A Video Decision Support Tool to Assist Elderly Patients in ESRD Treatment Decision-making

Not Applicable

Completed

• Conditions: Decision-making; Chronic Kidney Disease
• Interventions: Other: End-stage renal disease treatment options

• Registration Number: NCT02698722
• Lead Sponsor: Massachusetts General Hospital

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-02-22
• Study First Submitted QC: 2016-02-29
• Study First Posted: 2016-03-04
• Study Start: 2016-07-19
• Primary Completion: 2019-03-22
• Study Completion: 2019-03-22
• Status Verified: 2019-10
• Last Update Submitted: 2019-10-03
• Last Update Posted: 2019-10-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• 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)

Exclusion Criteria

• Known history of dementia
• Legally blind
• Listed for kidney transplant

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	End-stage renal disease treatment options	This group will receive the intervention which is a 11.5 minute video about dialysis and non-dialytic therapies.

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

University of Pennsylvania; 🇺🇸 Philadelphia, Pennsylvania, United States