Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
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DOI：
10.1186/s40814-018-0389-y
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发表时间：
2019-01-05
影响因子：
1.7
通讯作者：
Noble, Helen
中科院分区：
文献类型：
--
作者：
Carswell, Claire;Reid, Joanne;Noble, Helen
背景：终末期肾病是一种改变生活的疾病。许多患者需要血液透析，这种治疗会对生活质量和心理健康产生深远影响。基于艺术的干预措施已用于其他医疗机构，以改善心理健康和生活质量；因此，它们可以通过改善这些结果来帮助解决血液透析的影响。然而，缺乏评估其在这一人群中有效性的证据，也很少有随机对照试验（RCT）评估复杂的基于艺术的干预措施的有效性。 方法：本研究的目的是通过整群随机试点研究，建立对接受血液透析的终末期肾病患者进行基于艺术的干预的整群随机对照试验的可行性，通过过程评估探讨干预的可接受性，并探讨经济评估的可行性。该研究将分为三个阶段。第一阶段包括一项整群随机试点研究，以确定招募、参与和保留率。这将涉及招募 30 名参与者，他们将根据轮班模式通过整群随机化随机分配到实验组和对照组。第二阶段将是定性过程评估，以确定临床环境中干预措施的可接受性。这将涉及对 13 名患者和三个由医疗保健专业人员组成的焦点小组进行半结构化访谈。第三阶段将进行可行性经济评估，以确定未来集群随机对照试验中数据收集的最佳方法。讨论：基于艺术的干预措施已被证明可以改善医疗机构的生活质量，但缺乏评估针对接受血液透析的患者的基于艺术的干预措施的证据。本研究旨在评估未来集群随机对照试验的可行性，评估基于艺术的干预措施对接受血液透析的患者的福祉和心理健康的影响，并确定导致成功实施的关键因素。希望这项研究能够为一项试验提供信息，通过为血液透析环境中基于艺术的干预措施提供强有力的证据，从而影响未来的医疗保健政策。
Background: End-stage kidney disease is a life-changing illness. Many patients require haemodialysis, a treatment that impacts profoundly on quality of life and mental health. Arts-based interventions have been used in other healthcare settings to improve mental health and quality of life; therefore, they may help address the impact of haemodialysis by improving these outcomes. However, there is a lack of evidence assessing their effectiveness in this population and few randomised controlled trials (RCTs) evaluating the effectiveness of complex arts-based interventions.Methods: The aims of this study are to establish the feasibility of a cluster RCT of an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis through a cluster randomised pilot study, explore the acceptability of the intervention with a process evaluation and explore the feasibility of an economic evaluation. The study will have three phases. The first phase consists of a cluster randomised pilot study to establish recruitment, participation and retention rates. This will involve the recruitment of 30 participants who will be randomly allocated through cluster randomisation according to shift pattern to experimental and control group. The second phase will be a qualitative process evaluation to establish the acceptability of the intervention within a clinical setting. This will involve semi-structured interviews with 13 patients and three focus groups with healthcare professionals. The third phase will be a feasibility economic evaluation to establish the best methods for data collection within a future cluster RCT.Discussion: Arts-based interventions have been shown to improve quality of life in healthcare settings, but there is a lack of evidence evaluating arts-based interventions for patients receiving haemodialysis. This study aims to assess the feasibility of a future cluster RCT assessing the impact of an arts-based intervention on the wellbeing and mental health of patients receiving haemodialysis and identify the key factors leading to successful implementation. The hope is this study will inform a trial that can influence future healthcare policy by providing robust evidence for arts-based interventions within the haemodialysis setting.