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. 2019 Aug 6;2019(8):CD012379. doi: 10.1002/14651858.CD012379.pub2

Baraz 2014.

Methods
  • Study design: quasi‐experimental, pretest‐post‐test interventional study (using each subject as his/her own control); 155 assessed for eligibility, 97 participants randomised

  • Study duration: August 2013 to December 2013; conducted over 2 dialysis sessions

  • Study follow‐up: 6 months

Participants
  • Country: Iran

  • Setting: dialysis unit

  • HD patients age ≥ 18 years on HD for at least 6 months

  • Number (randomised/completed): intervention group (48/45); control group (49/45)

  • Mean age ± SD (years): intervention group (33.83 ± 8.89); control group (35.87 ± 10.13)

  • Sex (M): intervention group (46.6%); control group (51.1%)

  • Exclusion criteria: not reported

Interventions
  • Intervention type classification: education

  • eHealth intervention used: video

  • The educational contents of both programs were similar and covered necessary information about the ESKD and dietary management for HD, particularly fluid restrictions and identification of restricted/allowed foods, as well as skin care and stress management


Intervention group
  • Video education

    • Educational contents were presented through showing a video film, watched during 2 consecutive dialysis sessions in a week


Control group
  • Oral education

    • 2 group education sessions were held after dialysis sessions. Duration of each session did not exceed 45 minutes. A teaching booklet regarding dietary control was given to each participant at the end of the session

Outcomes Outcome measured at baseline and 6 months post intervention
  • QoL: using the Iranian version of the Short Form Health Survey (SF‐36)

Notes
  • Funding source: supported by Ahvaz Jundishapur University of Medical Sciences and financed by them

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random allocation was performed by using the random computer‐generated numbers
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 Blinding of participants High risk Could not have been blinded due to the nature of the intervention
Blinding of participants and personnel (performance bias) 
 Blinding of personnel High risk Principle investigator delivered the intervention
Blinding of outcome assessment (detection bias) 
 Objective outcome Low risk No objective outcomes were measured
Blinding of outcome assessment (detection bias) 
 Subjective outcomes Unclear risk Validated measure, however QoL is subjective and conducted in unblinded participants
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 6% to 8% loss‐to‐follow‐up in both groups
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement
Other bias Unclear risk Insufficient information to permit judgement