Peer Support In Dialysis

NCT05400720 | Completed

• 1 other identifier: SIH131_Peer Mentoring
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 2

Brief Summary

Peer mentoring is an approach used to support patients through their experience. In the End Stage Kidney Disease community many patients find out about their kidney failure without warning. This study is designed to test the feasibility of a structured peer support program, specifically, patient uptake, engagement and patient and staff perspectives.

Conditions

End Stage Renal Disease

Outcome Measures

Primary Outcomes (2)

• Mentor

  Number of patients registering to become mentors, percent of those registered completing mentor training and percent of trained mentors who meet at least one mentee.

  6 - 12 months

• Mentee

  Number and proportion of patients starting dialysis, or prevalent dialysis patients identified by the clinical team to need peer support, who receive an introductory peer mentor visit. Number and % of mentees who indicate interest to continue with more peer mentoring visits.

  1 month

Secondary Outcomes (4)

• Mentor Perspectives

  6-12month

• Mentee Perspectives

  1-4 weeks

• Support Staff Perspectives

  3,6,9 and 12 months

• Mentor - Mentee Matching

  1 month

Study Arms (1)

Mentee

EXPERIMENTAL

Participants will be approached by a mentor, exchange experiences and invite the prospective mentee to the program. Those interested to continue will undergo matching based on their desired criteria.

Behavioral: Mentoring

Interventions

Mentoring BEHAVIORAL

At least one meeting between the mentor and mentee will occur to share experiences and see if the mentee would like to continue meeting with a mentor

Mentee

Eligibility Criteria

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

You may qualify if:

• Patients living with dialysis or kidney transplant, who volunteer to support other patients.
• Mentor participants agree to complete the CMS End Stage Renal Disease Network Peer Mentoring training program (https://www.kidneylearninghub.com/patients-peer-mentoring-program/ ) and follow the guidelines for participation in the program.

You may not qualify if:

• Age \<18 years.
• Patient cannot communicate in English.
• Concerns raised by the clinical team that may expose the mentor, mentee, staff, or the program to risks, as identified by the clinical team and discussed with the principal investigator.
• All incident (new) dialysis patients or their care partners, within the first three months of dialysis.
• Prevalent dialysis patients or their care partners identified by the clinical team to need peer support.
• Age \< 18 years.
• Significant physical or psychological health conditions (including cognitive impairment) that would limit the patient's ability to interact with the mentor, AND care partner not available or reachable to join the program.
• This criteria will be subjectively evaluated by the clinical team.
• referring physicians, the medical director of the center, social workers, nurses, patient care technicians (PCT), certified clinical hemodialysis technicians (CCHT), and administrative staff.
• Support staff are those who interact with mentors or mentees as part of their routine work.
• Formally participate in supporting the program by identifying candidates, introducing them to the program, or providing them with support.

Sponsors & Collaborators

• Satellite Healthcare: lead

Study Sites (2)

Satellite Healthcare Mountain View

Mountain View, California, 94040, United States

Location

WellBound Mountain View

Mountain View, California, 94040, United States

Location

Related Publications (7)

• Bennett PN, St Clair Russell J, Atwal J, Brown L, Schiller B. Patient-to-patient peer mentor support in dialysis: Improving the patient experience. Semin Dial. 2018 Sep;31(5):455-461. doi: 10.1111/sdi.12703. Epub 2018 May 2.

  PMID: 29722062 BACKGROUND

• Collins, K. (2016). NKF Peers Mentoring Program. National Kidney Foundation Journal of Nephrology Social Work, 40(2), 25-33.

  BACKGROUND

• Fida'Husain, H. K., & Johan, A. (2020). Effects of Peer Support Program on Self-Management in Patients with End-Stage Renal Disease Undergoing Hemodialysis.

  BACKGROUND

• Flythe JE, Narendra JH, Yule C, Manivannan S, Murphy S, Lee SD, Strigo TS, Peskoe S, Pendergast JF, Boulware LE, Green JA. Targeting Patient and Health System Barriers To Improve Rates of Hemodialysis Initiation with an Arteriovenous Access. Kidney360. 2021 Feb 26;2(4):708-720. doi: 10.34067/KID.0007812020. eCollection 2021 Apr 29.

  PMID: 35373037 BACKGROUND

• Hussein WF, Bennett PN, Schiller B. Innovations to Increase Home Hemodialysis Utilization: The Transitional Care Unit. Adv Chronic Kidney Dis. 2021 Mar;28(2):178-183. doi: 10.1053/j.ackd.2021.02.009.

  PMID: 34717865 BACKGROUND

• Orsmond GI, Cohn ES. The Distinctive Features of a Feasibility Study: Objectives and Guiding Questions. OTJR (Thorofare N J). 2015 Jul;35(3):169-77. doi: 10.1177/1539449215578649.

  PMID: 26594739 BACKGROUND

• St Clair Russell J, Southerland S, Huff ED, Thomson M, Meyer KB, Lynch JR. A Peer-to-Peer Mentoring Program for In-Center Hemodialysis: A Patient-Centered Quality Improvement Program. Nephrol Nurs J. 2017 Nov-Dec;44(6):481-496.

  PMID: 29281772 BACKGROUND

Related Links

• Centers for Medicare and Medicaid Services (CMS). (2021). Partnership for patients.
• ESRD National Coordinating Center. (2021). ESRD Networks Peer Mentor Program.
• Lessons Learned: Implementation of a Peer-to-Peer Mentor Program in Individuals Requiring Hemodialysis.

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

• Wael Hussein, MD

  Satellite Healthcare

  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: SPONSOR

Model Details: We aim to conduct the study over 6 to 12 months to obtain enough experience to enable feasibility evaluation. Mentor pool sample size: We anticipate having about 10 patients in the mentors' pool during the study period. Mentee sample size: We anticipate approaching between 20 to 30 dialysis patients over the study period. Supporting team: All members of the supporting staff will be invited to participate.

Study Record Dates

• First Submitted: May 23, 2022
• First Posted: June 2, 2022
• Study Start: June 6, 2022
• Primary Completion: May 1, 2023
• Study Completion: May 1, 2023
• Last Updated: September 21, 2023

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)