iChoose Decision Kidney Aid for End-Stage Renal Disease Patients

Emory University

Status: Completed

Conditions: End-Stage Kidney Disease; Kidney Transplantation; Kidney Failure, Chronic

Treatments: Behavioral: iChoose Kidney Decision Aid

Study type: Interventional

Funder types: Other

Identifiers

NCT02235571

IRB00076067

Details and patient eligibility

About

The investigators developed iChoose Kidney -- a shared decision-making support tool accessible through iPad, iPhone, or the web -- to provide ESRD patients and their providers with a simple, standardized, easily accessible, statistically robust tool for use in the clinic to guide patient education and healthcare decision-making about treatment options of dialysis or kidney transplantation. The iChoose Kidney decision aid provides patients with estimates of their individualized 1 and 3-year risks of mortality on dialysis vs. transplantation, based on previous national data. The tool has the potential to improve communication and decision-making between patients and their healthcare providers and improve access to kidney transplantation among patients with ESRD.

This will be a two-arm, randomized study, and will be conducted at 3 large transplant centers with diverse patient populations. One group of patients will receive standard education alone during their scheduled transplant evaluation. The second group will receive the standard education as well have the provider use the iChoose Kidney aid with them. The project timeline will be a total of 24 months inclusive of enrollment, follow-up, data analysis, and outcome evaluation.

This study will assess how well the iChoose decision aid works in improving patient knowledge, preferences for treatment, and patient access to transplant. The study will also assess whether providers find the tool useful for providing ways to share information with patients about ways to treat their kidney disease.

Enrollment: 470 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of end-stage renal disease (ESRD) and on dialysis for < 1 year
• English-speaking
• Subjects coming in for transplant medical evaluation
• Age > 18 years

Exclusion criteria

• Severe cognitive or visual impairment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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470 participants in 2 patient groups

Control

No Intervention group

Description:

These subjects are receiving standard patient education

iChoose Kidney Decision Aid

Experimental group

Description:

These subjects receive iChoose Kidney Decision Aid along with standard patient education

Treatment:

Behavioral: iChoose Kidney Decision Aid