Chronic Kidney Disease
Conditions
Brief summary
This study is looking to improve the safety of patients with chronic kidney disease via education provided on a mobile tablet. This study will additionally examine if electronic tools, such as mobile tablets, can help.
Detailed description
Individuals with CKD are at risk for adverse safety events, yet little is known regarding the utility of health information technology (IT) educational tools to reduce these events. The results of this project will be invaluable in gaining a better understanding of the limitations and potential for use of a patient-centered mHealth patient safety educational intervention in high-risk individuals with CKD. The study will evaluate the perceived eHealth literacy of patients with CKD and its relation to medication errors in the CRIC cohort. The hypothesis is that a novel mHealth-based patient safety curriculum designed to address a wide-range of e-literacy will be effective in attenuating the identified Digital Divide adversely affecting many CKD patients, and will reduce adverse safety events common in this population. Study Aims: 1. Examine the association between surveyed perceived e-literacy and medication errors in individuals with CKD Hypothesis 1: Medication error rates will be higher among CRIC participants with low eHealth literacy. 2. Assess the acceptance and feasibility of a novel mHealth-based patient safety curriculum to improve patient safety risk knowledge among individuals with CKD and determine its efficacy in increasing patient safety risk awareness. Hypothesis 2a: A low literacy mHealth patient safety curriculum will improve patient safety risk awareness among high risk individuals with CKD. Hypothesis 2b: Medication error rates will be higher among CRIC participants with low patient safety risk awareness.
Interventions
OTHERmHealth Tool
The curriculum in the mHealth tool was derived in consultation with patient safety, informatics and adult educational curricula experts, and is comprised of clinical vignettes describing common patient safety themes in CKD and includes a pre- and post-test knowledge assessment. Topics of emphasis included NSAID risk awareness, hypoglycemia awareness, avoidance of volume depletion when ill (Sick Day Protocol) and avoidance of contrast-induced nephropathy.
Sponsors
University of Pennsylvania
University of Maryland
University of Illinois at Chicago
Johns Hopkins University
Duke University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to 79 Years
Healthy volunteers
No
Inclusion criteria
* Enrolled in Chronic Renal Insufficiency Cohort (CRIC) Study.
Exclusion criteria
* Not enrolled in Chronic Renal Insufficiency Cohort (CRIC) Study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medication Errors | 10 minutes | eHealth Literacy questionnaire and how that relates to medication errors |
| e-literacy questionnaire | 10 minutes | eHEALS portion of the questionnaire will be used to determine eHealth literacy and e-literacy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Safety Risk | 20 minutes | mHealth tool and how that relates to patient safety risk |
Countries
United States
Outcome results
None listed