Creation and Validation of a Questionnaire to Measure the Feelings of a Chronic Renal Insufficiency Person During His Hemodialysis
Creation and Validation of a Questionnaire to Measure the Feelings of a Chronic Renal Insufficiency Person During His Hemodialysis
Chronic Hemodialysis is a treatment for kidney failure. It involves the construction of three
 treatment sessions per week extrarenal lasting 4 hours each. This treatment is necessary but
 it has an impact on the quality of life of patients.The investigators believe that to improve
 the overall quality of life in hemodialysis patients, the quality of each hemodialysis
 session must be improved. The quality criterion is not only medical, it must also take into
 account the patient's perception about the course of its meeting : that's what we call
 quality of experience of the dialysis session. Our daily healthcare practice shows that each
 hemodialysis session is experienced differently by the patient according to different factors
 : physical, psychological, relational, technical, temporal. The quality of the experience of
 a hemodialysis session could be positively influenced by the use of supplements occupational
 assets or liabilities, for improving patient satisfaction or by enhancing its relationship
 with the staff. Indeed, a preliminary study ( in the nephrology unit of our establishment in
 January 2012) of 8 patients undergoing active occupational educational activity during
 hemodialysis, showed that the experience of the hemodialysis session was potentially
 improvable (experienced patients improved, reduced cramps ... ). However, to assess the
 impact of such measures on the lives of the dialysis session and the quality of life in
 general, the investigators need to measure the quality of living of a dialysis session. There
 is not, at present, specific tool to measure the quality of the experience of a hemodialysis
 session. This tool would measure the impact of a caregiver support occupational during
 dialysis sessions. The main objective of this study is to create and validate an instrument
 to measure the quality of living of a hemodialysis of chronic renal insufficiency subject.
Chronic Hemodialysis is a treatment for kidney failure. It involves the construction of three
 treatment sessions per week extrarenal lasting 4 hours each. This treatment is necessary but
 it has an impact on the quality of life of patients. Indeed , the 2005 "REIN quality of life"
 report demonstrates that quality of life of people with kidney failure is impaired,
 especially in physical and general component. The investigators believe that to improve the
 overall quality of life in hemodialysis patients, we must improve the quality of each
 hemodialysis session. The quality criterion is not only medical, it must also take into
 account the patient's perception about the course of its meeting : that's what we call
 quality of experience of the dialysis session. Our daily healthcare practice shows that each
 hemodialysis session is experienced differently by the patient according to different factors
 : physical, psychological, relational, technical, temporal. The quality of the experience of
 a hemodialysis session could be positively influenced by the use of supplements occupational
 assets or liabilities, for improving patient satisfaction or by enhancing its relationship
 with the staff. Indeed, a preliminary study ( in the nephrology unit of our establishment in
 January 2012) of 8 patients undergoing active occupational educational activity during
 hemodialysis, showed that the experience of the hemodialysis session was potentially
 improvable (experienced patients improved, reduced cramps ... ). However, to assess the
 impact of such measures on the lives of the dialysis session and the quality of life in
 general, we need to measure the quality of living of a dialysis session. There is not, at
 present, specific tool to measure the quality of the experience of a hemodialysis session.
 This tool would measure the impact of a caregiver support occupational during dialysis
 sessions. Objectives: The main objective of this study is to create and validate an
 instrument to measure the quality of living of a hemodialysis of chronic renal insufficiency
 subject. This will be done in 3 steps, 1st step in establishing an item bank , second stage
 of construction and final calibration tool, and third step of psychometric validation of the
 questionnaire. Material and Methods : To date, no measure of the quality of living of a
 hemodialysis session is available and validated. The investigators intend to build and
 validate a quality instrument experienced a hemodialysis session for people with chronic
 kidney failure. The study will be conducted in three stages: - First step: the development of
 a bank of issue items qualitative research on the subject ( literature review , expert
 opinion ) and direct collection by focus group with people with CKD . - Second step:
 operationalization of the measuring tool (reduction of item bank , grouping of items ) with
 validation of the pre- final tool by individual statistical techniques (content validity ,
 perceived validity, structure validity, internal consistency) .- Third stage: the
 psychometric validation of the final tool will be made after a survey conducted on subjects
 with CKD , aged 18 and older . These patients will be enrolled in the hemodialysis centers
 participants during a usual hemodialysis session. A total of 30 patients will be interviewed
 for the qualitative step of developing a bank of items and then again 30 patients will
 participate in the validation of the pre-final tool. Then 100 patients will be included to
 develop the final measurement tool and structure validation and 150 patients will be asked to
 analyze the psychometric properties (validity, reliability and sensitivity to change).The
 last two stages of this work will multicentric. For the development of the item bank and
 meter validation of the final tool of cross-sectional surveys are sufficient. For the
 validation phase , a longitudinal follow-up will be required , with a collection on day 0 , 7
 day intervals (test - retest) and a collection to 6 months for the predictive validity of the
 assessment phase and sensitivity change. Analysis of the results will help define the
 applicability criteria and acceptability to know the validity of the specific instrument that
 is to say, its content validity, perceived validity, structure validity, discriminant
 validity, reliability explored by internal consistency and stability over time. Longitudinal
 follow-up of patients is expected to also assess the predictive validity and sensitivity to
 change. Statistical analysis plan: Statistical analysis of the data will use the so-called
 classical methods adapted. The study of the applicability of the instrument involves the
 description of relevant parameters. The validity of the instrument will use the following
 techniques: statistical techniques implement the factor analysis for the reduction of the
 items, check the dimensionality of fields, and check the structural validity. Analysis of
 variance or its equivalent for the study of discriminative ability. Reliability will be
 explored by the Cronbach alpha for internal consistency. For the study of reproducibility,
 the intraclass correlation coefficient is used. Multivariate analysis by Cox model or
 logistic regression will be performed to investigate the predictive validity and sensitivity
 to change. Expected results and prospects : The investigators believe that improving each
 hemodialysis session individually could ultimately improve the overall quality of life of
 patients. Hemodialysis treatment is palliative treatment (curative treatment is kidney
 transplantation), the medical teams have only as care option, improving the quality of
 sessions and therefore the experience of dialysis sessions. The investigators believe that
 the creation of a measurement tool and its validation are essential for the future evaluation
 of our actions. This tool will be useful for the entire Francophone community nephrologist .
Inclusion Criteria:

 Will be included in the study , patients :

 -  From 18 years or more;

 -  Achieved with chronic renal failure;

 -  Under hemodialysis;

 -  fluent in French .

 -  With a social security scheme.

 Will not be included in the study , patients :

 -  Having cognitive problems hindering understanding of the tool.

 -  Having participated in Phase I of the research project.

 -  Under Backup Justice (guardianship)."