Collaborative Care Intervention for Chronic Kidney Disease

Not Applicable

Completed

• Conditions: Kidney Transplant; Depression; Pain
• Interventions: Behavioral: Collaborative care

• Registration Number: NCT02938351
• Lead Sponsor: University of Pittsburgh

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.

Detailed Description

Symptom management is critical to maintain quality of life in those with life limiting conditions. Stepped collaborative care interventions have been widely employed in the primary care setting for the treatment of depression and more recently have been utilized to treat other symptoms (e.g., pain) in a variety of settings. A recent meta-analyses concluded that collaborative care interventions were superior to usual care and are more cost-effective than face to face and pharmacological treatment for depression. Collaborative care interventions have begun to be extended to other settings but have not been tested in patients who are being treated with dialysis. The aims of the present study were 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.

Study Timeline

• Study First Submitted: 2016-01-05
• Study Start: 2016-06
• Study First Submitted QC: 2016-10-17
• Study First Posted: 2016-10-19
• Primary Completion: 2019-12-07
• Study Completion: 2021-03-01
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-11
• Last Update Posted: 2024-12-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

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

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

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

Primary Outcome Measures

Name	Time	Method
degree of Pain	change from baseline at 3 month and 6 month	score on the BPI questionnaire
Perceived Stress level	change from baseline at 3 month and 6 month	score on PSS questionnaire
Depression Level	change from baseline at 3 month and 6 month	score on CES-D questionnaire

Secondary Outcome Measures

Name	Time	Method
Dyadic functioning	change from baseline at 3 month and 6 month	score on the Dyadic functioning questionnaire
level of physical activity (mild, moderate or high)	change from baseline at 3 month and 6 month	calculated score on the International Physical Activity quationnaire
sleep quality	change from baseline at 3 month and 6 month	score on the PSQI questionnaire
quality of life	change from baseline at 3 month and 6 month	score on the KDQOL questionnaire

Trial Locations

Locations (1)

University of Pittsburgh Medical Center; 🇺🇸 Pittsburgh, Pennsylvania, United States