Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol

Abstract Background End-stage kidney disease is a life-changing illness. Many patients require haemodialysis, a treatment that impacts profoundly on quality of life and mental health. Arts-based interventions have been used in other healthcare settings to improve mental health and quality of life; t...

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Main Authors: Claire Carswell, Joanne Reid, Ian Walsh, Helen McAneney, Helen Noble
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Pilot and Feasibility Studies
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40814-018-0389-y
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author Claire Carswell
Joanne Reid
Ian Walsh
Helen McAneney
Helen Noble
author_facet Claire Carswell
Joanne Reid
Ian Walsh
Helen McAneney
Helen Noble
author_sort Claire Carswell
collection DOAJ
description Abstract Background End-stage kidney disease is a life-changing illness. Many patients require haemodialysis, a treatment that impacts profoundly on quality of life and mental health. Arts-based interventions have been used in other healthcare settings to improve mental health and quality of life; therefore, they may help address the impact of haemodialysis by improving these outcomes. However, there is a lack of evidence assessing their effectiveness in this population and few randomised controlled trials (RCTs) evaluating the effectiveness of complex arts-based interventions. Methods The aims of this study are to establish the feasibility of a cluster RCT of an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis through a cluster randomised pilot study, explore the acceptability of the intervention with a process evaluation and explore the feasibility of an economic evaluation. The study will have three phases. The first phase consists of a cluster randomised pilot study to establish recruitment, participation and retention rates. This will involve the recruitment of 30 participants who will be randomly allocated through cluster randomisation according to shift pattern to experimental and control group. The second phase will be a qualitative process evaluation to establish the acceptability of the intervention within a clinical setting. This will involve semi-structured interviews with 13 patients and three focus groups with healthcare professionals. The third phase will be a feasibility economic evaluation to establish the best methods for data collection within a future cluster RCT. Discussion Arts-based interventions have been shown to improve quality of life in healthcare settings, but there is a lack of evidence evaluating arts-based interventions for patients receiving haemodialysis. This study aims to assess the feasibility of a future cluster RCT assessing the impact of an arts-based intervention on the wellbeing and mental health of patients receiving haemodialysis and identify the key factors leading to successful implementation. The hope is this study will inform a trial that can influence future healthcare policy by providing robust evidence for arts-based interventions within the haemodialysis setting. Trial registration The trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496.
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spelling doaj.art-b6093731b67b4fbe9bcec9c9645ba8602022-12-21T18:21:56ZengBMCPilot and Feasibility Studies2055-57842019-01-015111110.1186/s40814-018-0389-yImplementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocolClaire Carswell0Joanne Reid1Ian Walsh2Helen McAneney3Helen Noble4School of Nursing and Midwifery, Queen’s University BelfastSchool of Nursing and Midwifery, Queen’s University BelfastSchool of Medicine, Dentistry and Biomedical Sciences, Queen’s University BelfastSchool of Medicine, Dentistry and Biomedical Sciences, Queen’s University BelfastSchool of Nursing and Midwifery, Queen’s University BelfastAbstract Background End-stage kidney disease is a life-changing illness. Many patients require haemodialysis, a treatment that impacts profoundly on quality of life and mental health. Arts-based interventions have been used in other healthcare settings to improve mental health and quality of life; therefore, they may help address the impact of haemodialysis by improving these outcomes. However, there is a lack of evidence assessing their effectiveness in this population and few randomised controlled trials (RCTs) evaluating the effectiveness of complex arts-based interventions. Methods The aims of this study are to establish the feasibility of a cluster RCT of an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis through a cluster randomised pilot study, explore the acceptability of the intervention with a process evaluation and explore the feasibility of an economic evaluation. The study will have three phases. The first phase consists of a cluster randomised pilot study to establish recruitment, participation and retention rates. This will involve the recruitment of 30 participants who will be randomly allocated through cluster randomisation according to shift pattern to experimental and control group. The second phase will be a qualitative process evaluation to establish the acceptability of the intervention within a clinical setting. This will involve semi-structured interviews with 13 patients and three focus groups with healthcare professionals. The third phase will be a feasibility economic evaluation to establish the best methods for data collection within a future cluster RCT. Discussion Arts-based interventions have been shown to improve quality of life in healthcare settings, but there is a lack of evidence evaluating arts-based interventions for patients receiving haemodialysis. This study aims to assess the feasibility of a future cluster RCT assessing the impact of an arts-based intervention on the wellbeing and mental health of patients receiving haemodialysis and identify the key factors leading to successful implementation. The hope is this study will inform a trial that can influence future healthcare policy by providing robust evidence for arts-based interventions within the haemodialysis setting. Trial registration The trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496.http://link.springer.com/article/10.1186/s40814-018-0389-yArtFeasibility studiesKidney failure, chronicRandomised controlled trials as topicRenal dialysis
spellingShingle Claire Carswell
Joanne Reid
Ian Walsh
Helen McAneney
Helen Noble
Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
Pilot and Feasibility Studies
Art
Feasibility studies
Kidney failure, chronic
Randomised controlled trials as topic
Renal dialysis
title Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
title_full Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
title_fullStr Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
title_full_unstemmed Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
title_short Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol
title_sort implementing an arts based intervention for patients with end stage kidney disease whilst receiving haemodialysis a feasibility study protocol
topic Art
Feasibility studies
Kidney failure, chronic
Randomised controlled trials as topic
Renal dialysis
url http://link.springer.com/article/10.1186/s40814-018-0389-y
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