Chronic Kidney Failure
Conditions
Keywords
dialysis, chronic kidney failure, informed choice, patient decision making, decision aid
Brief summary
The purpose of this research is to develop a patient decision aid in paper and web formats to help patients with chronic kidney disease make informed dialysis treatment decisions.
Detailed description
This research will develop and evaluate a paper and web resource known as a decision-aid to help patients make informed decisions about dialysis treatment. The Yorkshire Dialysis Decision Aid (YoDDA) will help patients' with chronic kidney disease make informed decisions between haemodialysis and peritoneal dialysis choices by a) re-writing dialysis information in a more meaningful way for patients, b) restructuring information to make this difficult decision more manageable, and c) using prompts to help patients imagine the choices' consequences. The research will assess the acceptability of a patient decision aid in paper and web versions to patients and their carers, and its impact on patients choices about dialysis. The programme of research included: A survey using qualitative methods of patients with chronic kidney disease and professionals providing predialysis services to develop the Yorkshire Dialysis Decision Aid content, and integration within usual predialysis care practices. A before-and-after study was carried out to evaluate the acceptability of the YoDDA-booklet to patients with sustained deterioration of kidney function making dialysis decision across the Yorkshire and Humber region, UK. An experimental study was carried out on-line to evaluate the acceptability of three versions of YoDDA-web (YoDDA; YoDDA+values tasks; YoDDA\_patient videos) to people, or carers of people, with kidney disease. The study was advertised with flyers within UK renal units and notices on the National Kidney Federation's website and members' magazine.
Interventions
OTHERDecision Aid
The Yorkshire Dialysis Decision Aid (YoDDA) resource in web and paper format
OTHERDecision aid + patient stories
The Yorkshire dialysis decision aid (YoDDA) plus a set of narratives provided by patients on the treatment options (home and hospital haemodialysis; continuous ambulatory and automated peritoneal dialysis
OTHERDecision Aid + values task
The Yorkshire Dialysis decision aid (YoDDA) plus a set of questions to help patients explore what aspects of their life important to them about this decision (values clarification)
Sponsors
Kidney Cancer UK
National Health Service, United Kingdom
Baxter Healthcare Corporation
Foundation for Informed Medical Decision Making
University of Leeds
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adult patients with chronic kidney disease and carers of people with chronic kidney diseae who are making decisions about dialysis treatments. \-
Exclusion criteria
Those not literate in English \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preparation for decision making scale | one and six weeks after provision information about dialysis choices | Assesses patient's perception of how useful the resource was in helping patients prepare for a consultation to talk about their health decision (Graham and O'Connor, 2010). http://decisionaid.ohri.ca/docs/develop/User\_Manuals/UM\_PrepDM.pdf |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Usefulness of information | one and six weeks after the provision of information | Study specific items to assess perceived usefulness of information in helping patients understand chronic kidney disease, dialysis treatments and thinking about dialysis |
Other
| Measure | Time frame | Description |
|---|---|---|
| Dialysis treatment preferences | one week and six weeks after the information | Study specific measure asking patients to rank order their preferred dialysis treatment (CAPD, APD, home HD, centre HD) |
Countries
United Kingdom
Outcome results
None listed