RecruitingNot ApplicableNCT06410144

Chronic Kidney Disease-Education (CKD-EDU)

Improving Kidney Therapy Decision-Making for Older People With Advanced Chronic Kidney Disease (CKD)


Sponsor

University of Rochester

Enrollment

326 participants

Start Date

Feb 27, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The investigators are conducting a study to see which program better helps older patients with kidney disease choose their treatment. Investigators are also investigating if either program can reduce the number of hospital or emergency room visits in the first 6 months of the study, as well as potentially improve end-of-life care for older adults. Half of the participants will receive Program A, while the other half will receive Program B. Investigators will compare the two groups to see which participants feel better prepared about their kidney therapy decisions, experience improved end-of-life care, and have fewer emergency room visits and hospital admissions. Participants in Program A will receive information from the National Kidney Foundation and meet with a kidney therapy educator. Participants in Program B will get information about kidney disease treatment and meet with a decision-support specialist who's an expert in decision-making.


Eligibility

Min Age: 75 Years

Inclusion Criteria4

  • Age ≥ 75 years old
  • Has advanced kidney disease with kidney function less than 30%
  • Speaks English
  • Has not yet made a dialysis decision

Exclusion Criteria4

  • Has already decided on dialysis or active medical care without dialysis.
  • Has already been seen by a Palliative Care (PC) clinician for kidney-related issues or is enrolled in hospice
  • Currently on dialysis
  • Unable to provide informed consent or complete verbally administered surveys due to health, sensory, or cognitive impairment.

Interventions

BEHAVIORALProgram A

Subjects in the Control group will receive 1) National Kidney Foundation information, and 2) support from a kidney therapy educator.

BEHAVIORALProgram B

Subjects in the intervention group will receive 1) a video and paper decision aid, and 2) coaching from a decision support specialist. The visits will be aimed at supporting patients with kidney therapy decision-making.


Locations(5)

UR Medicine Nephrology - Strong West

Brockport, New York, United States

Nephrology Clinic - Thompson Professional Building

Canandaigua, New York, United States

Nephrology Clinic - St. James Medical Office Building

Hornell, New York, United States

Highland Hospital

Rochester, New York, United States

University of Rochester Medical Center

Rochester, New York, United States

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NCT06410144


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