Empowering Veterans to Communicate With Healthcare Providers

NCT03529071 | Terminated

• 1 other identifier: 1212869-1
• Study Type: interventional
• Target: 8
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this VA Innovation Seed project is to test the best approach for the delivery, feasibility, and usability of a patient-centered CKD-QPS to facilitate better Veteran understanding and engagement in their CKD-care in nephrology clinics at two geographically distinct VA hospitals (Chicago and Dallas) through on-going user feedback in real time.

Conditions

Chronic Kidney Disease Stage 3

Keywords

communication; patient activation

Outcome Measures

Primary Outcomes (1)

• Perceived efficacy in patient-physician interaction (PEPPI)

  This measure, the full name of which is provided above, assesses patients' perceived self-efficacy or confidence in interacting with physicians. It includes 5 items, each of which is anchored by 1 (not at all confident) and 5 (very confident). Scores range from 5 to 25, which higher scores indicating greater confidence.

  up to 2 days

Secondary Outcomes (2)

• # Question Prompt Sheet (QPS) Questions Asked

  1 day

• Short-form patient satisfaction questionnaire (PSQ-18)

  up to 2 days

Study Arms (2)

CKD-Question Prompt Sheet

EXPERIMENTAL

Study participants will receive the CKD-QPS.

Behavioral: CKD-Question Prompt Sheet

Control

NO INTERVENTION

Individuals will not receive any intervention or surveys.

Interventions

CKD-Question Prompt Sheet BEHAVIORAL

The CKD-QPS is a list of 31 questions specific to CKD stage 3 patients about treatment options and self-care management designed to activate patient communication with their providers and question-asking.

CKD-Question Prompt Sheet

Eligibility Criteria

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

You may qualify if:

• Adult (age 18+) English-speaking CKD patients stage 3 (eGFR = 30-70 mL/min) who are scheduled for a clinic visit will be eligible for participation.
• Up to 60 will receive the QPS and all data collection activities
• Up to 10 will be audio recorded only
• Nephrologists (or Nurse Practitioners or Physician Assistants) seeing CKD patients in routine clinic visits will be eligible for participation at Hines, VA.

You may not qualify if:

• \. CKD patients who are non-English speaking, blind, hard of hearing or deaf, unable to read, and/or who are cognitively impaired will not be eligible for participation.

Sponsors & Collaborators

• Northwestern University: lead
• Edward Hines Jr. VA Hospital: collaborator

Study Sites (2)

Jesse Brown Veterans Affairs Medical Center

Chicago, Illinois, 60611, United States

Location

Edward Hines, Jr. VA Hospital

Maywood, Illinois, 60141, United States

Location

Related Publications (1)

• Lederer S, Fischer MJ, Gordon HS, Wadhwa A, Popli S, Gordon EJ. A question prompt sheet for adult patients with chronic kidney disease. BMC Nephrol. 2016 Oct 19;17(1):155. doi: 10.1186/s12882-016-0362-z.

  PMID: 27760524 BACKGROUND

MeSH Terms

Conditions

Renal Insufficiency, Chronic; Communication; Patient Participation

Condition Hierarchy (Ancestors)

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; Behavior; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Study Officials

• Elisa J Gordon, PhD, MPH

  Northwestern University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Participants will be provided with a Question Prompt Sheet to use at their nephrology clinic visit.

Study Record Dates

• First Submitted: April 20, 2018
• First Posted: May 18, 2018
• Study Start: September 17, 2018
• Primary Completion: September 30, 2018
• Study Completion: September 30, 2018
• Last Updated: March 18, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)