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Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD): A feasibility study

Chow, JSF, Adams, K, Cho, Y, Choi, P, Equinox, K-L, Figueiredo, AE, Hawley, CM, Howard, K, Johnson, DW, Jose, M ORCID: 0000-0002-9589-0071, Lee, A, Longergan, M, Manera, KE, Moodie, JA, Paul-Brent, PA, Pascoe, EM, Reidlinger, D, Steiner, GZ, Tomlins, M, Tong, A, Voss, D and Boudville, NC 2020 , 'Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD): A feasibility study' , Peritoneal Dialysis International, vol. 40, no. 2 , pp. 153-163 , doi: 10.1177/0896860819887283.

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Background: There is substantial variation in peritonitis rates across peritoneal dialysis (PD) units globally. This may, inpart, be related to the wide variability in the content and delivery of training for PD nurse trainers and patients.Aim: The aim of this study was to test the feasibility of implementing the Targeted Education ApproaCH to improvePeritoneal Dialysis Outcomes (TEACH-PD) curriculum in real clinical practice settings.Methods: This study used mixed methods including questionnaires and semi-structured interviews (pretraining and posttraining) with nurse trainers and patients to test the acceptability and usability of the PD training modules implemented intwo PD units over 6 months. Quantitative data from the questionnaires were analysed descriptively. Interviews wereanalysed using thematic analysis.Results: Ten PD trainers and 14 incident PD patients were included. Mean training duration to complete the moduleswere 10.9 h (range 6–17) and 24.9 h (range 15–35), for PD trainers and patients, respectively. None of the PD patientsexperienced PD-related complications at 30 days follow-up. Three (21%) patients were transferred to haemodialysis dueto non-PD–related complications. Ten trainers and 14 PD patients participated in the interviews. Four themes wereidentified including use of adult learning principles (trainers), comprehension of online modules (trainers), time tocomplete the modules (trainers) and patient usability of the manuals (patient).Conclusion: This TEACH-PD study has demonstrated feasibility of implementation in a real clinical setting. The outcomes of this study have informed refinement of the TEACH-PD modules prior to rigorous evaluation of its efficacy andcost-effectiveness in a large-scale study.

Item Type: Article
Authors/Creators:Chow, JSF and Adams, K and Cho, Y and Choi, P and Equinox, K-L and Figueiredo, AE and Hawley, CM and Howard, K and Johnson, DW and Jose, M and Lee, A and Longergan, M and Manera, KE and Moodie, JA and Paul-Brent, PA and Pascoe, EM and Reidlinger, D and Steiner, GZ and Tomlins, M and Tong, A and Voss, D and Boudville, NC
Keywords: adult learning principle, competency assessment, peritoneal dialysis, qualitative, training
Journal or Publication Title: Peritoneal Dialysis International
Publisher: Multimed Inc
ISSN: 0896-8608
DOI / ID Number: 10.1177/0896860819887283
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Copyright 2020 The Authors

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