction) Secondary outcomes -Quality of the patient-physician interaction (Communication Assessment Tool (CAT-14))
Detailed description
Usability is defined as Effectiveness (\>70%) * Number of people submitting a concern/ number of people with opportunity to submit a concern * Number of concerns entered/number of times concern was satisfactorily addressed Efficiency * Proportion of non-completed tasks (\<70%) * The amount of time to complete one concern Satisfaction * Semistructured interviews * Usability survey
Interventions
BEHAVIORALWeb-App
Cambian IT Health solutions from Surrey BC developed the infrastructure
BEHAVIORALPaper
Contains similar questions to the Web-App tool
Sponsors
University of Alberta
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
1:1 allocation
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Chronic in-center hemodialysis patients in Edmonton, Alberta and Winnipeg, Manitoba * Able to provide consent, understand and read English or have a family member that can do this for them
Exclusion criteria
* Planning to change modality within the next year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness - Number of patients submitting a concern divided by the number of patients | 8 weeks | Number of patients submitting a concern divided by the number of patients with an opportunity to submit a concern |
| Effectiveness - Number of concerns entered divided by the number of concerns that were satisfactorily addressed | 8 weeks | Number of concerns entered divided by the number of concerns that were satisfactorily addressed |
| Efficiency - The amount of time to complete one concern | 8 weeks | The amount of time to log a concern in the web app |
| Satisfaction - Usability survey | 8 weeks | Usability survey Defined as greater than 70% of users who agree or strongly agree with the statement on the usability survey. Ranked on a 5 -point Likert scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Communication Assessment Tool | 8 weeks | Items rated from 1 (poor) to 5 (excellent). Published at Makoul et al. Patient Educ Couns 2007 |
Countries
Canada
Outcome results
None listed