Patient-Provider Trust Among Individuals With End-Stage Kidney Disease

NCT00075036 | Completed

• 2 other identifiers: 04007004-CC-0070
• Study Type: observational
• Target: 113
• Locations: 1 country
• Sites: 2

Brief Summary

This study will examine communication and trust between patients in the kidney transplant process and their health care providers. It will assess patients' perception of trust in their physician and nurse coordinator; determine the patients' level of trust in the areas of competence, compassion, control, communication, and confidentiality; and determine how the trust level varies as patients progress in the transplant process. Patients 18 years of age and older who are in various stages of the kidney transplant process at Walter Reed Army Medical Center and the NIH Clinical Center may be eligible for this study. Candidates include individuals who:

• are on dialysis but not on a transplant waiting list
• are on the organ waiting list and are also on dialysis
• are on the organ waiting list but are not on dialysis
• have had a kidney transplant within the last year. Participants will be interviewed by someone who is not their direct health care provider about the doctor/patient, primary provider/patient, or nurse/patient relationship, their health history, medical condition, and ideas about their care. With the patient's permission, parts of the interview will be tape-recorded. The interview will take about 30 to 40 minutes.

Conditions

Kidney Failure, Chronic

Keywords

Health Disparities; Transplantation; Trust; Interview; Ethnic Bias

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• The investigators will interview a cohort of patients from Walter Reed Army Medical Center and the NIDDK intramural program in various stages of the transplant process. The stages are divided into the following categories:
• individuals on dialysis but not on a waiting list
• individuals on the organ waiting list who are also on dialysis
• individuals on the organ waiting list but not on dialysis
• individuals who have had a kidney transplant within the last year
• individuals who have had a kidney transplant greater than one year

You may not qualify if:

• Patients less than 18 years old will not be included in this study. The interview questions and responses to the instruments may be inappropriate for children.

Sponsors & Collaborators

• National Institutes of Health Clinical Center (CC): lead
• Walter Reed Army Medical Center: collaborator

Study Sites (2)

Walter Reed Army Medical Center

Washington D.C., District of Columbia, 20301, United States

Location

National Institutes of Health Clinical Center, 9000 Rockville Pike

Bethesda, Maryland, 20892, United States

Location

Related Publications (3)

• Cain VS, Kington RS. Investigating the role of racial/ethnic bias in health outcomes. Am J Public Health. 2003 Feb;93(2):191-2. doi: 10.2105/ajph.93.2.191. No abstract available.

  PMID: 12554567 BACKGROUND

• Furth SL, Garg PP, Neu AM, Hwang W, Fivush BA, Powe NR. Racial differences in access to the kidney transplant waiting list for children and adolescents with end-stage renal disease. Pediatrics. 2000 Oct;106(4):756-61. doi: 10.1542/peds.106.4.756.

  PMID: 11015519 BACKGROUND

• Eggers PW. Racial differences in access to kidney transplantation. Health Care Financ Rev. 1995 Winter;17(2):89-103.

  PMID: 10157383 BACKGROUND

MeSH Terms

Conditions

Kidney Failure, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency, Chronic; Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Lori A Purdie, R.N.

  National Institutes of Health Clinical Center (CC)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: NIH
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 30, 2003
• First Posted: December 31, 2003
• Study Start: February 27, 2004
• Study Completion: September 13, 2019
• Last Updated: September 17, 2019

Record last verified: 2019-09-13

Locations

US (2)