Effectiveness of an Online Portal for Delivery of Care to Home Dialysis Patients

NCT02128347 | Completed

• 1 other identifier: eportal 2014-316
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

Home dialysis has many potential benefits compared to in-center hemodialysis including improved quality of life, reduced hospital admission and reduced cost. However, some patients perceive that home modalities are associated with increased isolation from the healthcare system, substandard care or higher risk of catastrophic events. Providing better support for home dialysis patients may enhance their ability to maintain at home, improve their health outcomes, increase quality of life and improve satisfaction with care. In other chronic disease populations a secure, online communication portal between physicians and patients has proven useful in enhancing care for patients. Thus far, the utility of an online portal communication system has not been tested in a cohort of home dialysis patients. The investigators hypothesize that this novel form of communication will improve care and outcomes for home dialysis patients. Therefore, in a cohort of home dialysis patients, the purposes of this study are as follows: 1) Does an online patient-portal improve patient satisfaction with home dialysis care? 2) Does an online patient-portal improve quality of life? 3) Does an online patient-portal reduce hospitalization and health service utilization?

Conditions

Hemodialysis, Home; Peritoneal Dialysis

Keywords

Hemodialysis, Home; Peritoneal Dialysis; Telemedicine

Outcome Measures

Primary Outcomes (1)

• Change in Patient Satisfaction

  Patient satisfaction will be examined in all patients at 0, 6 and 12 months using the Consumer Quality index (CQI) instrument (van der Veer SN, Jager KJ, Visserman E, Beekman RJ, Boeschoten EW, de Keizer NF, Heuveling L, Stronks K, Arah OA. Development and validation of the Consumer Quality index instrument to measure the experience and priority of chronic dialysis patients. Nephrol Dial Transplant. 2012 Aug;27(8):3284-91. This Dutch-language tool will be translated to English using a validated translation procedure.

  12 months

Secondary Outcomes (2)

• Change in Quality of Life

  12 Months

• Hospitalization and Health-Care Utilization Rates

  12 Months

Other Outcomes (2)

• Acceptability of Portal

  12 months

• Patient Satisfaction with the Portal

  12 months

Study Arms (1)

Electronic Patient Portal

OTHER

RelayHealth is a web-based application that allows patients and healthcare workers to communicate through a secure, password protected online portal with data transfer capabilities. Effectiveness of the portal in improving several health outcomes from baseline-12 months will be assessed in this study.

Other: Electronic Patient Portal

Interventions

Electronic Patient Portal OTHER

RelayHealth is a web-based application that allows patients and clinicians to communicate through a secure, password protected online electronic portal with data transfer capabilities. The system allows physicians and nurses to view patient questions, patient data and transmit messages to patients in response to questions or after clinic visits in an electronic message. In addition, patients can be made aware of upcoming investigations or clinic visits. Patients can also use the interface to identify any proposed changes (which would minimize recall mistakes after clinic visits) and submit queries pertaining to dialysis. Both patients and clinicians are made aware of new messages through email prompt, which moderates the asynchronous nature of electronic communication. Telephone communication can be maintained, but reserved for more urgent issues that require immediate assistance.

Electronic Patient Portal

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Prevalent (\>=3 months) home dialysis patients (peritoneal dialysis or home hemodialysis)

You may not qualify if:

• Does not provide consent
• On home dialysis for less than 3 months

Sponsors & Collaborators

• Karthik Tennankore: lead

Study Sites (1)

Capital Health

Halifax, Nova Scotia, B3H 1V8, Canada

Location

Related Publications (1)

• Kiberd J, Khan U, Stockman C, Radhakrishnan A, Phillips M, Kiberd BA, West KA, Soroka S, Chan C, Tennankore KK. Effectiveness of a Web-Based eHealth Portal for Delivery of Care to Home Dialysis Patients: A Single-Arm Pilot Study. Can J Kidney Health Dis. 2018 Sep 7;5:2054358118794415. doi: 10.1177/2054358118794415. eCollection 2018.

  PMID: 30210802 DERIVED

Study Officials

• Karthik K Tennankore, MD

  Capital District Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor, Division of Nephrology, Department of Medicine

Study Record Dates

• First Submitted: April 29, 2014
• First Posted: May 1, 2014
• Study Start: October 1, 2014
• Primary Completion: February 1, 2016
• Study Completion: February 1, 2016
• Last Updated: July 26, 2016

Record last verified: 2016-07

Locations

CA (1)