A Video Decision Support Tool to Assist Elderly Patients in ESRD Treatment Decision-making
1 other identifier
interventional
100
1 country
1
Brief Summary
In the United States, it is estimated that there are approximately 630,000 patients who have ESRD with two-thirds of those patients subsequently receiving maintenance dialysis. Studies have demonstrated that the initiation and timing of dialysis for those with ESRD seem to vary widely regionally - confirming the uncertainty of the benefits of chronic dialysis in this population Pre-dialysis education programs inform patients of all of their options allowing them to choose renal replacement therapy that is most consistent with their wishes. Recent evidence has supported using different methods of delivering education including videos to complement standard clinical care practices to promote informed decision making. This proposed study will serve to examine the efficacy of a dialysis modality video decision support tool to inform chronic kidney disease patients of different dialytic and non-dialytic therapies.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2016
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 22, 2016
CompletedFirst Posted
Study publicly available on registry
March 4, 2016
CompletedStudy Start
First participant enrolled
July 19, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 22, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
March 22, 2019
CompletedOctober 7, 2019
October 1, 2019
2.7 years
February 22, 2016
October 3, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in knowledge of end-stage renal disease treatments (hemodialysis vs. peritoneal dialysis vs. supportive care) via survey
Change in knowledge immediately pre and post intervention and at 12 weeks
Secondary Outcomes (1)
Change in preference for end-stage renal disease treatment (hemodialysis vs. peritoneal dialysis vs. supportive care) via survey
Change in preferences Immediately pre and post intervention and at 12 weeks
Study Arms (2)
Control
NO INTERVENTIONThis group will receive verbal education about dialytic and non-dialytic therapies via a standardized script.
Intervention
EXPERIMENTALThis group will receive the intervention which is a 11.5 minute video about dialysis and non-dialytic therapies.
Interventions
This group will receive the intervention which is a 11.5 minute video about dialysis and non-dialytic therapies.
Eligibility Criteria
You may qualify if:
- English-speaking during clinical encounters
- Stage 4 or 5 CKD (defined by the Chronic Kidney Disease Epidemiology Collaboration for estimation of GFR \< 30 ml/min/1.73m2)
You may not qualify if:
- Known history of dementia
- Legally blind
- Listed for kidney transplant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Massachusetts General Hospitallead
- University of Pennsylvaniacollaborator
Study Sites (1)
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
Related Publications (1)
Eneanya ND, Percy SG, Stallings TL, Wang W, Steele DJR, Germain MJ, Schell JO, Paasche-Orlow MK, Volandes AE. Use of a Supportive Kidney Care Video Decision Aid in Older Patients: A Randomized Controlled Trial. Am J Nephrol. 2020;51(9):736-744. doi: 10.1159/000509711. Epub 2020 Aug 13.
PMID: 32791499DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Internist
Study Record Dates
First Submitted
February 22, 2016
First Posted
March 4, 2016
Study Start
July 19, 2016
Primary Completion
March 22, 2019
Study Completion
March 22, 2019
Last Updated
October 7, 2019
Record last verified: 2019-10
Data Sharing
- IPD Sharing
- Will not share