Family Meeting Study for End Stage Renal Disease

Mark A. Lumley

Status: Completed

Conditions: End-stage Renal Disease

Treatments: Behavioral: Family Consultation

Study type: Interventional

Funder types: Other

Identifiers

NCT02504021

HFHS IRB 9714

Details and patient eligibility

About

A randomized clinical trial for patients with end stage renal disease in which a family consultation condition is compared against a treatment as usual control condition on the hospital readmissions after 1 month as the primary outcome variable.

Full description

Patients hospitalized at Henry For Hospital who have end stage renal disease will complete baseline questionnaires and be randomized into the experimental or control condition. Patients randomized into the experimental condition will have a single family consultation session before the patient is discharged. A trained, master's level therapist will conduct the family consultation, which will use education, motivational interviewing, and other techniques to help the family engage and support the patient's health needs. Patients in both the experimental and control conditions will complete follow up questionnaires 1 month after discharge. Investigators will conduct chart reviews of outcome data, including readmissions, at 1, 3, and 6 months post-discharge.

Enrollment: 120 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospitalized in inpatient Nephrology Unit at Henry Ford Hospital
• Has end-stage renal disease
• Willing and able to contact support person / family member about participating in the study

Exclusion criteria

• Persistent Delirium
• Non-English speaking

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

120 participants in 2 patient groups

Family Consultation Condition

Experimental group

Description:

The family consultation will be one, 1-hour session conducted by trained, master's level therapists. The goals of the meetings are: a) Review patient and family understanding of events that caused the hospital admission; b) increase family awareness of the level of cognitive impairment that the patient is experiencing; c) discuss ways the family can get involved and help the patient with their medication and dialysis adherence; d) use motivational interviewing techniques as needed. This will be provided in addition to the usual care that inpatients receive in this unit.

Treatment:

Behavioral: Family Consultation

Treatment as Usual Control Condition

No Intervention group

Description:

Standard of care for the nephrology unit.