RecruitingNot ApplicableNCT06173323

A Stakeholder-enhanced Intervention to Improve the Decisional Partnership of Chronic Kidney Disease Dyads (IMPART)

An Optimization Trial of a Stakeholder-enhanced Intervention to Improve the Decisional Partnership of Chronic Kidney Disease Dyads (IMPART)

Sponsor

University of Alabama at Birmingham

Enrollment

128 participants

Start Date

Sep 16, 2024

Study Type

INTERVENTIONAL

Conditions

Decision Making, Shared Chronic Kidney Disease Family Caregiving

Summary

Using a highly innovative methodology, the Multiphase Optimization Strategy (MOST), the purpose of this study is to pilot test, an optimization trial approach to develop and refine the decision partnering skills of persons with stage 4 chronic kidney disease and their caregivers. Using a 2x2x2 full factorial design, 64 dyads (patients and one identified caregiver) will be randomized to receive one or more lay coach-delivered decision partnering training components, based on Pearlin's Stress-Health Model of Family Caregiving and Rini's Social Support Effectiveness theory. The components include: 1) caregiver coaching on effective decision support (1 vs. 3 sessions); 2) caregiver decision support communication training (1 session vs. none); and 3) patient social support effectiveness psychoeducation (yes vs. no).

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a new program designed to help people with advanced chronic kidney disease (stage 4, where kidneys are working at less than 30% capacity) and their caregivers make better decisions together about treatment options like dialysis, transplant, or other care. **You may be eligible if...** - You are 18 or older with documented stage 4 chronic kidney disease - You have a caregiver (a family member, friend, or partner) who helps with your medical decisions and is also willing to participate - You can speak and read English - You are not yet on dialysis or in hospice care **You may NOT be eligible if...** - You are already receiving dialysis or hospice care - You have severe, untreated mental illness, dementia, active suicidal thoughts, uncorrected hearing loss, or active substance abuse - You do not have an enrolled caregiver participant Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

BEHAVIORALImPart - Improving Chronic Kidney Disease Decisional Partnerships

ImPart is a decision support intervention developed and refined in partnership with a advisory group of patients with and caregivers of people living with Chronic Kidney Disease. The program is designed to support decision-making throughout the illness experience.