Developing Tools for Dialysis Decision Support

VA Palo Alto Health Care System

Status: Active, not recruiting

Conditions: Chronic Kidney Diseases

Treatments: Behavioral: Web-based dialysis decision support tool

Study type: Interventional

Funder types: Other U.S. Federal agency

Identifiers

NCT06597279

IRB-54542

HX002763 (Other Grant/Funding Number)

Details and patient eligibility

About

The aim of this study is to evaluate the impact of a web-based dialysis decision support tool on decisional conflict, and values-treatment concordance and other decisional outcomes in individuals with advanced chronic kidney disease, and to assess the tool's acceptability and usability.

Full description

This study employs a pre-post design to assess the impact of a web-based dialysis decision support tool on patients with advanced chronic kidney disease and their caregivers. Participants will complete baseline surveys assessing demographics, knowledge of kidney failure treatments, and decisional conflict during a nephrology clinic visit. Following the visit, participants will access the decision support tool, with follow-up support provided by the study coordinator. One to four weeks after the baseline visit, participants will complete follow-up surveys to re-evaluate knowledge, decisional conflict, values-treatment concordance, and the quality of shared decision-making. Additionally, telephone interviews will be conducted to explore participants' understanding of treatment options and gather feedback on the decision support tool.

Enrollment: 25 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age >=65
2. Estimated GFR <25 ml/min/1.73m2
3. English speaking
4. Not a candidate for kidney transplant based on nephrologist assessment.

Family/caregiver inclusion criteria:

1. age >=21
2. English speaking

Exclusion criteria

a. Patients with cognitive impairment will be excluded; however their family member or caregiver is eligible to participate.

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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25 participants in 2 patient groups

Intervention

Experimental group

Description:

Web-based dialysis decision support tool

Treatment:

Behavioral: Web-based dialysis decision support tool

Control

No Intervention group

Description:

Historical controls