Chronic Kidney Diseases
Conditions
Brief summary
The investigators are studying the feasibility, acceptability, and outcomes of an intervention called Enhanced Dialysis Education (EDU) Intervention. CKD-EDU is a palliative care-based dialysis decision-making intervention that involves educating patients and caregivers about dialysis and engaging them in shared decision-making. Half of the enrolled patients will receive CKD-EDU and the other half will receive Usual Care.
Interventions
BEHAVIORALCKD-EDU
Palliative Care based coaching intervention for support with dialysis-related decision making.
OTHERusual care
Nephrologist based usual care
Sponsors
National Institutes of Health (NIH)
University of Rochester
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age ≥75 years old 2. Presence of advanced CKD stage 4 or 5 (i.e. e GFR ≤ 25 ml/min) 3. Patient's nephrologist is enrolled in the study and has seen that nephrologist at least once 4. Speaks English 5. Have not attended a dialysis education class or met with the dialysis education coordinator. 6. Have not made a dialysis decision
Exclusion criteria
1. Patient has already been seen by a palliative care clinician or is enrolled in hospice 2. Is already on dialysis 3. Hospitalized at the time of recruitment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants receiving the intervention | 24 months | We'll assess feasibility by determining the reach of the intervention |
| Acceptability of the intervention | 24 months | We'll assess the acceptability of the CKD-PC intervention by qualitative interviews by reporting the percentage of patients with a favorable response to the intervention. |
Countries
United States
Outcome results
None listed