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

G. 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, S. Jesudason

Research output: Contribution to journalArticlepeer-review

Abstract

Background: 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 self-management 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/.

Original languageEnglish
Article number28
Number of pages10
JournalPilot and Feasibility Studies
Volume8
DOIs
Publication statusPublished - 2022
Externally publishedYes

Bibliographical note

Funding Information:
This project was funded by the Royal Adelaide Hospital Research Committee Clinical Project Grant (MyIP ref#12879, March 2020) and Royal Adelaide Hospital Research Fund (April 2020).

Publisher Copyright:
© 2022, The Author(s).

Keywords

  • Education
  • Haemodialysis
  • Needle distress
  • Psychology
  • Training

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