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Sickle Cell DiseaseNCT04505969

A Study Aimed to Assess the Needs of Subjects With Sickle Cell Disease and Healthcare Professionals Managing Sickle Cell Disease Patients in Selected Nigerian Centres

An observational study of Sickle Cell Disease, run by Fondazione per la Ricerca Farmacologica Gianni Benzi Onlus at 4 sites in Nigeria.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This pilot research is aimed to assess the needs of patients and health workers involved in Sickle Cell Disease (SCD) management in Nigeria. To achieve this, a questionnaire will be administered to SCD patients or parents of children affected by SCD. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sickle Cell Disease
What is being tested?
Questionnaire to assess needs
How many people
192 participants
Where
4 sitesNigeria
Study dates
11 Aug 2020to 11 Nov 2020
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Adult, Older adult

Study population: Patients with a diagnosis of Sickle Cell Disease or parents having a child with a diagnosis of Sickle Cell Disease attending one of the clinical centres involved in the study. Healthcare professionals, e.g. doctors, nurses, working with Sickle Cell Disease patients in the clinical centres involved in the study.

The following inclusion criteria apply for patients/parents:

  • Aged ≥ 18
  • Have SCD diagnosis or having a child with a SCD diagnosis
  • Attending the centre from at least 6 months
  • Nigerian nationality
  • Informed Consent signed

The following inclusion criteria will apply for healthcare professionals:

  • Working in a SCD clinic
  • At least 5 years of experience with SCD patients
  • Informed Consent signed

The following exclusion criteria apply for all participants:

  • Informed consent form withdrawal
  • Illiterate subjects
  • Any psychiatric conditions impairing the participation in this study.

Trial locations and contacts

4 sites in 1 country.

Nigeria4 sites
  • National Hospital Abuja

    Abuja

  • Barau Dikko Teaching Hospital, Kaduna State University

    Kaduna

  • Federal Medical Centre Katsina

    Katsina

  • Ahmadu Bello University Teaching Hospital Zaria

    Zaria

Other trials in Nigeria

About this study

Official title: Pilot Study to Assess Patients' and Health Workers' Needs Involved in Sickle Cell Disease Management

This pilot research is aimed to assess the needs of patients and health workers involved in Sickle Cell Disease (SCD) management in Nigeria. To achieve this, a questionnaire will be administered to SCD patients or parents of children affected by SCD. Another questionnaire will be administered to doctors and nurses working with SCD patients. A focus group discussion with patients/parents willing to participate will be also scheduled. Participants from the following centres will be involved: Barau Dikko Teaching Hospital Kaduna State University, Ahmadu Bello University Teaching Hospital Zaria, National Hospital Abuja, Federal Medical Centre Katsina. Data will be qualitatively and quantitatively analysed and presented as aggregated data. Consent from all the study participants will be sought. Questionnaires will be coded and no personal data will be disclosed to authorised third parties.

Read the detailed description

The primary objective of this study is to understand the needs of SCD patients and health workers involved in SCD management, with particular reference to the disease management in the clinical centre. This is a descriptive, mixed method prospective questionnaire-based study.

The study is intended as a pilot experience to verify the feasibility of the action through a structured survey.

Two questionnaires have been developed: one will be administered to 30 SCD patients or parents/legally designated representatives of children affected by SCD and 30 Professionals working with SCD patients (mainly doctors and nurses) in four clinical centres in Nigeria for a total of 120 patients and 120 health workers. A focus group discussion will be run with the SCD patients/parents. Following the pilot study, a wider survey will be launched involve patients, parents and healthcare professionals in the whole country and in other centres involved in the project.

Data for this study will be collected using triangulation methods. A simple random and purposive sampling techniques will be used to select respondents for the study. The collected data for this study will be presented and analysed using SPSS and thematic analysis. The study will be conducted in four centres in Nigeria: Barau Dikko Teaching Hospital Kaduna State University (BDTH), Ahmadu Bello University Teaching Hospital Zaria (ABUTH), National Hospital Abuja (NHA), and Federal Medical Centre Katsina (FMC). The study will be performed in the framework of the "African Research and Innovative initiative for Sickle cell Education: Improving Research Capacity for Service Improvement" project (GA 824021 - ARISE - H2020-MSCA-RISE-2018).

