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  • Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): protocol for a cluster randomised control trial

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Renal medicine
Protocol
Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): protocol for a cluster randomised control trial
  1. Sita Sharma1,2,
  2. Kimberly E Alexander3,
  3. Theresa Green4,5,
  4. Min-Lin (Winnie) Wu1,2,
  5. Ann Bonner1,2,6
  1. 1School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia
  2. 2Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia
  3. 3School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
  4. 4School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Queensland, Australia
  5. 5Surgical Treatment and Rehabilitation Service, Metro North Hospital and Health Service, Brisbane, Queensland, Australia
  6. 6Kidney Health Service, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Sita Sharma; sita.sharma{at}griffithuni.edu.au

Abstract

Introduction Multiple symptoms occur in people with kidney failure receiving haemodialysis (HD) and these symptoms have a negative impact on health-related quality of life (HRQoL). Fatigue, the most common symptom, is debilitating and difficult to manage. Educational interventions involving energy conservation strategies are helpful in reducing fatigue, however the effectiveness of energy conservation has not been previously studied in those receiving HD. The aim of this study is to evaluate the effectiveness of an energy conservation education intervention for people with end-stage kidney disease receiving HD (EVEREST trial).

Methods and analysis A pragmatic cluster randomised control trial with repeated measure will be used. One hundred and twenty-six participants from tertiary level dialysis centre will be cluster randomised to the intervention and control group according to HD treatment day. The intervention group will receive usual care along with a structured energy conservation education programme over 12 weeks comprising three individual face-to-face educational intervention sessions, one booster session and a booklet. The control group will receive usual care from their healthcare providers and a booklet at the end of the study. The primary outcome is fatigue, and the secondary outcomes are other Chronic Kidney Disease (CKD) symptoms, occupational performance and HRQoL. Intention-to-treat analysis will occur and will include a change in primary and secondary outcomes.

Ethics and dissemination Ethical approval has been obtained from the Human Research Committee of the Griffith University and Nepal Health Research Council. The results of this research will be published and presented in a variety of forums.

Trial registration number NCT04360408.

  • dialysis
  • end stage renal failure
  • chronic renal failure
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2021-056544

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    Footnotes

    • Contributors The study was conceived by SS, KEA, TG, M-LW and AB. SS led the literature review. All authors contributed to the preparation of the proposal, critical review and final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; externally peer reviewed.