Developing Tools for Dialysis Decision Support
- Conditions
- Chronic Kidney Diseases
- Interventions
- Behavioral: Web-based dialysis decision support tool
- Registration Number
- NCT06597279
- Lead Sponsor
- VA Palo Alto Health Care System
- Brief Summary
The aim of this study is to evaluate the impact of a web-based dialysis decision support tool on decisional conflict, and values-treatment concordance and other decisional outcomes in individuals with advanced chronic kidney disease, and to assess the tool's acceptability and usability.
- Detailed Description
This study employs a pre-post design to assess the impact of a web-based dialysis decision support tool on patients with advanced chronic kidney disease and their caregivers. Participants will complete baseline surveys assessing demographics, knowledge of kidney failure treatments, and decisional conflict during a nephrology clinic visit. Following the visit, participants will access the decision support tool, with follow-up support provided by the study coordinator. One to four weeks after the baseline visit, participants will complete follow-up surveys to re-evaluate knowledge, decisional conflict, values-treatment concordance, and the quality of shared decision-making. Additionally, telephone interviews will be conducted to explore participants' understanding of treatment options and gather feedback on the decision support tool.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 25
- Age >=65
- Estimated GFR <25 ml/min/1.73m2
- English speaking
- Not a candidate for kidney transplant based on nephrologist assessment.
Family/caregiver inclusion criteria:
- age >=21
- English speaking
a. Patients with cognitive impairment will be excluded; however their family member or caregiver is eligible to participate.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Intervention Web-based dialysis decision support tool Web-based dialysis decision support tool
- Primary Outcome Measures
Name Time Method Treatment choice 1 month Proportion of patients who choose medical management without dialysis
Values treatment concordance 1 month Change in values treatment concordance.
Confidence in treatment decision 1 month Confidence in kidney failure treatment decision
Decisional Conflict Scale (DCS) 1 month Change in the decisional conflict scale (DCS) score from baseline to follow-up. Scores range from 0 \[no decisional conflict\] to 100 \[extremely high decisional conflict\].
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
U.S. Department of Veterans Affairs - Palo Alto Health Care System
🇺🇸Palo Alto, California, United States
Stanford Health Care
🇺🇸Stanford, California, United States