NCT02063490

Nurse-led Intervention to Improve Phosphate Binder Adherence

A Nurse-led Multifactorial Intervention to Improve Phosphate Binder Adherence: Results From a One-year Clinical Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 135 (actual)
• Sponsor: Universiteit Antwerpen · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The study aim is to test the efficacy of one-year nurse-led interventions to improve the medication intake behaviour of chronic dialysis patients. The investigators hypothesis is the interventions leading to a 15% mean increase in intake, compared to standard care.

Detailed description

Background Phosphate binder nonadherence is ubiquitous. The results of adherence enhancing interventions are often disappointing. The aim is to test a nurse-led multifactorial intervention to enhance phosphate binder adherence. Methods In a quasi-experimental clinical trial, phosphate binder adherence was measured electronically in 135 hemodialysis patients for one year and phosphatemia measured monthly. For all patients, months 1-2 were baseline (no interventions were performed). The intervention arm was given 1 "preparatory" intervention and then monthly 8 "maintenance" individualized management sessions. The control arm received standard of care.

Conditions

• End Stage Renal Failure on Dialysis

Interventions

Type	Name	Description
BEHAVIORAL	Adherence support	One-time preparatory intervention offering adherence prerequisites (knowledge, social support and skills) \+ One-year monthly individualised counselling sessions with a standardised intervention sheet listing the most prevalent problems with possible solutions

Timeline

• Start date: 2011-11-01
• Primary completion: 2012-11-01
• Completion: 2012-12-01
• First posted: 2014-02-14
• Last updated: 2014-02-14

Locations

3 sites across 1 country: Belgium