ARISE is the EU (Horizon 2020) 4-year funded project between European, African, US and Lebanon institutions for research staff exchanges, started on 1st of January 2019. Fondazione per la Ricerca Farmacologica Gianni Benzi Onlus coordinates the ARISE project.

Being tested
Questionnaire to assess needs
Keywords
Sickle Cell Disease, healthcare professionals' needs, patients'needs, questionnaires
Medical subject headings
Anemia, Sickle Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Questionnaire to assess needsOther

    Two questionnaires have been developed to assess the specific needs of healthcare professionals working with SCD patients and of SCD patients or parents of children with SCD

Study groups in NCT04505969
Study groupRoleWhat they receive
SCD patientsNot described
Receives: Other: Questionnaire to assess needs
Healthcare professionalsNot described
Receives: Other: Questionnaire to assess needs

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Level of Satisfaction on SCD Current Treatment and Management

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents.

    Measured: Single-point assessment, at the enrolment

  2. Rating of the Overall Service Quality

    Likert scale from 1 (very poor) to 5 (very good). This Outcome Measure was pre-specified to be measured in only SCD patients/parents.

    Measured: Single-point assessment, at the enrolment

  3. Level of Satisfaction About Nursing Care in Clinic

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents.

    Measured: Single-point, at the enrollment

  4. Rating of the Facilities to Manage SCD Patients

    Likert scale from 1 (very poor) to 5 (very good). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients

    Measured: Single-point assessment, at the enrolment

  5. Level of Satisfaction on Responsibility

    Healthcare professionals have been asked to indicate their satisfaction about their responsibility in the clinic, using a Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients.

    Measured: Single-point assessment, at the enrolment

  6. Level of Global Satisfaction on the Work With SCD Patients

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied)

    Measured: Single-point assessment, at the enrolment

Secondary outcomes (14)
  1. Level of Appreciation of the Work

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients

    Measured: Single-point assessment, at the enrolment

  2. Level of Satisfaction on Protection From Injuries and Professional Risks

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients

    Measured: Single-point assessment, at the enrolment

  3. Level of Satisfaction on the Management of the Clinic

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients

    Measured: Single-point assessment, at the enrolment

  4. Level of Satisfaction on the Instruction Given by Doctor About Pain Control

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients or parents of children with SCD

    Measured: Single-point assessment, at the enrollment

  5. Level of Satisfaction on the Support Received at the Time of the Diagnosis

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents

    Measured: Single-point assessment, at the enrolment

  6. Level of Satisfaction on the Involvement by Doctors in Decisions That Affect the Course of Disease

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents.

    Measured: Single-point assessment, at the enrollment

  7. Level of Satisfaction on the Services Provided in the Lab

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents

    Measured: Single-point assessment, at the enrolment

  8. Level of Satisfaction on the Communication About Sickle Cell Disease and Its Treatment

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents

    Measured: Single-point assessment, at the enrolment

  9. Level of Satisfaction in Communicating With Lab Technicians

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents.

    Measured: Single-point assessment, at the enrolment

  10. Level of Satisfaction in Communicating With Nurses

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only SCD patients/parents

    Measured: Single-point assessment, at the enrollment

  11. Level of Satisfaction on the Relationship You Have With the Patients

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients.

    Measured: Single-point assessment, at the enrolment

  12. Level of Satisfaction on Involvement in the Decision-making Process of Your Centre

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients.

    Measured: Single-point assessment, at the enrolment

  13. Level of Satisfaction on Professional Career Advancement

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients.

    Measured: Single-point assessment, at the enrolment

  14. Level of Satisfaction on the Decision-making Autonomy

    Likert scale from 1 (very dissatisfied) to 5 (very satisfied). This Outcome Measure was pre-specified to be measured in only healthcare professionals working with SCD patients.

