A Web Application for Improving Communication on Hemodialysis Rounds

Phase 3

Completed

• Conditions: Hemodialysis
• Interventions: Behavioral: Web-App; Behavioral: Paper

• Registration Number: NCT03605875
• Lead Sponsor: University of Alberta

Brief Summary

To evaluate a web application tool that hemodialysis patients can use outside of dialysis time to log and prioritize their concerns for the nephrologists. Specifically, the investigators will compare the usability of a web application tool to a structured paper form. The investigators will also use data from semi-structured interviews to better understand the experience and acceptability of the web app among patient participants randomized to the web application and among participating nephrologists.

Primary outcome

-Usability (effectiveness, efficiency, satisfaction)

Secondary outcomes

-Quality of the patient-physician interaction (Communication Assessment Tool (CAT-14))

Detailed Description

Usability is defined as Effectiveness (\>70%)

* Number of people submitting a concern/ number of people with opportunity to submit a concern

* Number of concerns entered/number of times concern was satisfactorily addressed

Efficiency

* Proportion of non-completed tasks (\<70%)

* The amount of time to complete one concern

Satisfaction

* Semistructured interviews

* Usability survey

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2018-07-18
• Study First Submitted QC: 2018-07-26
• Study First Posted: 2018-07-30
• Study Start: 2018-11-28
• Primary Completion: 2018-12-12
• Study Completion: 2019-12-13
• Status Verified: 2020-03
• Last Update Submitted: 2020-03-23
• Last Update Posted: 2020-03-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 77

Inclusion Criteria

• Chronic in-center hemodialysis patients in Edmonton, Alberta and Winnipeg, Manitoba
• Able to provide consent, understand and read English or have a family member that can do this for them

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Exclusion Criteria

• Planning to change modality within the next year

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Web-App	Web-App	A customized web-app tool to be used by patients to communicate concerns to their nephrologist
Paper	Paper	A customized paper tool to be used by patients to communicate concerns to their nephrologist

Primary Outcome Measures

Name	Time	Method
Efficiency - The amount of time to complete one concern	8 weeks	The amount of time to log a concern in the web app
Satisfaction - Usability survey	8 weeks	Usability survey Defined as greater than 70% of users who agree or strongly agree with the statement on the usability survey. Ranked on a 5 -point Likert scale
Effectiveness - Number of patients submitting a concern divided by the number of patients	8 weeks	Number of patients submitting a concern divided by the number of patients with an opportunity to submit a concern
Effectiveness - Number of concerns entered divided by the number of concerns that were satisfactorily addressed	8 weeks	Number of concerns entered divided by the number of concerns that were satisfactorily addressed

Secondary Outcome Measures

Name	Time	Method
Communication Assessment Tool	8 weeks	Items rated from 1 (poor) to 5 (excellent). Published at Makoul et al. Patient Educ Couns 2007

Trial Locations

Locations (4)

Edmonton General Hospital; 🇨🇦 Edmonton, Alberta, Canada

Seven Oaks General Hospital; 🇨🇦 Winnipeg, Manitoba, Canada

Royal Alexandra Hospital; 🇨🇦 Edmonton, Alberta, Canada

University of Alberta Hospital; 🇨🇦 Edmonton, Alberta, Canada