Kidney Week

Abstract: SA-PO694

Engaging Stakeholders in Protocol Development for Qualitative Research on Remote Management for Peritoneal Dialysis

Session Information

• Peritoneal Dialysis - II
  November 04, 2017 | Location: Hall H, Morial Convention Center
  Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

• 608 Peritoneal Dialysis

Authors

• Subramanian, Lalita, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Lalita Subramanian,

• Kirk, Rosalind H, Independent Qualitative Research Consultant, Edinburgh, United Kingdom

Rosalind H Kirk,

• Perlman, Rachel, University of Michigan Health Center, Ann Arbor, Michigan, United States

Rachel Perlman,

• Adamowski, Therese T., University of Michigan Health Center, Ann Arbor, Michigan, United States

Therese T. Adamowski,

• Mccall, Margie Diane, Greenfield Health Systems, Detroit, Michigan, United States

Margie Diane Mccall,

• Perry, Erica Ellen, Stakeholder Group, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Erica Ellen Perry,

• Restovic, Kathy A, Stakeholder Group, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Kathy A Restovic,

• Fitzpatrick, Lisa M, McLaren Northern Michigan, Harbor Springs, Michigan, United States

Lisa M Fitzpatrick,

• Bryant, Nicole E, National Kidney Foundation-Michigan, Ypsilanti, Michigan, United States

Nicole E Bryant,

• Tocco, Rachel, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Rachel Tocco,

• Fox, Kimberly, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Kimberly Fox,

• Sloand, James A., Baxter Healthcare Corporation, Deerfield, Illinois, United States

James A. Sloand,

• Perl, Jeffrey, St. Michael's Hospital, Toronto, Ontario, Canada

Jeffrey Perl,

• Pisoni, Ronald L., Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Ronald L. Pisoni,

Background

Remote management (RM) involves various technologies designed to remotely monitor and manage a range of health conditions in order to alert healthcare professionals (HCPs) of any changes that might need follow-up. In this study, patients, social workers, nurses and nephrologists, together with researchers, developed interview and focus group guides for qualitative data collection on factors important to different stakeholders in considering RM technology for patients on peritoneal dialysis (PD).

Methods

Researchers introduced concepts and shared information on current RM technology for PD before proceeding with four brainstorming sessions with the stakeholder group on positives and negatives of RM for patients, care partners and HCPs in turn. Interviews of five HCP teams in the United Kingdom, United States and Canada using or transitioning to RM use for PD care provided insight on current technology. Concepts derived from all these sessions were categorized and mapped to domains in the COM-B framework (Figure 1).

Results

Literature, stakeholder and RM user perspectives, and a theoretical framework to explore the role of RM in modifying behavioral factors influencing PD and RM use informed the semi-structured interview and focus group guides for collecting data from patients, care partners and HCPs, as well as the study protocol.

Conclusion

This stakeholder-engaged process will increase the relevance of questions to participants and improve the quality of data collected, without the limitations of researchers’ pre-conceived views on RM. Data from this study will provide deeper understanding of factors related to skill, access and motivation in PD and RM use which will inform HCPs and technology developers leading to improved care for patients.

Funding

• Commercial Support – Baxter Healthcare Corporation