Evidence map›Paper›PMID 33213413›Full record

ArticleBMC nephrology2020

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis.

Claire Carswell, Joanne Reid, Ian Walsh, William Johnston, Helen McAneney, Robert Mullan, Jenny B Lee, Hugh Nelson, Michael Matthews, Elizabeth Weatherup and 9 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03629496 (Developing an Arts-based Intervention for Patients With End-stage Kidney Disease Whilst Receiving Haemodialysis), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03629496 nacompletednot on this map

Developing an Arts-based Intervention for Patients With End-stage Kidney Disease Whilst Receiving Haemodialysis

TypeinterventionalSponsorQueen's University, BelfastRan2018 to 2019Enrolled24ConditionsFeasibility Study, End Stage Renal Disease on Dialysis (Diagnosis)ArmsArts-based intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Claire CarswellSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland, UK. ccarswell02@qub.ac.uk.ORCID 0000-0003-3781-3286
Joanne ReidSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland, UK.
Ian WalshSchool of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
William JohnstonKidney Care UK, Alton, UK.
Helen McAneneyCentre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
Robert MullanAntrim Area Hospital, Northern Health and Social Care Trust, Antrim, UK.
Jenny B LeeCollege of the Arts, Center for Arts in Medicine, University of Florida, Gainesville, USA.
Hugh NelsonNorthern Health and Social Care Trust, Antrim, UK.
Michael MatthewsSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland, UK.
Elizabeth WeatherupNorthern Health and Social Care Trust, Antrim, UK.
Andrea SpencerArts Care Northern Ireland, Belfast, UK.
Jean MicheloNorthern Ireland Kidney Patient Association, Belfast, UK.
Anne QuailArts Care Northern Ireland, Belfast, UK.
Grainne KieltyArts Care Northern Ireland, Belfast, UK.
Alistair MackenzieSouth Eastern Health and Social Care Trust, Renal Unit, Belfast, UK.
Jenny ElliottArts Care Northern Ireland, Belfast, UK.
Nicola ArbuckleNorthern Ireland Kidney Patient Association, Belfast, UK.
Anna WilsonSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland, UK.
Helen NobleSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaemodialysis can negatively impact quality of life and mental health. Arts-based interventions used successfully in other settings to improve health and well-being, could help address the impact of haemodialysis. This study aimed to evaluate the feasibility and acceptability of conducting a randomised controlled trial (RCT) of an arts-based intervention for patients receiving haemodialysis.

methodsA parallel convergent mixed-methods design was used, including a pilot cluster RCT and qualitative process evaluation. Phase 1 evaluated recruitment and retention rates through a pilot cluster RCT at a single haemodialysis unit in Northern Ireland. Participants included patients who received haemodialysis for ESKD, were over the age of 18 and had the capacity to consent. These participants were randomised to the intervention or control group according to their haemodialysis shift. The intervention involved six one-hour, one-to-one facilitated arts sessions during haemodialysis. Phase 2 explored intervention and trial acceptability through a qualitative process evaluation using semi-structured interviews based on the RE-AIM framework. Participants included 13 patients who participated in phase 1 of the study, including 9 participants from the experimental group and four participants from the control group, and nine healthcare professionals who were present on the unit during implementation.

resultsOut of 122 outpatient haemodialysis patients, 94 were assessed as eligible for participation. Twenty-four participants were randomised, meaning 80% of the target sample size was recruited and the attrition rate at 3 months was 12.5% (n = 3). Participants viewed the arts as more accessible and enjoyable than anticipated following implementation. All participants who started the intervention (n = 11) completed the full six sessions. Qualitative benefits of the intervention suggest improvements in mental well-being. Patient choice and facilitation were important factors for successful implementation.

conclusionAn arts-based intervention for patients receiving haemodialysis is acceptable for both patients and healthcare professionals, and a definitive trial is feasible. The intervention may help improve mental-wellbeing in patients receiving haemodialysis, but this requires further investigation in a definitive trial.

trial registrationThe trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496 .

Indexed as

Art TherapyMental HealthQuality of LifeRenal DialysisAdultAgedAged, 80 and overFeasibility StudiesFemaleHumansInterviews as TopicMaleMiddle AgedOutpatientsPatient SelectionRandomized Controlled Trials as TopicArts-based interventionArts in healthComplex interventionEnd-stage kidney diseaseFeasibility studyHaemodialysisPilot studyProcess evaluationRandomised controlled trials

Identifiers

PMID33213413
PMCPMC7678271

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.