Evaluation of the Optimal Transition Program

Satellite Healthcare

Status: Unknown

Conditions: Hemodialysis; ESRD

Treatments: Other: Evaluation of the program process including time, costs, referral rates, admission to the program and length of stay.; Other: Surveys with participants using validated survey tools.; Other: Analysis using descriptive statistics of patient clinical outcomes.

Study type: Observational

Funder types: Other

Identifiers

NCT04263233

SIH124_Optional Transition

Details and patient eligibility

About

This is an evaluation of a program developed by a team of nephrologists, operations experts and researchers. The goal is to provide CKD patients with a better way to transition to life on dialysis - one that emphasizes even more individual clinical, psychosocial and lifestyle needs. On top of high-quality clinical care, the 4-week Optimal Transition program supports patients as they adjust to treatment and learn to live the best life possible. This is done through a robust education curriculum and a trust-building approach.

Full description

In this program evaluation the investigators will be reporting on the following program outcomes:

1. Clinical and psychosocial stabilization: to include lab values, clinical dialysis parameters, patient-reported symptoms, quality of life, hospitalization and mortality rates.
2. Dialysis modality choice with satisfaction with the modality education and continued modality use over 24 months.
3. Patient knowledge, activation, and satisfaction.
4. Program parameters such as time, costs, referral rate, admissions and length of stay within the program.

Enrollment: 20 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Referred for incenter hemodialysis at one of two Satellite Healthcare (SHC) participating dialysis units
• Without significant cognitive impairment;
• Able to meaningfully interact with staff; and
• Fluent in English (due to education material being limited to English at this time).

Exclusion criteria

• Unable to meaningfully interact with staff;
• Unable to read and understand English; or
• Has significant cognitive impairment per the nephrologist or Principal Investigator

Trial design

20 participants in 1 patient group

Other

Description:

This program, which is provided for all patients new to dialysis at the participating units, will be evaluated by assessing patient clinical outcomes and the results of surveys measuring patient-reported symptoms, quality of life, knowledge and activation. In addition, satisfaction with the program will be assessed.

Treatment:

Other: Evaluation of the program process including time, costs, referral rates, admission to the program and length of stay.

Other: Surveys with participants using validated survey tools.

Other: Analysis using descriptive statistics of patient clinical outcomes.