End Stage Renal Failure on Dialysis Clinical Trial
Official title:
A Nurse-led Multifactorial Intervention to Improve Phosphate Binder Adherence: Results From a One-year Clinical Trial
The study aim is to test the efficacy of one-year nurse-led interventions to improve the medication intake behaviour of chronic dialysis patients. The investigators hypothesis is the interventions leading to a 15% mean increase in intake, compared to standard care.
Background Phosphate binder nonadherence is ubiquitous. The results of adherence enhancing
interventions are often disappointing. The aim is to test a nurse-led multifactorial
intervention to enhance phosphate binder adherence.
Methods In a quasi-experimental clinical trial, phosphate binder adherence was measured
electronically in 135 hemodialysis patients for one year and phosphatemia measured monthly.
For all patients, months 1-2 were baseline (no interventions were performed). The
intervention arm was given 1 "preparatory" intervention and then monthly 8 "maintenance"
individualized management sessions. The control arm received standard of care.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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