A Patient-centered, System-based Approach to Improve Informed Dialysis Choice and Outcomes in Veterans With CKD

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This study is intended to correct an important systemic deficit in the care of chronic kidney disease (CKD), VHA's fourth most common healthcare condition with high mortality and healthcare burden. Currently, many Veterans with CKD have poor awareness of their condition. This leads to suboptimal care. The investigators anticipate that the proposed comprehensive pre-end stage renal disease (ESRD) education (CPE) will enhance Veterans' CKD knowledge and their confidence in making an informed selection of an appropriate dialysis modality, and lead to an increase in the use of home dialysis (HoD) - an evidence-based, yet underutilized dialysis modality. Further, this study will allow us to examine whether such Veteran-informed dialysis choice can improve Veteran and health services outcomes. If successful, this study may deliver a ready to roll-out strategy to meet the CKD care needs of the Veterans and reduce VHA healthcare costs.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Veterans registered to receive healthcare from the NF/SG VHS

• 18 years or older

• Advanced CKD (stage 4 or 5) and not on dialysis

Locations
United States
Florida
North Florida/South Georgia Veterans Health System, Gainesville, FL
RECRUITING
Gainesville
Contact Information
Primary
Ashutosh M Shukla, MD MBBS
ashutosh.shukla@va.gov
(352) 376-1611
Backup
Huanguang Jia, PhD MPH BA
Huanguang.Jia@va.gov
(352) 376-1611
Time Frame
Start Date: 2020-03-25
Estimated Completion Date: 2026-09-30
Participants
Target number of participants: 544
Treatments
Active_comparator: Comprehensive Pre-ESRD Patient Education (CPE)
These patients will receive CPE for a total of up to 3 session in an intent-to-teach format, either via Face-to-face or telemedicine delivery.
Active_comparator: Enhanced Usual Care
This group will receive usual care. This care will be enhanced by providing them with the freely available education material for the Kidney Disease Education
Authors
Huanguang Jia, Ashutosh Shukla
Related Therapeutic Areas
Sponsors
Leads: VA Office of Research and Development

This content was sourced from clinicaltrials.gov