Psychosocial Reasons for Transfer to In Center Hemodialysis in Home Dialysis Patients- A Focus Group Study

Sponsor

Satellite Healthcare (Other)

Overall Status

Completed

CT.gov ID

NCT05022225

Collaborator

(none)

Enrollment

Location

11.5

Actual Duration (Months)

3.1

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Patients who start home dialysis take on an added responsibility and that can be challenging. The investigators are interested in studying the patient and care partner perspective on the challenges that the participants faced on home dialysis and what interventions could help support them better by holding focus group discussions.

Condition or Disease	Intervention/Treatment	Phase
ESRD	Other: None. This is a qualitative interview study.

Detailed Description

Home dialysis has many advantages compared to in-center hemodialysis (ICHD) including better quality of life and lower healthcare costs. Transfer from home dialysis to ICHD is disruptive to the patients' lives and in some cases may be preventible. Patients do not infrequently transfer to ICHD due to psychosocial reasons, which may be multi-factorial and hard to capture.

The aim of this study is to explore patients' and care partners' perspectives and experiences of the psychosocial factors that make home dialysis challenging and that ultimately contribute to transfer to ICHD during focus group discussions. The investigators will ask them to describe issues that may compound patient and care partner burnout; for those who have already transferred to hemodialysis, the investigators will specifically ask what factors contributed to their transfer off of home dialysis. the investigators will also ask for feedback on what interventions may have helped to prevent the transfer and/or burnout.

Understanding patient's perspectives and experiences will help the investigators improve patient experience and identify the gaps in health care delivery.
Help plan interventions and scale-out a solution to identify patients experiencing challenges that put them at risk of transfer to ICHD.
Lay the groundwork to develop surveys that can be used in the future.
To enable a truly patient-centered care model, understanding the issues in more detail is critical.

Study Design

Study Type:

Observational

Actual Enrollment :

35 participants

Observational Model:

Cohort

Time Perspective:

Cross-Sectional

Official Title:

Psychosocial Reasons for Transfer to In Center Hemodialysis in Home Dialysis Patients- A Focus Group Study

Actual Study Start Date :

Aug 10, 2021

Actual Primary Completion Date :

Jan 31, 2022

Actual Study Completion Date :

Jul 25, 2022

Outcome Measures

Primary Outcome Measures

Patients and care partner experience on home dialysis [At the time of focus group discussion]
During the focus group discussion, the participants will be asked to account their experience on home dialysis and the challenges that they faced while on the modality. Since it is a qualitative study the responses will be grouped to identify any common themes.

Secondary Outcome Measures

patient and care partner perspective on possible interventions [At the time of the focus group discussion]
During the focus group discussion the participants will be asked if there were any interventions that were offered or if there are any interventions that would have helped support them better on home dialysis. Since it is a qualitative study the responses will be grouped to identify any common themes.
comparison between groups [At the time of focus group]
Different themes between the participant responses will be compared after a thematic analysis.

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Patients currently on home dialysis (maintenance peritoneal dialysis or home hemodialysis), preferably identified as high risk of transfer to in center HD at Satellite healthcare by the clinical team, OR their care partner
Patients who transferred from home dialysis to ICHD in the last 12 (preferably 6) months, preferably those who had transferred mostly because of psychosocial reasons such as nonconducive living conditions, patient preference, the burden of treatment, loss of care partner, etc, OR their care partner.
Age >=20 years

Exclusion Criteria:

Lack of decision-making capacity
Non English-speaking

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Satellite Healthcare Inc	San Jose	California	United States	95128

Sponsors and Collaborators

Satellite Healthcare

Investigators

Principal Investigator: Wael F Hussein, MBBS, Satelite Health care

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Satellite Healthcare

ClinicalTrials.gov Identifier:

NCT05022225

Other Study ID Numbers:

SIH128_Transfer to ICHD

First Posted:

Aug 26, 2021

Last Update Posted:

Jul 26, 2022

Last Verified:

Jul 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Satellite Healthcare

Study Results

No Results Posted as of Jul 26, 2022