We receive many emails enquiring about progress. As answering these takes time away from processing submissions, please email only if absolutely necessary. We are working hard to process registration and update requests as quickly as possible.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial registered on ANZCTR

Registration number
Ethics application status
Date submitted
Date registered
Date last updated
Type of registration
Retrospectively registered

Titles & IDs
Public title
The Home First Study: Patient and Caregiver Preferences for Home Dialysis.
Scientific title
Patient and caregivers identification of the key attributes between home and facility dialysis which contribute to the uptake of home dialysis.
Secondary ID [1] 286392 0
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Chronic kidney disease
294541 0
Dialysis 294542 0
End stage kidney disease 294543 0
Condition category
Condition code
Renal and Urogenital 294850 294850 0 0
Kidney disease

Study type
Patient registry
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
Key attributes which influence patient and caregivers decision to uptake home dialysis.
These attributes will be identified in qualitative interviews (1 interview approximately 60-90 minutes in duration)with patients and caregivers who have received formal education on dialysis modalities or who have commenced on dialysis within the last twelve months.
Discrete choice experiment surveys based on the results of the interviews will then be conducted to a group of approximately 150 patients and caregivers.
Intervention code [1] 291463 0
Not applicable
Comparator / control treatment
No control group
Control group

Primary outcome [1] 294611 0
Key attributes which influence home dialysis uptake as assessed by Discrete Choice Experiment Survey in patients and caregivers. The Discrete Choice Experiment Survey will be designed specifically for this study based on the findings from the qualitative interviews.
Timepoint [1] 294611 0
At time of survey questionnaire
Secondary outcome [1] 313712 0
Timepoint [1] 313712 0

Key inclusion criteria
Patients or caregivers over 18 years old who are currently under the care of one of three renal units in New Zealand: Hawke's Bay, Counties Manukau or Capital and Coast District Health Boards who have either received formal pre-dialysis education (Pre-dialysis) or have commenced dialysis (facility or home haemodialysis or peritoneal dialysis) within the last twelve months.
Minimum age
18 Years
Maximum age
No limit
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
Patients or caregivers unable to provide informed consent.

Study design
Defined population
Statistical methods / analysis

Recruitment status
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment outside Australia
Country [1] 6768 0
New Zealand
State/province [1] 6768 0

Funding & Sponsors
Funding source category [1] 290964 0
Name [1] 290964 0
Lottery Health Research
Address [1] 290964 0
PO Box 10-526. Wellington 6143
Country [1] 290964 0
New Zealand
Funding source category [2] 290965 0
Commercial sector/Industry
Name [2] 290965 0
Baxter Healthcare Corporation
Address [2] 290965 0
25212 W IL Rte. 120,

Round Lake, IL 60073
Country [2] 290965 0
United States of America
Primary sponsor type
The University of Sydney
New South Wales 2006
Secondary sponsor category [1] 289645 0
Name [1] 289645 0
Address [1] 289645 0
Country [1] 289645 0

Ethics approval
Ethics application status
Ethics committee name [1] 292561 0
Ko Awatea Research Office
Ethics committee address [1] 292561 0
Clinical Support Building
Room 253, Level 2
Counties Manukau DHB
100 Hospital Road
Auckland 2025
Ethics committee country [1] 292561 0
New Zealand
Date submitted for ethics approval [1] 292561 0
Approval date [1] 292561 0
Ethics approval number [1] 292561 0

Brief summary
The rates of chronic kidney disease are increasing rapidly. Home dialysis is believed to offer better survival, quality of life and is not as expensive as hospital dialysis. Despite this the rates of home dialysis are low and in some countries like NZ declining. This research explores patient and caregivers perceptions of what influences their decision about whether they choose home or hospital dialysis. We will firstly interview patients to determine these factors and then we will send surveys based on what we find in the patient and caregiver interview so we can determine what factors patients and caregivers are more influential in this decision making process.
Trial website
Trial related presentations / publications
i) Walker, R.C., Morton, R.L., Tong, A., Marshall, M.R., Palmer, S. and Howard, K., 2015. Patient and caregiver preferences for home dialysis—the home first study: a protocol for qualitative interviews and discrete choice experiments. BMJ open, 5(4), p.e007405.

ii) Walker, R.C., Howard, K., Morton, R.L., Palmer, S.C., Marshall, M.R. and Tong, A., 2015. Patient and caregiver values, beliefs and experiences when considering home dialysis as a treatment option: a semi-structured interview study. Nephrology Dialysis Transplantation, p.gfv330.

iii) Walker, R.C., Howard, K., Tong, A., Palmer, S.C., Marshall, M.R. and Morton, R.L., 2016. The economic considerations of patients and caregivers in choice of dialysis modality. Hemodialysis International, 20(4), pp.634-642.

iv) Walker, R.C., Walker, S., Morton, R.L., Tong, A., Howard, K. and Palmer, S.C., 2017. Maori patients' experiences and perspectives of chronic kidney disease: a New Zealand qualitative interview study. BMJ open, 7(1), p.e013829.
Public notes

Principal investigator
Name 55754 0
Mrs Rachael Claire Walker
Address 55754 0
C/- Renal House,
Private Bag 9014
Hastings 4120
Country 55754 0
New Zealand
Phone 55754 0
Fax 55754 0
Email 55754 0
Contact person for public queries
Name 55755 0
Mrs Rachael Walker
Address 55755 0
C/- Renal House
HBDHB, Private Bag 9014
Hastings 4130
Country 55755 0
New Zealand
Phone 55755 0
Fax 55755 0
Email 55755 0
Contact person for scientific queries
Name 55756 0
Mrs Rachael Walker
Address 55756 0
C/- Renal House
HBDHB, Private Bag 9014
Hastings 4130
Country 55756 0
New Zealand
Phone 55756 0
Fax 55756 0
Email 55756 0

No information has been provided regarding IPD availability
Summary results
Have study results been published in a peer-reviewed journal?
Other publications
Have study results been made publicly available in another format?
Results – basic reporting
Results – plain English summary