A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis.
A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis.
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DOI：
10.1186/s12882-020-02162-4
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发表时间：
2020-11-19
期刊：
影响因子：
2.3
通讯作者：
Noble H
中科院分区：
文献类型：
--
作者：
Carswell C;Reid J;Walsh I;Johnston W;McAneney H;Mullan R;Lee JB;Nelson H;Matthews M;Weatherup E;Spencer A;Michelo J;Quail A;Kielty G;Mackenzie A;Elliott J;Arbuckle N;Wilson A;Noble H
血液透析会对生活质量和心理健康产生负面影响。在其他环境中成功使用基于艺术的干预措施来改善健康和福祉，可以帮助解决血液透析的影响。本研究旨在评价对接受血液透析的患者进行基于艺术干预的随机对照试验（RCT）的可行性和可接受性。采用并行收敛混合方法设计，包括试验性随机对照试验和定性过程评价。I期研究通过在北方爱尔兰的一家血液透析单位进行的试点随机对照试验评价了招募率和保留率。参与者包括因ESKD接受血液透析的患者，年龄超过18岁，有能力同意。这些参与者根据他们的血液透析轮班被随机分配到干预组或对照组。干预包括血液透析期间的六个一小时，一对一的促进艺术会议。第2阶段通过基于RE-AIM框架的半结构化访谈进行定性过程评价，探索干预和试验可接受性。参与者包括13名参与研究第1阶段的患者，其中包括9名来自实验组的参与者和4名来自对照组的参与者，以及9名在实施期间在场的医疗保健专业人员。在122例门诊血液透析患者中，94例被评估为有资格参与。24名受试者接受了随机化，这意味着招募了80%的目标样本量，3个月时的脱落率为12.5%（n = 3）。参与者认为，在实施后，艺术比预期的更容易获得和享受。开始干预的所有参与者（n = 11）完成了全部六个阶段。干预的质量效益表明心理健康的改善。病人的选择和便利是成功实施的重要因素。对于接受血液透析的患者，基于艺术的干预对于患者和医疗保健专业人员都是可以接受的，并且确定性试验是可行的。这种干预可能有助于改善接受血液透析患者的心理健康，但这需要在确定性试验中进一步调查。该试验于2018年8月14日在clinicaltrials.gov上前瞻性注册，注册号为NCT 03629496。
Haemodialysis can negatively impact quality of life and mental health. Arts-based interventions used successfully in other settings to improve health and well-being, could help address the impact of haemodialysis. This study aimed to evaluate the feasibility and acceptability of conducting a randomised controlled trial (RCT) of an arts-based intervention for patients receiving haemodialysis. A parallel convergent mixed-methods design was used, including a pilot cluster RCT and qualitative process evaluation. Phase 1 evaluated recruitment and retention rates through a pilot cluster RCT at a single haemodialysis unit in Northern Ireland. Participants included patients who received haemodialysis for ESKD, were over the age of 18 and had the capacity to consent. These participants were randomised to the intervention or control group according to their haemodialysis shift. The intervention involved six one-hour, one-to-one facilitated arts sessions during haemodialysis. Phase 2 explored intervention and trial acceptability through a qualitative process evaluation using semi-structured interviews based on the RE-AIM framework. Participants included 13 patients who participated in phase 1 of the study, including 9 participants from the experimental group and four participants from the control group, and nine healthcare professionals who were present on the unit during implementation. Out of 122 outpatient haemodialysis patients, 94 were assessed as eligible for participation. Twenty-four participants were randomised, meaning 80% of the target sample size was recruited and the attrition rate at 3 months was 12.5% (n = 3). Participants viewed the arts as more accessible and enjoyable than anticipated following implementation. All participants who started the intervention (n = 11) completed the full six sessions. Qualitative benefits of the intervention suggest improvements in mental well-being. Patient choice and facilitation were important factors for successful implementation. An arts-based intervention for patients receiving haemodialysis is acceptable for both patients and healthcare professionals, and a definitive trial is feasible. The intervention may help improve mental-wellbeing in patients receiving haemodialysis, but this requires further investigation in a definitive trial. The trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496.
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影响因子：
2.9
作者：
Avery KN;Williamson PR;Gamble C;O'Connell Francischetto E;Metcalfe C;Davidson P;Williams H;Blazeby JM;members of the Internal Pilot Trials Workshop supported by the Hubs for Trials Methodology Research
通讯作者：
members of the Internal Pilot Trials Workshop supported by the Hubs for Trials Methodology Research
影响因子：
4.2
作者：
Gullick, Janice;Monaro, Susan;Stewart, Glenn
通讯作者：
Stewart, Glenn
影响因子：
3.1
作者：
Loosman, W. L.;Siegert, C. E. H.;Honig, A.
通讯作者：
Honig, A.
影响因子：
--
作者：
Gupta, Umesh Chandra
通讯作者：
Gupta, Umesh Chandra
影响因子：
1.7
作者：
Carswell, Claire;Reid, Joanne;Noble, Helen
通讯作者：
Noble, Helen