A bundled phosphate control intervention (4Ds) for adults with end‐stage kidney disease receiving haemodialysis: A cluster randomized controlled trial protocol

Milazi, Molly; Douglas, Clint; Bonner, Ann

doi:10.1111/jan.13774

Cited by 4 publications

(5 citation statements)

References 30 publications

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“…An assumption of SCT is that low self‐efficacy affects health behaviour, which in turn leads to poorer outcomes (Bandura, 1982). The level of self‐efficacy is directly influenced by four information sources (performance accomplishments, vicarious experience, verbal persuasion, and self‐appraisal) and each of these were incorporated into the intervention (Milazi et al., 2018). Of the four information sources, performance accomplishment was the most influential source of information in this study.…”

Section: Discussionmentioning

confidence: 99%

“…The level of self-efficacy is directly influenced by four information sources (performance accomplishments, vicarious experience, verbal persuasion, and self-appraisal) and each of these were incorporated into the intervention (Milazi et al, 2018 There was a significant improvement in the level of adherence for diet, drugs and dialysis (missing) by the intervention group compared with the control group. This improvement reflected that if understanding of information and self-efficacy are increased, then people can successfully adhere to complex behavioural changes (Havas et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…To prevent contamination bias, intervention allocation was stratified by HD unit and cluster randomized according to pattern of haemodialysis shifts. The study protocol was prospectively published (Milazi et al., 2018).…”

Section: The Studymentioning

confidence: 99%

“…Sample size estimation was informed from a meta‐analysis of serum phosphate as a physiological index of adherence to phosphate control methods (Milazi et al., 2018). To achieve 80% power and Type 1 error rate (two‐tailed) of 5% with an estimated standardized mean difference between groups of 0.5 ( SD 0.39 mmol/L), a sample size of 21 participants per group was required.…”

Section: The Studymentioning

confidence: 99%

“…The intervention was delivered by one member of the research team who was an experienced HD nurse. A detailed description of the intervention and intervention resources have been previously published (Milazi et al., 2018).…”

Section: The Studymentioning

confidence: 99%

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A bundled phosphate control intervention (4Ds) for adults with end‐stage kidney disease receiving haemodialysis: A cluster randomized controlled trial

Milazi

Douglas

Bonner

2020

Journal of Advanced Nursing

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Aim To evaluate the effectiveness of a bundled self‐management intervention (taking control of your phosphate with the 4Ds) to improve phosphate control among adults receiving haemodialysis. Background Hyperphosphataemia occurs in end‐stage kidney disease and is managed by diet, drinks, drugs (phosphate binder medication), and dialysis (the 4Ds). Adherence to the 4Ds is challenging for patients. Design A pragmatic cluster randomized controlled trial with repeated measures. Methods Participants were adults receiving haemodialysis with high serum phosphate (>1.6 mmol/L for at least 3 months) recruited between August 2017 ‐May 2018. Cluster randomization was according to haemodialysis treatment shifts. The ‘teach‐back’ intervention was designed to improve phosphate control. Expected outcomes were reduced serum phosphate and increased knowledge of phosphate in end‐stage kidney disease, self‐efficacy and adherence to diet, drugs, and dialysis. Results There were no differences between groups at baseline. Both groups had similar mean serum phosphate over time; at three months, 46% of the intervention group achieved reductions that met the target serum phosphate level compared with 33% of the control group. There were significant improvements in knowledge of phosphate in end‐stage kidney disease, self‐efficacy and adherence to diet, drugs, and dialysis (missing) in the intervention group compared with control group. Conclusion The 4Ds, a bundled self‐management intervention, was effective in improving patient confidence and adherence to phosphate control methods. Impact The 4Ds intervention bundles together four essential strategies for preventing and controlling hyperphosphataemia in end‐stage kidney disease. Trial registration ACTRN12617000703303 Registered 16/05/2017.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

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A bundled phosphate control intervention (4Ds) for adults with end‐stage kidney disease receiving haemodialysis: A cluster randomized controlled trial

Milazi

Douglas

Bonner

2020

Journal of Advanced Nursing

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Alternative Clinical Trial Designs for Nephrology Research

Agarwal

Guedes

Pécoits-Filho

et al. 2022

Innovations in Nephrology

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Staged Nursing Intervention: The Effect of the Compliance in Liver Cancer Patients with Interventional Therapy

Zhang

2022

Journal of Oncology

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Objective. To evaluate the effect of the compliance in liver cancer patients with interventional therapy in the use of staged nursing intervention. Methods. A total of sixty liver cancer patients with interventional therapy were enrolled from January 2019 to December 2020. All patients were randomized to the control group (n = 30) and the experimental group (n = 30); routine nursing intervention and staged nursing intervention were conducted, respectively. The characteristics of compliance, psychological state, and other related indicators were recorded and compared. Results. The experimental group experienced lower VAS scores and higher treatment compliance. After intervention, both groups observed obvious reductions in the self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS), and Pittsburgh Sleep Quality Index (PSQI) scores, while those were markedly lower in the experimental group (all P < 0.05 ). The experimental group yielded a significantly lower complication rate than the control group ( P < 0.05 ). Conclusion. In liver cancer patients with interventional therapy, staged nursing intervention could effectively relieve the pain, reduce the incidence of complications, and timely eliminate the negative emotion, thus playing a vital impact on the prognosis, worthy of further promotion.

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A bundled phosphate control intervention (4Ds) for adults with end‐stage kidney disease receiving haemodialysis: A cluster randomized controlled trial protocol

Abstract: Australian and New Zealand Clinical Trials Registry Number ACTRN12617000703303.

Cited by 4 publications

References 30 publications

A bundled phosphate control intervention (4Ds) for adults with end‐stage kidney disease receiving haemodialysis: A cluster randomized controlled trial

A bundled phosphate control intervention (4Ds) for adults with end‐stage kidney disease receiving haemodialysis: A cluster randomized controlled trial

Alternative Clinical Trial Designs for Nephrology Research

Staged Nursing Intervention: The Effect of the Compliance in Liver Cancer Patients with Interventional Therapy

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