Kidney Week

Abstract: FR-PO682

Stakeholder Priorities for Remote Management in Peritoneal Dialysis

Session Information

• Dialysis: Peritoneal Dialysis - II
  October 26, 2018 | Location: Exhibit Hall, San Diego Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

• 703 Dialysis: Peritoneal Dialysis

Authors

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

Lalita Subramanian,

• Cuttitta, Tony, Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Tony Cuttitta,

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

Rosalind H. Kirk,

• Perlman, Rachel, UM Health Center, Ann Arbor, Michigan, United States

Rachel Perlman,

• Restovic, Yanko, Stakeholder Advisory Panel, Ann Arbor, Michigan, United States

Yanko Restovic,

• Jeter, Allison D., UM Health Center, Ann Arbor, Michigan, United States

Allison D. Jeter,

• 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,

• Moore, Nicholas W., Arbor Research Collaborative for Health, Ann Arbor, Michigan, United States

Nicholas W. Moore,

• Perl, Jeffrey, University of Toronto, 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) technologies alert and enable health care providers to manage a range of health-related changes including remote follow-up, where appropriate. In this study, an Advisory Group including patients, social workers, nurses, nephrologists, alongside researchers, developed and reviewed interviews and responses from patients, care partners and clinicians on using remote management (RM) technologies that may influence priorities for patient care and engagement in peritoneal dialysis (PD) treatment for kidney failure.

Methods

Thirty semi-structured phone interviews were conducted in the United States and United Kingdom between October 2017 and January 2018. These aimed to assess effects of RM on PD treatment from patients', care partners' and clinicians' perspectives. NVivo11 was used to organize and analyze the data to identify remote management priorities. Sample quotes illustrating the variations in perspectives among the three groups are shown in Table

Results

Sample quotes illustrating the variations in perspectives among the three groups are shown in the Table. Clinicians tended to view RM as a tool with the potential to significantly change management and delivery of PD care while patients and care partners frequently perceived RM as having some benefits but not necessarily addressing some of the more immediate needs with their care.

Conclusion

There were variations in aspects of RM that were most valued by patients, care partners and clinicians . Opportunities for further technological innovations might exist in addressing patient and care partner priorities for PD care.