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A Video Decision Support Tool to Assist Elderly Patients in ESRD Treatment Decision-making

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Mass General Brigham

Status

Completed

Conditions

Chronic Kidney Disease
Decision-making

Treatments

Other: End-stage renal disease treatment options

Study type

Interventional

Funder types

Other

Identifiers

NCT02698722
2014P002432

Details and patient eligibility

About

In the United States, it is estimated that there are approximately 630,000 patients who have ESRD with two-thirds of those patients subsequently receiving maintenance dialysis. Studies have demonstrated that the initiation and timing of dialysis for those with ESRD seem to vary widely regionally - confirming the uncertainty of the benefits of chronic dialysis in this population

Pre-dialysis education programs inform patients of all of their options allowing them to choose renal replacement therapy that is most consistent with their wishes. Recent evidence has supported using different methods of delivering education including videos to complement standard clinical care practices to promote informed decision making. This proposed study will serve to examine the efficacy of a dialysis modality video decision support tool to inform chronic kidney disease patients of different dialytic and non-dialytic therapies.

Enrollment

100 patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • English-speaking during clinical encounters
  • Stage 4 or 5 CKD (defined by the Chronic Kidney Disease Epidemiology Collaboration for estimation of GFR < 30 ml/min/1.73m2)

Exclusion criteria

  • Known history of dementia
  • Legally blind
  • Listed for kidney transplant

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

100 participants in 2 patient groups

Control
No Intervention group
Description:
This group will receive verbal education about dialytic and non-dialytic therapies via a standardized script.
Intervention
Experimental group
Description:
This group will receive the intervention which is a 11.5 minute video about dialysis and non-dialytic therapies.
Treatment:
Other: End-stage renal disease treatment options

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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