Improving management of needle distress during the journey to dialysis through psychological education and training—the INJECT study feasibility pilot protocol

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dc.contributor.authorRadisic, G.
dc.contributor.authorDuncanson, E.
dc.contributor.authorLe Leu, R.
dc.contributor.authorCollins, K.L.
dc.contributor.authorBurke, A.L.J.
dc.contributor.authorTurner, J.K.
dc.contributor.authorChur-Hansen, A.
dc.contributor.authorDonnelly, F.
dc.contributor.authorHill, K.
dc.contributor.authorMcDonald, S.
dc.contributor.authorMacauley, L.
dc.contributor.authorJesudason, S.
dc.date.issued2022
dc.description.abstractBackground: Needle-related distress is a common yet poorly recognised and managed problem among haemodialysis (HD) patients. The aim of this pilot study is to test the feasibility and acceptability of the INJECT Intervention—an innovative psychology-based intervention to empower patients to self-manage needle distress with the support of dialysis nurses. Methods: This investigator-initiated, single-arm, non-randomised feasibility study will take place in a large dialysis service in Adelaide, Australia. Participants will include patients aged ≥ 18 years, commencing or already receiving maintenance HD, recruited through dialysis physicians and nursing staff as individuals believed to be at risk of needle distress. They will be screened for inclusion using the Dialysis Fear of Injection Questionnaire (DFIQ) and enrolled into the study if the score is ≥ 2. The multi-pronged intervention encompasses (i) psychologist review, (ii) patient selfmanagement program and (iii) nursing education program. The primary aim is to evaluate feasibility and acceptability of the intervention from patient and dialysis nurse perspectives, including recruitment, retention, engagement with the intervention and completion. Secondary exploratory outcomes will assess suitability of various tools for measuring needle distress, evaluate acceptability of the nursing education program and measure cannulation-related trauma and vascular access outcomes. Conclusion: The results will inform the protocol for larger trials addressing needle distress in HD patients. Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12621000229875, approved 4 April 2021, https://www.anzctr.org.au.
dc.description.statementofresponsibilityG. Radisic, E. Duncanson, R. Le Leu, K. L. Collins, A. L. J. Burke, J. K. Turner, A. Chur, Hansen, F. Donnelly, K. Hill, S. McDonald, L. Macauley, and S. Jesudason
dc.identifier.citationPilot and Feasibility Studies, 2022; 8(1):28-1-28-10
dc.identifier.doi10.1186/s40814-022-00989-2
dc.identifier.issn2055-5784
dc.identifier.issn2055-5784
dc.identifier.orcidDuncanson, E. [0000-0001-9244-9638]
dc.identifier.orcidLe Leu, R. [0000-0003-4704-4943]
dc.identifier.orcidCollins, K.L. [0000-0003-3371-9452]
dc.identifier.orcidBurke, A.L.J. [0000-0002-0109-2950]
dc.identifier.orcidChur-Hansen, A. [0000-0002-2935-2689]
dc.identifier.orcidMcDonald, S. [0000-0001-6103-1386]
dc.identifier.orcidJesudason, S. [0000-0001-9695-0761]
dc.identifier.urihttps://hdl.handle.net/2440/145813
dc.language.isoen
dc.publisherBMC
dc.rights© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
dc.source.urihttps://doi.org/10.1186/s40814-022-00989-2
dc.subjectHaemodialysis; Needle distress; Psychology; Education; Training
dc.titleImproving management of needle distress during the journey to dialysis through psychological education and training—the INJECT study feasibility pilot protocol
dc.typeJournal article
pubs.publication-statusPublished

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