Collaborative Care Intervention for Chronic Kidney Disease

NCT02938351 | Completed

• 1 other identifier: PRO15110210
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

The aims of the present study will be to pilot test the efficacy of a collaborative care intervention in patients awaiting kidney transplant to reduce symptoms of depression, pain, fatigue and improve quality of life.

Conditions

Kidney Transplant; Depression; Pain

Keywords

Collaborative care intervention; kidney transplant

Outcome Measures

Primary Outcomes (3)

• Depression Level

  score on CES-D questionnaire

  change from baseline at 3 month and 6 month

• Perceived Stress level

  score on PSS questionnaire

  change from baseline at 3 month and 6 month

• degree of Pain

  score on the BPI questionnaire

  change from baseline at 3 month and 6 month

Secondary Outcomes (4)

• Dyadic functioning

  change from baseline at 3 month and 6 month

• level of physical activity (mild, moderate or high)

  change from baseline at 3 month and 6 month

• sleep quality

  change from baseline at 3 month and 6 month

• quality of life

  change from baseline at 3 month and 6 month

Study Arms (1)

collaborative care

EXPERIMENTAL

To test the efficacy of a collaborative care intervention with patients treated with dialysis to reduce depression, pain, fatigue, and improve quality of life

Behavioral: Collaborative care

Interventions

Collaborative care BEHAVIORAL

Therapist will use iPad (Vidyo) once a week during dialysis for approximately one hour. The therapist will teach the patient cognitive-behavioral strategies to manage their mood and pain. The PI is a clinical psychologist and will provide supervision to the therapist providing the intervention. The sessions for depression will include (1) intake, (2) review of the rational for using CBT to treat depression and/or pain, (3) identifying thought patterns, (4) changing thought patterns, (5) relaxation techniques, (6) rest-activity pacing, and (7) coping strategies. Homework to practice these techniques will be provided after each session.

collaborative care

Eligibility Criteria

• Age: 21 Years - 95 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 or older Currently receiving dialysis at UPMC dialysis facility for chronic kidney disease Fluent in English

You may not qualify if:

• Under the age of 18 years or over 90 years Not fluent in English

Sponsors & Collaborators

• University of Pittsburgh: lead

Study Sites (1)

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Related Publications (1)

• Kallem CJ, Tevar AA, Bradley T, Jackson H, Haggerty D, Cheng H, Pathak R, Wang Y, Carney M, Gardner S, Deshpande A, Jhamb M, Steel JL. A phase II pilot randomized controlled trial of an integrated stepped collaborative care intervention for patients awaiting kidney transplantation (CARES-transplant). J Behav Med. 2025 Oct;48(5):731-744. doi: 10.1007/s10865-025-00574-x. Epub 2025 Jul 11.

  PMID: 40643797 DERIVED

MeSH Terms

Conditions

Depression; Pain

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Jennifer Steel, PhD

  University of Pittsburgh Physicians

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Surgery

Model Details: Patient and caregiver will receive an IPAD with Vidyo software to complete the treatment sessions

Study Record Dates

• First Submitted: January 5, 2016
• First Posted: October 19, 2016
• Study Start: June 1, 2016
• Primary Completion: December 7, 2019
• Study Completion: March 1, 2021
• Last Updated: December 13, 2024

Record last verified: 2024-12

Locations

US (1)