Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): protocol for a cluster randomised control trial

Article


Sharma, Sita, Alexander, Kimberly E, Green, Theresa, Wu, Min-Lin (Winnie) and Bonner, Ann. 2022. "Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): protocol for a cluster randomised control trial." BMJ Open. 12 (2), p. e056544. https://doi.org/10.1136/bmjopen-2021-056544
Article Title

Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): protocol for a cluster randomised control trial

ERA Journal ID200230
Article CategoryArticle
AuthorsSharma, Sita, Alexander, Kimberly E, Green, Theresa, Wu, Min-Lin (Winnie) and Bonner, Ann
Journal TitleBMJ Open
Journal Citation12 (2), p. e056544
Number of Pages9
Year2022
PublisherBMJ
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2021-056544
Web Address (URL)http://bmjopen.bmj.com/content/12/2/e056544.abstract
Abstract

Introduction Multiple symptoms occur in people with kidney failure receiving haemodialysis (HD) and these symptoms have a negative impact on health-related quality of life (HRQoL). Fatigue, the most common symptom, is debilitating and difficult to manage. Educational interventions involving energy conservation strategies are helpful in reducing fatigue, however the effectiveness of energy conservation has not been previously studied in those receiving HD. The aim of this study is to evaluate the effectiveness of an energy conservation education intervention for people with end-stage kidney disease receiving HD (EVEREST trial).

Methods and analysis A pragmatic cluster randomised control trial with repeated measure will be used. One hundred and twenty-six participants from tertiary level dialysis centre will be cluster randomised to the intervention and control group according to HD treatment day. The intervention group will receive usual care along with a structured energy conservation education programme over 12 weeks comprising three individual face-to-face educational intervention sessions, one booster session and a booklet. The control group will receive usual care from their healthcare providers and a booklet at the end of the study. The primary outcome is fatigue, and the secondary outcomes are other Chronic Kidney Disease (CKD) symptoms, occupational performance and HRQoL. Intention-to-treat analysis will occur and will include a change in primary and secondary outcomes.

Ethics and dissemination Ethical approval has been obtained from the Human Research Committee of the Griffith University and Nepal Health Research Council. The results of this research will be published and presented in a variety of forums.

Keywordsend-stage kidney disease; haemodialysis
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
Byline AffiliationsGriffith University
Queensland University of Technology
University of Queensland
Metro North Health, Australia
Royal Brisbane and Women’s Hospital, Australia
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