Targeted Education ApproaCH to Improve Peritoneal Dialysis Outcomes (TEACH-PD) – Feasibility Study

Prof Josephine Sau Fan Chow1,2,3, Ms Kelly  Adams4, Dr Yeoungjee  Cho5, Dr Peter Choi4, Ms Keri-Lu  Equinox7, Professor Ana  Figueiredo8, Professor Carmel  Hawley5,6,9, Professor Kirsten  Howard2, Professor David W. Johnson5,6,9, Professor Matthew D.  Jose3, Ms Anna Lee10, A/Professor Maureen  Longergan10, Ms Karine E  Manera11, Ms Jo-Anne  Moodie12, Ms Peta-Anne  Paul-Brent5,9, Ms Elaine M  Pascoe5,9, Ms Donna  Reidlinger5,9, Dr. Genevieve Z.  Steiner13, Ms Melinda  Tomlins4, Dr Allison  Tong11, Dr David  Voss14, Professor Neil  Boudville15

1South Western Sydney Local Health District, , Australia, 2University of Sydney, , , 3University of Tasmania, , , 4Hunter New England Local Health District, , , 5The University of Queensland, , , 6Princess Alexandra Hospital, , , 7Cairns Hospital, , , 8Pontifícia Universidade Católica do Rio Grande do Sul, , , 9AKTN, , , 10Illawarra Shoalhaven Local Health District, , , 11The Children’s Hospital at Westmead, , , 12The Royal Melbourne Hospital, , , 13Western Sydney University, , , 14Middlemore Hospital, , , 15University of Western Australia, ,


There is substantial variation in peritonitis rates across peritoneal dialysis (PD) units globally. This may, in part, be related to the wide variability in the content and delivery of training for PD nurse trainers and patients.  The aim of this study was to test the feasibility of implementing the TEACH-PD curriculum in real clinical practice settings.


This study used mixed-methods including questionnaires and semi-structured interviews (pre- and post-training) with nurse trainers and patients to test the acceptability and usability of the PD training modules implemented in two PD units over six months. Quantitative data from the questionnaires were analysed descriptively. Interviews were analysed using thematic analysis.


Ten PD trainers and 14 incident PD patients were included. Mean training duration to complete the modules were 10.9 hours (range 6-17) and 24.9 hours (range 15-35), for PD trainers and patients, respectively. None of the PD patients experienced PD-related complications at 30 days follow up. Three (21%) patients were transferred to haemodialysis due to non PD-related complications. Ten trainers and 14 PD patients participated in the interviews. Four themes were identified including use of adult learning principles (trainers), comprehension of online modules (trainers), time to complete the modules (trainers) and patient usability of the manuals (patient).

Conclusion: This TEACH-PD study has demonstrated feasibility of implementation in a real clinical setting. The outcomes of this study have informed refinement of the TEACH-PD modules prior to rigorous evaluation of its efficacy and cost-effectiveness in a large-scale study.


Coming from a career specialty background as a renal nurse, Josephine Chow is currently the Director Strategy and Partnerships of South Western Sydney Local Health District and manages a team of staff in supporting a large number of innovations, major contracts/tenders and model of care redesign.  She is also the Co-Director of the Renal Clinical Research Centre in Liverpool Hospital and very active in both clinical trial and clinical researches.  Josephine also contributes to academic activities with the number of publications in local and international journal and has supervised a number of post graduate and PhD students in nursing, psychology and management degree.

She completed her PhD, Master of Business Administration, Diploma of Project Management, Diploma of Government.  In 2012, Josephine was awarded the prestigious Winston Churchill Fellowship and travelled oversea to investigate strategies for improving the uptake of home-based dialysis therapies.  She is the Project Lead for a number of local and international awards and funding grants.  Her research interests include home dialysis, end of life management, model of care telehealth and integrated care.

Josephine is the Chair of a number of state-wide and national-wide high cost equipment and consumables tender.  She is advisor for a number of national and international committee on business model in health care.


The ASM is hosted by Australian and New Zealand Society of Nephrology.

The aims of the Society are to promote and support the study of the kidney and urinary tract in health and disease, and to ensure the highest professional standards for the practice of nephrology in Australia and New Zealand.

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