Developing and Evaluating the Yorkshire Dialysis Decision Aid (YoDDA)

University of Leeds

Status and phase

Completed

Phase 1

Conditions

Chronic Kidney Failure

Treatments

Other: Decision Aid

Other: Decision Aid + values task

Other: Decision aid + patient stories

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT01671228

0171-1 (Other Grant/Funding Number)

V4_01_JUN_12

SP2/Choices/2012 (Other Grant/Funding Number)

Details and patient eligibility

About

The purpose of this research is to develop a patient decision aid in paper and web formats to help patients with chronic kidney disease make informed dialysis treatment decisions.

Full description

This research will develop and evaluate a paper and web resource known as a decision-aid to help patients make informed decisions about dialysis treatment. The Yorkshire Dialysis Decision Aid (YoDDA) will help patients' with chronic kidney disease make informed decisions between haemodialysis and peritoneal dialysis choices by a) re-writing dialysis information in a more meaningful way for patients, b) restructuring information to make this difficult decision more manageable, and c) using prompts to help patients imagine the choices' consequences. The research will assess the acceptability of a patient decision aid in paper and web versions to patients and their carers, and its impact on patients choices about dialysis.

The programme of research included:

A survey using qualitative methods of patients with chronic kidney disease and professionals providing predialysis services to develop the Yorkshire Dialysis Decision Aid content, and integration within usual predialysis care practices.

A before-and-after study was carried out to evaluate the acceptability of the YoDDA-booklet to patients with sustained deterioration of kidney function making dialysis decision across the Yorkshire and Humber region, UK.

An experimental study was carried out on-line to evaluate the acceptability of three versions of YoDDA-web (YoDDA; YoDDA+values tasks; YoDDA_patient videos) to people, or carers of people, with kidney disease. The study was advertised with flyers within UK renal units and notices on the National Kidney Federation's website and members' magazine.

Enrollment

488 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: Adult patients with chronic kidney disease and carers of people with chronic kidney diseae who are making decisions about dialysis treatments.

Exclusion Criteria: Those not literate in English

Trial design

488 participants in 4 patient groups

decision aid

Experimental group

Description:

The Yorkshire Dialysis Decision Aid (YoDDA). Delivered as a leaflet in clinic and a web resource outside the NHS.

Treatment:

Other: Decision Aid

Decision Aid + values task

Experimental group

Description:

The Yorkshire Dialysis Decision Aid (YoDDA) + values clarification questions. delivered as a leaflet in clinic and a web-based resource outside the NHS.

Treatment:

Other: Decision Aid + values task

Other: Decision Aid

Decision Aid + patient stories

Experimental group

Description:

The Yorkshire Dialysis Decision Aid (YoDDA) + patient stories. Delivered as an web-based resource outside the NHS.

Treatment:

Other: Decision aid + patient stories

Other: Decision Aid

usual predialysis education

No Intervention group