INC-HHD
Research type
Research Study
Full title
Evaluation of the neuro-cognitive and clinical factors which determine the success of home haemodialysis training
IRAS ID
204813
Contact name
Sandip Mitra
Contact email
Sponsor organisation
Central Manchester University Hospitals NHS Foundation Trust
Duration of Study in the UK
2 years, 0 months, 0 days
Research summary
Shared-Care Haemodialysis (SCHD) training is primarily delivered by haemodialysis nurses based on a curriculum developed at each unit. Haemodialysis machines are complex with the potential to cause serious harm to patients if used incorrectly or if the equipment malfunctions. High quality training is therefore vital with respects to patient safety. In addition to this, training outcomes are variable- not all patients are able to complete training and therefore may need to switch to in-centre haemodialysis. Some patients require repeat training due to issues in the community. Other issues relating to the quality of HHD training may also arise such as infectious complications, vascular access issues, issues with fluid management or poor confidence which can lead to burn-out. Despite all of this, there is very little literature on the factors which influence the success of SCHD training. \nSuccessful training of patients will be governed by both patient and teacher related factors as well as the technology and equipment itself. The patient-related factors will in part be clinical and neuro-psychological. We aim to analyse the SCHD training process in detail and assess which clinical and neuro-psychological factors influence successful learning. A further understanding in this area may not only allow us to increase the number of successful trainees (through more personalised training) but also enhance the quality of learning and thus the outcomes of our patients. \nIn addition to clinical and neuro-psychological factors, there are a number of other changes which occur around the time of haemodialysis initiation remain poorly defined. Specifically, the role of neurotoxins which accumulate in kidney disease and changes in gene expression patterns. We will also explore the changes in both of these areas in the study cohort as they may also influence patient learning outcomes and the effect of different dialysis regimes on these factors remains unknown. \n
REC name
North West - Preston Research Ethics Committee
REC reference
16/NW/0687
Date of REC Opinion
28 Sep 2016
REC opinion
Favourable Opinion