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

Chronic Kidney Diseases

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

Plain Language Summary

Simplified for easier understanding

The CKD-EDU study tests a structured education program for elderly patients with advanced chronic kidney disease (CKD) to help them make informed decisions about whether to start dialysis or choose a non-dialysis care path. It aims to improve patient understanding and confidence in decision-making. **You may be eligible if...** - You are 75 years or older - You have advanced kidney disease with kidney function below 30% (stage 4 or 5 CKD) - You speak English - You have not yet made a decision about dialysis **You may NOT be eligible if...** - You have already decided whether to pursue dialysis or conservative care - You are already on dialysis - You have previously seen a palliative care specialist specifically for your kidney disease - You are unable to understand or answer verbal survey questions due to health, hearing, or cognitive issues 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.

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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.