Flipped Classroom Approach in Continuous Ambulatory Peritoneal Dialysis Training

NCT06221228 | Not Yet Recruiting

• 1 other identifier: HSEARS20230905003
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this single-blinded randomized controlled trial is to evaluate the effectiveness of an educational intervention for patient self-management and successful renal replacement therapy in Chronic Kidney Disease (CKD) patients. The main question it aims to answer is whether the flipped class pedagogy in delivering the pre-dialysis program to CKD patients is effective. Participants will undergo a week-long intervention consisting of pre-class instructional videos, self-study tutorials, face-to-face sessions, and take-home exercises, and will be compared to those receiving the conventional educational course.

Conditions

Chronic Kidney Disease

Keywords

Continuous Ambulatory Peritoneal Dialysis Training; Pre-dialysis education programme; flipped class pedagoggy

Outcome Measures

Primary Outcomes (1)

• Peritoneal Dialysis Psychomotor Skill Competency Checklist

  Patients' performance will be evaluated to see whether these are safe based on the competency checklist on peritoneal dialysis fluid exchange skills and exit site management, and the Multiple choice questions (MCQs) will be used to test the relevant knowledge. This assessment tool is validated by the expert panel of five members including one nephrologist, two renal nurse clinicians, and two academic staff.

  Baseline assessment will be conducted prior to the intervention (T1), immediately post-intervention (T2) and one month (T3) and three months (T4) after the completion of programme.

Secondary Outcomes (1)

• Student Satisfaction and Self-confidence in Learning (SSSCL) Inventory

  Immediately post pre-dialysis training

Study Arms (2)

Conventional Training (CT):

NO INTERVENTION

Usual care in the clinical practice: Pre-dialysis training class

Audio-visual assisted Flipped Classroom pre-dialysis training

EXPERIMENTAL

The audio-visual assisted Flipped Classroom (FC) CAPD Training Programme is a one-week individual intervention, which consists of five sessions (8-hours each). Pre-class audio-visual tutorials will be provided for self-study prior to F2F sessions. Six instructional videos, each dedicated to a specific procedure, are accessible for preview and repeated viewing as needed. Such flexibility allows the patients to revise at their own preferred time and pace. The four videos are (1) CAPD preparation and hand washing, (2) CAPD bag exchange procedure (Ultrabag or Balance systems), (3) Trouble shooting, and (4) Addressing contamination, (5) Detecting peritonitis, and (6) Exit site care. Participants will be asked to take note of any issues or difficulties they encounter while watching the video. A CAPD education booklet will be prepared and distributed to the patients at the beginning of the F2F training session. Take-home exercises will allow participants to revise the materials covered.

Behavioral: Audio-visual assisted Flipped Classroom (FC) CAPD Training Programme

Interventions

Audio-visual assisted Flipped Classroom (FC) CAPD Training Programme BEHAVIORAL

FC CAPD programme is a one-week individual intervention, which consists of five sessions (8-hours each). Pre-class audio-visual tutorials will be provided for self-study prior to face-to-face (F2F) sessions. Six instructional videos, each dedicated to a specific procedure, are accessible for preview and repeated viewing as needed. Such flexibility allows the patients to revise at their own preferred time and pace. Participants will be asked to take note of any issues or difficulties they encounter while watching the video. A CAPD education booklet will be prepared and distributed to the patients at the beginning of the F2F training session. Take-home exercises will allow participants to revise the materials covered in the videos and consolidate their learning.

Audio-visual assisted Flipped Classroom pre-dialysis training

Eligibility Criteria

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

You may qualify if:

• The candidates should meet the below criteria will be recruited.
• age ≥ 18 years
• clinically diagnosed to have CKD Stage 5 (estimated creatinine clearance - 15 mL/min/1.73 m2)
• Tenkoff insertion was performed and CAPD training will be offered in 4 weeks
• able to perform self-care CAPD or family-assisted CAPD
• willing to participate in audio-visual assisted and face-to-face activities
• alert and oriented, able to sustain for approximately one hour of attention and interaction
• communicable in Cantonese, able to read and write Chinese
• could be reached by phone and able to use electronic devices, e.g. smart phone, tablet, notebook or computers to access online audio-visual materials

You may not qualify if:

• Patients having one or above of the below conditions will be excluded from the study.
• patients who have been receiving dialysis therapy
• patients who are unable to communicate in Cantonese
• patient who has hearing deficit
• patient who are disoriented, delirious or cognitively impaired
• patients who are clinically depressed diagnosed by medical doctors
• patients who do not have access to online material using electronic devices
• patients who are incompetent in giving written consent

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (1)

School of Nursing, The Hong Kong Polytechnic University

Hung Hom, Hong Kong Island, Hong Kong

Location

Related Publications (2)

• National League for Nursing. A vision for teaching with simulation: a living document from the National League for Nursing NLN Board of Governors. 2015. Retrieved from https://www.nln.org/docs/default-source/uploadedfiles/about/nln-vision-series-position-statements/vision-statement-a-vision-for-teaching-with-simulation.pdf?sfvrsn=e847da0d_0

  BACKGROUND

• Chan JCK, Fong DYT, Tang JJ, Gay KP, & Hui J. The Chinese Student Satisfaction and Self-Confidence Scale Is reliable and valid. Clinical Simulation in Nursing. 2015; 11(5), 278-283. https://doi.org/10.1016/j.ecns.2015.03.003

  BACKGROUND

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Kitty Chan, PhD

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Kitty Chan, PhD

CONTACT

852-9168322; kitty.yy.chan@polyu.edu.hk

Suet Lai Tam

CONTACT

852-9168322; tamsl@ha.org.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 20, 2023
• First Posted: January 24, 2024
• Study Start: September 1, 2024
• Primary Completion: September 1, 2025
• Study Completion (Estimated): September 1, 2026
• Last Updated: January 24, 2024

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, CSR
• Time Frame: When the project is completed and publication available
• Access Criteria: access by sending email to the corresponding author

Locations

HK (1)