Evaluation of the Peritoneal Dialysis Program in a Hospital in Chinandega, Nicaragua.

• Conditions: Peritoneal Dialysis; Chronic Kidney Disease

• Registration Number: NCT02270229
• Lead Sponsor: La Isla Foundation

Brief Summary

The purpose of this study is to develop recommendations to assist in improving the current peritoneal dialysis (PD) program in a Hospital in Chinandega, Nicaragua. This project will consist of a needs assessment, a review of aggregate quantitative patient data from hospital records, and a knowledge, attitudes, and practices (KAP) assessment for medical providers, laboratory technicians, patients and primary caregivers. The final report will be used to obtain funding for the implementation of the recommendations.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-09-29
• Status Verified: 2014-10
• Study First Submitted QC: 2014-10-17
• Last Update Submitted: 2014-10-17
• Study First Posted: 2014-10-21
• Last Update Posted: 2014-10-21
• Study Start: 2014-11
• Primary Completion: 2015-05

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. Participants must be affiliated with the PD program that is under evaluation

Exclusion Criteria

1. Being physically unable to participate in an interview of approximately one hour
2. Being younger than 18 years of age
3. Refusal to participate

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Identification of needs of the PD program	Hospital visits for the duration of 1 week	This outcome will be measured by filling out a pre-designed checklist based on national and international guidelines, including equipment, material and staffing needs.
Adherence to established protocols on administering PD treatment in the hospital	3 days of observation sessions for the duration of 8 hours	This outcome will be measured by filling out a validated checklist of steps that need to be performed by the healthcare provider while PD is administered in the Hospital
Levels of knowledge, attitudes and practices towards PD of healthcare providers, laboratory staff patients and primary caregivers	Interviews of each group for the duration of 1 week	This outcome will be measured by administering a questionnaire to the participants of 4 respective groups (healthcare providers, laboratory staff, patients, primary caregivers). The questionnaire will contain sections on (1) demographic information/professional affiliation with the program, (2) knowledge of PD, (3) attitudes towards PD, (4) practices regarding PD, and (5) perceived needs of the program. The levels of knowledge will be classified in four categories: 1) very good, 2) good, 3) regular, 4) poor. Attitudes will be classified as either positive or negative. Practices will be classified as either good or bad.
Prevalence of peritonitis and causative agents	Sample collections according to PD patients' appointment times during one week and culturing of samples for 72 hours	This outcome will be measured by identifying pathogens in patients' dialysate liquid and estimating the overall percentage of patients with peritonitis.