CKD Report Card Pilot Trial

Study Overview
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Brief Summary
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The investigators will study physician-patient communication at the UCMC nephrology fellow clinic and to test an intervention, the CKD Report Card, to improve that communication and patient knowledge of CKD.

Detailed Description
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The goals of the study are to 1) characterize the effectiveness and patient-centeredness of patient-physician interaction during a nephrology clinic visit both with and without use of the CKD Report Card, and 2) to determine which physician and patient characteristics are associated with effective and patient centered communication. There will be block enrollment. For Nephrology physicians who agreed to participate will complete a baseline questionnaire. Research assistants will approach patients of participating providers in clinic waiting rooms, with the goal of enrolling patients for each provider For half of the study, investigators will enroll patients in the study and observe patient-physician communication and use a survey measure CKD knowledge pre-visit and post-visit. For the second half of the study, investigators will give participants the CKD Report Card, an investigator-developed handout, to use during the clinic visit. Investigators will observe patient-physician communication and use a survey to measure CKD knowledge pre-visit and post-visit. For both groups, eligible participants will give informed consent and will complete a baseline questionnaire; research assistants will place a digital audio-recording device in the examination room to record the patient-provider encounter. Following the medical encounter, research assistants will administered an interview with patients, assessing demographic, social, and behavioral characteristics, as well as their experience of care and ratings of provider communication.

Official Title
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Pilot and Trial of the Chronic Kidney Disease Report Card

Conditions
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CKD

Intervention / Treatment
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* Behavioral: CKD Report Card


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: English-speaking adult patients (age 18 or older) Identified in the medical record as non-Hispanic Black or non- Hispanic White seen in University of Chicago nephrology clinic with a participating nephrologist Exclusion Criteria: not able to communicate in English lacking ability to consent to study does not identify as non-Hispanic Black or non-Hispanic without chronic kidney disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: During the first half of the study, participants will be surveyed and observed without the intervention. During the second half, participants will be surveyed and observed with the intervention (CKD Report Card)
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: No intervention<br>Participants will have their clinic visit as per usual care. | |
| Active Comparator: CKD Report Card<br>Participants will receive the CKD Report Card prior to the clinic visit. | Behavioral: CKD Report Card<br>* The CKD Report Card is a handout based on a NKDEP Educational Sheet that includes basic information about kidney disease and spaces where patient can record information about their own kidney disease<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CKD Knowledge | Kidney Disease Knowledge Survey (KiKs) | Change in CKD Knowledge from Baseline (pre-visit) to CKD Knowledge immediately post clinic visit (within 15-100 minutes post-clinic visit) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient-physician interaction | Perceived efficacy in patient-physician interactions (PEPPI) | immediately post-nephrology clinic visit (on day of enrollment, within 15-100 minutes post-clinic visit) | 
| communication assessment | communication assessment tool (CAT) | immediately post-nephrology clinic visit (on day of enrollment, within 15-100 minutes post-clinic visit) |