Interactive vs. Standard Video Education for Improving Outcomes in Hemodialysis Patients

Shahid Beheshti University of Medical Sciences

Status: Not yet enrolling

Conditions: Educational Videos; Weight Change; Hemodialysis; Patient Activation; Treatment Adherence; Nurse

Treatments: Other: Educational Method Using Conventional Video; Other: Educational Method Using Interactive Video

Study type: Interventional

Funder types: Other

Identifiers

NCT07099326

IR.SBMU.PHARMACY.REC.1404.067

Details and patient eligibility

About

The goal of this clinical trial is to find out if educational videos-especially interactive ones-can help people on dialysis better manage their treatment.

Researchers want to answer the following main questions:

Can interactive or conventional video-based education help patients better understand and follow their treatment plan? Does this type of education improve patients' ability to control their weight changes between dialysis sessions? Does this type of education improve patients' activation? Is interactive video education more effective than regular (non-interactive) video education?

What Will Happen in the Study:

Adults on hemodialysis will take part in the study.

They will be randomly assigned to one of three groups:

Group A: Will receive 10 interactive educational video sessions (30 minutes each).

Group B: Will receive the same videos but in a non-interactive format. Group C (Control Group): Will receive routine education normally given at the dialysis center.

Videos will be watched on a web platform. Interactive videos include pop-up questions and scenario-based feedback.

All participants will be followed up immediately, 1 month, and 3 months after the program ends.

What Participants Will Do:

Watch educational videos over several days (totaling 5 hours).

Answer questions and engage in follow-up group discussions.

Complete surveys about their knowledge, treatment adherence, and health behaviors.

Get weighed before and after dialysis sessions to monitor fluid retention.

This study aims to improve how dialysis patients manage their condition and to help healthcare providers design better educational tools.

Enrollment: 165 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Willingness to participate in the study;
2. Literate (ability to read and write);
3. Alertness and orientation to time, place, and person sufficient to respond to questions;
4. No history of hearing or visual impairments;
5. No cognitive disorders;
6. Possession of a personal mobile phone or any other device capable of running interactive videos, and the ability to use it;
7. No use of psychoactive medications;
8. Confirmed diagnosis of chronic kidney disease by a nephrology specialist and having a medical record in the dialysis unit;
9. Age between 18 and 65 years.

Exclusion criteria

1. Withdrawal from the study at any stage;
2. Failure to receive and watch the provided videos;
3. Patient death;
4. Transfer to a healthcare center outside the coverage of Shahid Beheshti University of Medical Sciences.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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165 participants in 3 patient groups

Interactive Video-Based Intervention

Experimental group

Description:

Participants in this arm will undergo a two-phase educational intervention with a total duration of six hours. In the first phase, patients will access an interactive video series on end-stage renal disease (ESRD) and its treatment options via an online platform. The series consists of ten 30-minute sessions delivered daily. The videos include interactive elements such as pop-up questions and multiple-choice assessments, with responses monitored by an instructor. All participants will receive prior training on how to use the system. In the second phase, patients will attend a one-hour instructor-led group discussion to review and consolidate key concepts.

Treatment:

Other: Educational Method Using Interactive Video

Conventional Video-Based Education

Experimental group

Description:

Participants in this arm will receive a two-phase educational intervention lasting a total of six hours. In the first phase, patients will access a series of conventional (non-interactive) educational videos on end-stage renal disease (ESRD) and treatment options via an online platform. The series consists of ten 30-minute sessions delivered daily. In the second phase, patients will participate in a one-hour instructor-led group discussion to review the video content, explore key concepts, and consolidate their understanding. Discussions will be facilitated by an experienced instructor familiar with the video content.

Treatment:

Other: Educational Method Using Conventional Video

Control Group (Usual Care)

No Intervention group

Description:

Participants in this group will receive the standard educational care provided at their respective centers. This typically includes nurse-delivered patient education, distribution of educational pamphlets, and follow-up by the unit's assigned nurse educator.