Clinical trial NCT05978479: The Effect of Individualized Education Using the Teach-Back Method Treatment on Treatment Adherence and the Coping Skills
Official title: The Effect of Individualized Education Using the Teach-Back Method Based on Roy's Adaptation Model Given to Patients With End-Stage Renal Disease Receiving Hemodialysis Treatment on Treatment Adherence and the Coping Skills
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: End Stage Renal Disease on Dialysis
Keywords: Hemodialysis
End-stage renal failure
Treatment adherence
Fluid and dietary restrictions
Teach-Back Method
Lead sponsor: Saglik Bilimleri Universitesi
Sponsor class: OTHER
First posted: 2023-08-07
Enrollment: 64
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Patients in the intervention group (experimental group) will receive a hemodialysis training booklet and face-to-face training using the "Teach Back Method" in three sessions held every other day. The routine care and treatment of the control group will be continued.
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study was planned to evaluate the effect of individual education given to adult patients with End Stage Renal Disease receiving hemodialysis treatment, using the Roy Adaptation Model-Based Teach Back Method under the guidance of nurses, on their ability to cope with fluid, diet and medication compliance and their adaptation skills.

Detailed description: The study is a randomized, controlled, two-group intervention trial with pretest-posttest design at three centers. The study will enroll adult End Stage Renal Disease patients receiving hemodialysis treatment who meet the inclusion criteria at the three centers where the study is being conducted. Data for the study will be collected using face-to-face interviews, a patient information form, a hemodialysis treatment information form, the End-Stage Renal Disease Adherence Questionnaire, a Coping and Adaptation Processing Scale, and a "Teach Back Method" questionnaire. Patients participating in the study will receive an educational booklet that will be completed after obtaining expert opinion based on the literature from the researcher. Patients in the intervention group will be trained by the researcher using the "Teach Back Method" in three sessions. Each session will last 45-60 minutes. From the 2nd week of the study, patients' questions will be answered and a 15-minute retraining session will be made in every two weeks. Patients in the control group will undergo a pretest and a posttest, and their routine care and treatment will continue. At the end of the study, patients in the control group will take training booklets.

Eligibility criteria: Inclusion Criteria:

* Hemodialysis treatment for 4 hours, three times a week for at least 3 months with a diagnosis of end-stage renal failure,
* Individuals between the ages of 18 and 65 years,
* Having no speech, vision or hearing problems,
* Be able to speak, read and write in Turkish,
* Patients who have voluntarily to participate and informed consent form in the study.

Exclusion Criteria:

* Those who do not participate or agree to participate in training,
* The general situation is not suitable for questioning,
* Those diagnosed with a cognitive disease such as dementia.

Primary outcomes:
measure: Effect of education conducted with the "Teach Back Method" on treatment adherence
timeFrame: Twelve weeks
measure: The effects of the Teach Back Method education on coping with and adaptation to hemodialysis treatment.
timeFrame: Twelve weeks
measure: The effectiveness of using the Teach Back Method in hemodialysis patients
timeFrame: Ten weeks
Secondary outcomes:
measure: The Effect of the Training given with the Teach Back Method on Interdialytic Weight
timeFrame: Twelve weeks
measure: The effect of training given with the Teach-Back Method on the amount of ultrafiltration
timeFrame: Twelve weeks
measure: The effect of training given with the Teach Back Method on arterial blood pressure
timeFrame: Twelve weeks
measure: The effect of training given with the Teach Back Method on dialysis adequacy (Kt/V)
timeFrame: Twelve weeks
Other outcomes:
Locations:
Study officials:
affiliation: University of Health science
name: Elif Acar, Msc.
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Health science
name: Semiha Akın, Prof.
role: PRINCIPAL_INVESTIGATOR
References: