Intensive Patient Referral and Education Program Prior to Renal Replacement Therapy
University of Chicago
180 participants
Sep 4, 2024
INTERVENTIONAL
Conditions
Summary
Intensive Patient Referral and Education Program prior to Renal Replacement Therapy (iPREP-RRT) is a 12-week intervention that identifies hospitalized African Americans with advanced chronic kidney disease (CKD) and provides them with hospital- and community-based education, navigation and self-management support. Participants will be randomized to the iPREP-RRT intervention versus enhanced usual care.
Eligibility
Inclusion Criteria5
- Patients over the age of 18 and under 70
- Admitted to the University of Chicago inpatient general medicine service
- Likely hospital stay greater than 48 hours
- Diagnosis of advanced CKD (Stage 3B or above, as determine by problem list, ICD- 10 codes or eGFR\<45 during admission and from previous medical encounters)
- Self-identify as Black or African American
Exclusion Criteria5
- Non-English speaking
- Unable to communicate due to current medical status
- Unable to consent due to mental status
- Expected hospital stay less than 24 hour
- Current admission in ICU
Interventions
In-person patient education about CKD, CKD risk factor management and renal replacement therapy options.
Motivational interviewing to assist participants in committing to change in CKD management or RRT selection.
Participants will learn how to check their blood pressure and will receive a blood pressure cuff for home.
Written patient education booklet about general health care management including taking medications, having a primary care doctor, weight management and exercise.
Patient educator will use text messages based on social cognitive theory to remind participants about and reinforce goals set around CKD self-management, blood pressure control and RRT selection
Patient educator will use provide a "booster" session based on social cognitive theory to remind participants about and reinforce goals set around CKD self-management, blood pressure control and RRT selection
Patient educator will use text messages to send general health management messages
Locations(1)
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NCT06397456