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Experiences and Health-related Quality of Life of Informal Caregivers of Dialysis Patients

Completed
Conditions
Hemodialysis
Renal Replacement Therapy
Peritoneal Dialysis
Quality of Life
Family Caregivers
Kidney Failure, Chronic
Patient Reported Outcome Measures
Informal Caregivers
Hemodialysis, Home
Registration Number
NCT05646615
Lead Sponsor
B.C. van Jaarsveld
Brief Summary

The goal of this prospective, observational, multicentre cohort study is to assess the trajectory of the experiences (both positive and negative) and health-related quality of life (HRQOL) of informal caregivers of patients who start home dialysis, and compare these to experiences and HRQOL of informal caregivers of patients who start in-centre hemodialysis. The investigators hypothesise that informal caregivers of home dialysis patients experience more positive experiences, but also more negative experiences, and still have better HRQoL, compared with caregivers of in-centre HD patients. Participants will fill in five different validated questionnaires and questions on required support. Participants are asked to fill in the questionnaires after inclusion (i.e., start of dialysis), and at 6 and 12 months after start dialysis.

Detailed Description

End-stage kidney disease, the need to start dialysis, and the choice for a home-based treatment or a centre-based treatment does not only have an effect on patients, but also on their informal caregivers like spouses and adult children providing care to the patient. In order to properly inform patients with end-stage kidney disease and their informal caregivers about the start of dialysis therapy and the choice of dialysis modality, it is important to discuss also what the caregiver can expect after the start of dialysis. However, available evidence regarding the course of caregiving experiences after start of dialysis is limited. The aim of this study is to assess the trajectory of the experiences (both positive and negative) and health-related quality of life (HRQoL) of caregivers of patients who start home dialysis, and compare these to experiences and HRQoL of caregivers of patients who start in-centre hemodialysis (HD). The investigators hypothesise that (co-residential) caregivers of home dialysis patients experience more positive experiences, but also more negative experiences, and still have better HRQoL, compared with caregivers of in-centre HD patients.

This study is a prospective, observational, multicentre cohort study which is an extension of the ongoing DOMESTICO study. DOMESTICO is a nationwide study in incident dialysis patients, investigating the effects of home dialysis on HRQoL in relation to clinical outcome and costs, in comparison to in-centre HD. Participants will fill in five different validated questionnaires and questions on required support. Participants are asked to fill in the questionnaires after inclusion (i.e., start of dialysis), and at 6 and 12 months after start dialysis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
202
Inclusion Criteria
  • Informal caregivers who care for a partner, family member, friend or loved one with end-stage kidney disease who is starting dialysis therapy and is included in the DOMESTICO study
  • 18 years or older
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Changes in positive experiences of the caregiver (PES)Baseline (start of dialysis), and 6 months and 12 months after start dialysis

Positive Experiences Scale (PES): a Dutch 8-item validates questionnaire

Secondary Outcome Measures
NameTimeMethod
Changes in negative experiences of the caregiver (EDIZ+)Baseline (start of dialysis), and 6 months and 12 months after start dialysis

'Ervaren Druk door Informele Zorg' or Experienced Burden by Informal Care (EDIZ+): a Dutch 15-item validated questionnaire

Changes in health-related quality of life (HRQOL) (SF-12)Baseline (start of dialysis), and 6 months and 12 months after start dialysis

12-item Short Form (SF-12): validated questionnaire with eight domains

Changes in health-related quality of life (HRQOL) (EQ5D-5L)Baseline (start of dialysis), and 6 months and 12 months after start dialysis

EuroQol-5D-5L (EQ5D-5L): validated questionnaire with five domains

Changes in negative experiences of the caregiver (CES-D)Baseline (start of dialysis), and 6 months and 12 months after start dialysis

Centre for Epidemiologic Studies Depression Scale (CES-D): a 20-item validated questionnaire

Trial Locations

Locations (33)

Deventer Hospital

🇳🇱

Deventer, Netherlands

Jessa Hospital

🇧🇪

Hasselt, Belgium

Noordwest Ziekenhuisgroep

🇳🇱

Alkmaar, Netherlands

Flevoziekenhuis

🇳🇱

Almere, Netherlands

Alrijne Hospital

🇳🇱

Alphen Aan Den Rijn, Netherlands

Amsterdam UMC

🇳🇱

Amsterdam, Netherlands

OVLG West

🇳🇱

Amsterdam, Netherlands

OLVG Oost

🇳🇱

Amsterdam, Netherlands

Dialysis Center Beverwijk

🇳🇱

Beverwijk, Netherlands

Saxenburgh Group

🇳🇱

Hardenberg, Netherlands

Diapriva Dialysis Center

🇳🇱

Amsterdam, Netherlands

Amphia Hospital

🇳🇱

Breda, Netherlands

Rijnstate Hospital

🇳🇱

Arnhem, Netherlands

Gelre Hosptials

🇳🇱

Apeldoorn, Netherlands

Haga Hospital

🇳🇱

Den Haag, Netherlands

Reinier de Graaf Group

🇳🇱

Delft, Netherlands

Slingeland Hospital

🇳🇱

Doetinchem, Netherlands

Admiraal de Ruyter Hospital

🇳🇱

Goes, Netherlands

Groene Hart Hospital

🇳🇱

Gouda, Netherlands

Catharina Hospital

🇳🇱

Eindhoven, Netherlands

Elkerliek Hospital

🇳🇱

Helmond, Netherlands

Antonius Hospital

🇳🇱

Nieuwegein, Netherlands

Canisius-Wilhelmina Hospital

🇳🇱

Nijmegen, Netherlands

Dialysis Center Tergooi

🇳🇱

Hilversum, Netherlands

Radboudumc

🇳🇱

Nijmegen, Netherlands

Laurentius Hospital

🇳🇱

Roermond, Netherlands

Maasstad Hospital

🇳🇱

Rotterdam, Netherlands

ZorgSaam

🇳🇱

Terneuzen, Netherlands

UMC Utrecht

🇳🇱

Utrecht, Netherlands

Bernhoven Hospital

🇳🇱

Uden, Netherlands

VieCuri Medical Center

🇳🇱

Venlo, Netherlands

Maxima Medical Center

🇳🇱

Veldhoven, Netherlands

Isala Hospital

🇳🇱

Zwolle, Netherlands

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