RecruitingNot ApplicableNCT05753020

A Pilot Study of The CKM JumpStart Tool

Sponsor

University of Washington

Enrollment

76 participants

Start Date

Apr 10, 2023

Study Type

INTERVENTIONAL

Conditions

Chronic Kidney Diseases

Summary

This is a randomized pilot study to test the feasibility and acceptability of a tool to promote discussion about conservative kidney management (CKM) among older patients with advanced CKD and their providers.

Eligibility

Min Age: 75 Years

Inclusion Criteria6

Patients
Adults aged ≥75 years
Advanced CKD as defined as having at least 2 outpatient measures of eGFR \<25 ml/min/1.73m2 separated by \>90 days in the prior year and with at least 1 eGFR measure \<20.
English-speaking
Receive care from a provider at UW Medicine or VA Puget Sound
Open to discussing their values and treatment options for kidney disease with their provider.

Exclusion Criteria7

Unable to complete the informed consent process
Currently receiving maintenance dialysis
Providers Inclusion
Their patient is a participant in the study.
Are a UW Medicine or VA Puget Sound provider or trainee.
Exclusion
• None

Interventions

BEHAVIORALCKM Jumpstart Tool

The CKM JumpStart Tool is a 1-page handout that describes the values of a patient and words that a providers can try with the patient to explore the patient' values more and to provide a values-based introduction to CKM. The values described in the CKM JumpStart Tool is based on a patient's response to a single validated question that we will ask the patient at T1, if they had to choose, do they value care directed at longevity or comfort. Using the patient's answer to the values question, study staff will generate a CKM JumpStart Tool prior to their upcoming clinic visit with their nephrologist. Study staff will inform the patient that their response to the values question will be shared with their provider prior to their next clinic visit and that their providers might bring up their values and treatment options for kidney disease, if the situation permits. We will share the CKM Jumpstart Tool with their provider and provide instruction on how to use the Tool.