    Measured: Single-point assessment, at the enrolment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Aug 2020
  2. Study start11 Aug 2020
  3. Primary completion11 Nov 2020
  4. Study completion11 Nov 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Cross-sectional
Enrolment
192 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04505969
Sponsor's protocol ID
NHREC/01/01/2007-23/03/2020
Status last verified
Nov 2023
First submitted
6 Aug 2020
Last updated
10 May 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The research data needed to validate the results presented in the published scientific papers will be made available for verification and re-use, unless there will arise justified reasons for keeping specific datasets confidential. This will be done in compliance with the obligation to protect results, the confidentiality obligations, the security obligations, and the obligations to protect personal data as set out in the ARISE Partnership Agreement and in the Study Protocol. All the data will be anonymised before publishing.

Publications

  • Adewoyin AS. Management of sickle cell disease: a review for physician education in Nigeria (sub-saharan Africa). Anemia. 2015;2015:791498. doi: 10.1155/2015/791498. Epub 2015 Jan 18.

    PubMed 25667774
  • Grosse SD, Odame I, Atrash HK, Amendah DD, Piel FB, Williams TN. Sickle cell disease in Africa: a neglected cause of early childhood mortality. Am J Prev Med. 2011 Dec;41(6 Suppl 4):S398-405. doi: 10.1016/j.amepre.2011.09.013.

    PubMed 22099364
  • King L, Knight-Madden J, Reid M. Newborn screening for sickle cell disease in Jamaica: a review - past, present and future. West Indian Med J. 2014 Mar;63(2):147-50. doi: 10.7727/wimj.2013.107. Epub 2014 Apr 11.

    PubMed 25303249
  • Galadanci N, Wudil BJ, Balogun TM, Ogunrinde GO, Akinsulie A, Hasan-Hanga F, Mohammed AS, Kehinde MO, Olaniyi JA, Diaku-Akinwumi IN, Brown BJ, Adeleke S, Nnodu OE, Emodi I, Ahmed S, Osegbue AO, Akinola N, Opara HI, Adegoke SA, Aneke J, Adekile AD. Current sickle cell disease management practices in Nigeria. Int Health. 2014 Mar;6(1):23-8. doi: 10.1093/inthealth/iht022. Epub 2013 Oct 10.

    PubMed 24114193
  • Green NS, Mathur S, Kiguli S, Makani J, Fashakin V, LaRussa P, Lyimo M, Abrams EJ, Mulumba L, Mupere E. Family, Community, and Health System Considerations for Reducing the Burden of Pediatric Sickle Cell Disease in Uganda Through Newborn Screening. Glob Pediatr Health. 2016 Apr 7;3:2333794X16637767. doi: 10.1177/2333794X16637767. eCollection 2016.

    PubMed 27336011
  • Makani J, Soka D, Rwezaula S, Krag M, Mghamba J, Ramaiya K, Cox SE, Grosse SD. Health policy for sickle cell disease in Africa: experience from Tanzania on interventions to reduce under-five mortality. Trop Med Int Health. 2015 Feb;20(2):184-7. doi: 10.1111/tmi.12428. Epub 2014 Nov 17.

    PubMed 25365928
  • McGann PT, Grosse SD, Santos B, de Oliveira V, Bernardino L, Kassebaum NJ, Ware RE, Airewele GE. A Cost-Effectiveness Analysis of a Pilot Neonatal Screening Program for Sickle Cell Anemia in the Republic of Angola. J Pediatr. 2015 Dec;167(6):1314-9. doi: 10.1016/j.jpeds.2015.08.068. Epub 2015 Oct 23.

    PubMed 26477868
  • World Health Organization. Sickle-Cell Anaemia Report by the Secretariat. Fifty-Ninth World Health Assembly, c2006. Available from: http://www. apps.who.int/gb/ebwha/pdf_files/WHA59/A59_9-en.pdf

Questions about this trial

What is this clinical trial studying?

An observational study of Sickle Cell Disease, run by Fondazione per la Ricerca Farmacologica Gianni Benzi Onlus at 4 sites in Nigeria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Nigeria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Level of Satisfaction on SCD Current Treatment and Management (time frame: Single-point assessment, at the enrolment). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04505969, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 May 2024.

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