Jeffs Lianne, Jain Arsh Kumar, Man Rachel HiuTung, Onabajo Nike, Desveaux Laura, Shaw James, Hensel Jennifer, Agarwal Payal, Saragosa Marianne, Jamieson Trevor, Wong Ivy, Maione Maria, Bhatia R Sacha
Keenan Research Centre, Li Ka Shing Knowledge Institute St Michaels Hospital, 209 Victoria St, Toronto, ON, M5B 1T8, Canada.
London Health Sciences Centre, 800 Commissioners Rd E, London, ON, N6A 5W9, Canada.
BMC Nephrol. 2017 May 10;18(1):155. doi: 10.1186/s12882-017-0557-y.
Chronic Kidney Disease (CKD) is a pressing global health concern that is placing increased strain on health care resources. CKD patients regularly receive peritoneal dialysis as a common CKD treatment. An emerging technological solution is telehomecare as way to support patients receiving PD in their homes. This study protocol outlines a mixed methods evaluation exploring a telehomecare developed to enhance CKD patients' outcomes and experiences. The study aims to assess the usability, acceptability and scalability of this virtual care application.
A realist evaluation using an embedded case study design will be used to understand the usability, acceptability and scalability of a telehomecare application for patients with CKD undergoing PD. The realist evaluation that is further described in this paper is part of a larger evaluation of the eQ Connect™ intervention that includes a randomized, parallel-arm control trial aimed at determining if utilizing eQ Connect improves selected clinical outcomes for PD patients (CONNECT Trial).
Potential implications of this study include elucidating which components of the intervention are most effective and under what conditions with a focus on the contextual influences. Collectively, our multi-method design will yield knowledge around how best to implement, sustain and spread the telehomecare application that will be useful to guide the development, implementation and evaluation of future virtual care applications aimed at improving the quality of care outcomes and experiences of patients.
NCT02670512 . Registered: January 18, 2016.
慢性肾脏病（CKD）是一个紧迫的全球健康问题，给医疗资源带来了越来越大的压力。CKD患者经常接受腹膜透析作为一种常见的CKD治疗方法。一种新兴的技术解决方案是远程家庭护理，作为支持在家接受腹膜透析患者的一种方式。本研究方案概述了一项混合方法评估，探索一种为改善CKD患者的治疗效果和体验而开发的远程家庭护理。该研究旨在评估这种虚拟护理应用的可用性、可接受性和可扩展性。
将采用嵌入案例研究设计的实证评估来了解一种针对接受腹膜透析的CKD患者的远程家庭护理应用的可用性、可接受性和可扩展性。本文进一步描述的实证评估是对eQ Connect™干预措施进行的更大规模评估的一部分，该评估包括一项随机平行对照试验，旨在确定使用eQ Connect是否能改善腹膜透析患者的选定临床结局（CONNECT试验）。
本研究的潜在影响包括阐明干预措施的哪些组成部分最有效以及在何种条件下有效，重点关注背景影响因素。总体而言，我们的多方法设计将产生有关如何最好地实施、维持和推广远程家庭护理应用的知识，这将有助于指导未来旨在改善患者护理结局和体验的虚拟护理应用的开发、实施和评估。
NCT02670512。注册时间：2016年1月18日。
