Web-Based Multi-Resource Training on the Prevention of Urinary Tract Infections in Adult Kidney Transplant Recipients

NCT05821946 | Completed

• 1 other identifier: KAEK-896-2021
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: The study aims to examine the effect of web-based multi-source training on the prevention of urinary tract infections in adult kidney transplant recipients on clinical outcomes. Design: The study is a single-center, parallel-group, single-blind, pretest, and posttest randomized controlled experimental study. Methods: A total of 90 kidney transplant recipients, 45 in the control group and 45 in the intervention group will be included in the study. Kidney transplant recipients will be randomized on the day of discharge. Before discharge, the Patient Socio-Demographical/Descriptive Characteristics Form and the Discharge Readiness Scale will be applied to the control and intervention groups. Routine training and aimed at preventing urinary tract infections web-based multi-source training will be provided to the intervention group. The developed educational material was evaluated by experts in terms of literacy, reliability, and information quality. As multiple resources on the web: there will be written and visual texts of the educational material, as well as podcasts and animation videos. Web page usability will be evaluated with the System Usability Scale. Individuals will be able to benefit from each of these multiple educational resources according to their preferences. The control group will be directed to the organ transplantation handbook on the website of the routine education and organ transplant center. After discharge, the follow-ups of the intervention and control group were carried out during the first 6-month post-transplant standard follow-up process of the center (2. day; once a week for the first month; every ten days for up to 1-3 months; every three weeks for the next 3-6 months) will be performed. When patients come to their controls, the results of routine examinations (complete urinalysis, urine culture taken when necessary, hospitalization, emergency application, and other data) will be taken from the Hospital Information Management System. In addition, the recipients' opinions in the intervention group on the Web-Based Multi-Resource Training Program will also be received at the end of the 6th month. The research adhered to the Standard Protocol Items: Recommendations for Interventional Trials-SPIRIT (2013) and Consolidated Standards of Reporting Trials-CONSORT (2018) checklists.

Conditions

Kidney Transplantation; Adult; Urinary Tract Infections; Prevention; Medical Informatics

Keywords

Kidney; Transplantation; Adult; Urinary Tract Infection; Prevention; Nursing; Web-Based Multi-Source Education for Patients; Medical Informatics

Outcome Measures

Primary Outcomes (3)

• Infection status

  The urinary tract infection status of kidney transplant recipients will be evaluated by obtaining the results of routine examinations performed at standard controls after discharge from the Hospital Information Management System.

  Up to 6 months after discharge

• Number of applications to the emergency department

  The number of applications to the emergency department due to urinary tract infections of kidney transplant recipients will be obtained from the Hospital Information Management System.

  Up to 6 months after discharge

• Hospital readmission status

  Re-hospitalization status of kidney transplant recipients due to urinary tract infection will be obtained from the Hospital Information Management System.

  Up to 6 months after discharge

Secondary Outcomes (2)

• Adult kidney transplant recipients who are ready for discharge versus those who are not ready for release are significantly different in clinical outcomes.

  Within 24 hours before discharge

• Views of adult kidney transplant recipients on web-based multi-source urinary tract infection prevention education

  End of 6 months after discharge

Study Arms (2)

Web-Based Multi-Source Training on the Prevention of Urinary Tract İnfections

EXPERIMENTAL

In addition to routine training, web-based multi-source training will be provided on the prevention of urinary tract infections in adult kidney transplant recipients.

Other: Web-Based Multi-Source Training on the Prevention of Urinary Tract İnfections

Control group

NO INTERVENTION

Routine training and before discharge will be directed to the organ transplant handbook on the transplant center's website.

Interventions

Web-Based Multi-Source Training on the Prevention of Urinary Tract İnfections OTHER

Before discharge, individuals will be given a user name and password to enter the website by the researcher. The first access to the website will be made via the researcher's computer, and the website will be introduced. Individuals will be shown how to access the compatible website on Android and IOS phones and tablets by the researcher. Web-based multi-source training for individuals to prevent urinary tract infections will begin. The researcher will check the use of educational materials by individuals from the administrator's menu. To increase the effectiveness of the training, reminder, motivating, and supportive messages will be sent to the patients twice a week.

Web-Based Multi-Source Training on the Prevention of Urinary Tract İnfections

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years
• Ability to speak, read and write Turkish.
• Becoming a kidney transplant recipient for the first time
• Having and using a smartphone (IOS or Android) or computer or tablet
• Having internet access

You may not qualify if:

• Willingness to leave the research at any time
• Re-operation in the follow-up process
• Hospitalization due to non-transplant problems during follow-up
• Not using the web-based application despite three reminder messages a week.

Sponsors & Collaborators

• Akdeniz University: lead

Study Sites (1)

Akdeniz University

Antalya, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Urinary Tract Infections

Condition Hierarchy (Ancestors)

Infections; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases

Study Officials

• Fatma CEBECİ

  Akdeniz University

  PRINCIPAL INVESTIGATOR

• Nihal KİRAZ

  Akdeniz University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: In the research, the participants will be blinded; the researcher cannot be blinded because he is practicing. To avoid statistical evaluator bias, statistical evaluations will be made on a data file where the intervention or control group is not explicitly stated by the researcher.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor Doctor

Model Details: The study is a single-center, parallel-group, single-blind, pretest, and posttest randomized controlled experimental study.

Study Record Dates

• First Submitted: February 12, 2023
• First Posted: April 20, 2023
• Study Start: April 1, 2023
• Primary Completion: December 30, 2023
• Study Completion: December 30, 2023
• Last Updated: July 30, 2024

Record last verified: 2023-10

Locations

TU (1)