Development of Adaptive Intervention for Early Detection and Management of Chronic Kidney Disease in Syria
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Change in CKD-prevention knowledge score from baseline to immediately post-intervention
研究概览
简要总结
Electronic training course to help Syrian nurses prevent chronic kidney disease Why are the investigators doing this study? Chronic kidney disease (CKD) is common in Syria, yet many nurses have not received up-to-date training on early detection or patient education for risk reduction. The investigators aim to determine whether a brief, phone-friendly online course can improve nurses' knowledge, day-to-day practice, confidence, and satisfaction.
What will happen? Registered nurses employed in nephrology, cardiology, or endocrinology units will be invited to participate.
Each nurse will complete a short online quiz and questionnaire before the course.
Participants will then work through seven brief learning modules (videos, posters, case stories, quizzes) on a phone or computer over four weeks.
Two weeks after the final module, participants will repeat the same quiz and questionnaire so the investigators can measure any change.
The investigators will also request feedback on course acceptability and suggestions for improvement.
Possible benefits If the course proves effective, the investigators plan to offer it to additional nurses across Syria and distribute the materials free of charge.
Number of volunteers the investigators plan to enrol 30 nurses (single group; no randomisation). Primary outcome the investigators will measure Change in CKD-prevention knowledge score from baseline to immediately post-course.
详细描述
Study design Prospective, single-arm, pre-test/post-test pilot trial to estimate preliminary effect, feasibility, and acceptability of a seven-module asynchronous e-learning programme on Syrian hospital nurses' CKD-prevention knowledge, self-reported practice, confidence, and satisfaction. No control or randomization will be used.
Setting & recruitment Thirty registered nurses employed in nephrology, cardiology, or endocrinology wards of Syrian hospitals will be recruited through convenience sampling (hospital WhatsApp groups, professional associations, social-media promotion). Inclusion criteria: (1) registered nurse license, (2) access to smartphone/tablet, (3) willingness to provide electronic informed consent. A dedicated WhatsApp group will be created for announcements and technical support only; no teaching will occur in this group.
Intervention development Content was constructed by the study team and refined through a two-round Delphi panel (two nephrologists, two nutritionists, one senior nurse). Modules map to 2022 KDIGO prevention guidelines and WHO self-care recommendations. All assets (slide-casts ≤ 12 min, branching case vignettes, infographic posters, patient hand-outs) will be bilingual (Arabic/English subtitles) and compressed to ≤ 25 MB to allow offline download.
Delivery logistics Google Classroom will release two modules per week for four weeks. Each module contains: (1) voiced micro-lecture or animation, (2) interactive case study with branched questions, (3) downloadable poster & patient hand-out, (4) 5-item quiz (pass mark 75 %; unlimited attempts). Engagement analytics (views, quiz attempts, offline downloads) will be extracted from the Google Workspace admin console. Participants will receive a 5 USD mobile-data stipend to mitigate connectivity barriers; no other incentive will be offered.
Data collection timeline Day 0 - Baseline Qualtrics link (demographics, 38-item CKD-knowledge scale, 7-item attitude, 5-item practice, 24-item confidence).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Registered nurse currently employed in a Syrian hospital
- •Works in nephrology, endocrinology, or cardiology ward
- •Age 18 - 60 years
- •Has smartphone or computer access with internet connection
- •Willing to complete pre- and post-course questionnaires
- •Provides electronic informed consent
排除标准
- •Not a registered nurse (e.g., nursing assistant, student)
- •Outside the specified age range
- •Unable to access online materials (no device / no internet)
- •Previous participation in the same e-learning pilot
- •Refuses to give informed consent
研究组 & 干预措施
E-learning group
All eligible nurses receive the 7-module asynchronous e-learning programme on evidence-based CKD prevention.
干预措施: CKD-prevention e-learning course (Your Kidney... our priority) (Behavioral)
结局指标
主要结局
Change in CKD-prevention knowledge score from baseline to immediately post-intervention
时间窗: Baseline and Week 6
38-item multiple-choice quiz; score range 0-38; higher score indicates better knowledge.
次要结局
- Change in self-reported practice(Baseline and Week 6)
- Change in confidence level(Baseline and Week 6)
- Change in attitude toward CKD prevention(Baseline and Week 6)
- Overall satisfaction with the e-learning programme(Week 6)
- Module quiz performance(After each of the 7 modules (Weeks 1-4))
研究者
Fatema Ahmed
Principal Investigator
Shandong University