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Developing and Evaluating a Home Hemodialysis Training Program-A Quality Improvement Study.

Kristina K Knudsen1, Carolina V Adrian1, Mathilde H Jensen1

  • 1Department of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.

Hemodialysis International. International Symposium on Home Hemodialysis
|May 20, 2025
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Summary
This summary is machine-generated.

A revised home hemodialysis training program (Training Program 2.0) improved patient satisfaction. Key changes included more frequent sessions and earlier self-cannulation, enhancing the learning experience for home dialysis patients.

Keywords:
home hemodialysispatient involvementself‐management supporttraining program

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Area of Science:

  • Nephrology
  • Medical Education
  • Patient Training

Background:

  • Home hemodialysis (HHD) training programs can be lengthy, deterring patient participation.
  • A previous HHD training program (Training Program 1.0) required 3-4 months, impacting patient choice.
  • This study aimed to optimize HHD training through program revision and evaluation.

Purpose of the Study:

  • To identify improvements for an existing HHD training program.
  • To develop an enhanced HHD training program (Training Program 2.0).
  • To assess the outcomes and patient experience of the revised HHD training program.

Main Methods:

  • Literature review and focus groups with HHD nurses.
  • Interviews with patients from the previous training program.
  • Collaborative development of Training Program 2.0 using a 'learning by doing' approach, followed by qualitative and quantitative evaluation.

Main Results:

  • Six key changes were implemented: increased session frequency, earlier self-cannulation, dedicated training nurses, a shorter/structured program, individualized schedules, and clearer instructions.
  • Training frequency increased to four sessions/week, with self-cannulation introduced in week two.
  • Qualitative data showed improved patient experience; quantitative data trended towards reduced training time.

Conclusions:

  • Training Program 2.0 fostered a more effective learning environment, leading to enhanced patient satisfaction.
  • While not statistically significant, qualitative improvements indicate a positive impact on the patient experience in HHD.
  • Tailoring HHD training to patient needs is crucial for engagement and adoption of home dialysis therapies.