Enhanced Kidney Follow-up for AKI Survivors in Care Transitions

Study Overview
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Brief Summary
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The purpose of this study is to assess the ability of education and outpatient kidney care follow-up in order to improve patient knowledge about acute kidney injury (AKI).

Official Title
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Enhanced Kidney Follow-up for AKI Survivors in Care Transitions (The ACT Study): Impact on Patient Reported Outcomes

Conditions
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Acute Kidney Injury

Intervention / Treatment
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* Behavioral: Education
* Behavioral: Education and follow-up


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: KDIGO Stage 3 AKI Primary care provider at Mayo Rochester. Exclusion Criteria: Patient with need for dialysis at discharge from hospital or hospice. Enrolled in the Primary Care Transition Program. Non-English speaking. Cognitive impairment. Dementia. Mini-Cog score of less than 3.

Ages Eligible for Study
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Minimum Age: 18 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: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual care<br> | |
| Active Comparator: Education alone<br> | Behavioral: Education<br>* Kidney health education will be delivered prior to discharge by trained nurse educators.<br>|
| Active Comparator: Education and follow-up<br> | Behavioral: Education and follow-up<br>* In patients allocated to the education and follow-up arm, education along with a a post-discharge healthcare visit from a multidisciplinary care team will be performed.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modified Kidney Knowledge Survey (mKIKS) | Assesses participants' objective knowledge about AKI causes, risk factors, and management. The minimum score is 0, maximum score is 15, higher scores indicate greater knowledge. | 14-days after last study contact | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Brief health literacy screen | A 4-item tool to assess health literacy. Minimum score of 0, maximum score 20, higher scores indicate higher health literacy | 30-days post hospitalization | 
| Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health 10 | Based on the provided responses, an overall summary score, and two subset scores - Global health physical and Global health mental can be calculated. Raw summed score are converted into T-scores. Higher scores indicate better health. | 30-days post hospitalization | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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transitions of care, education, patient reported outcomes, chronic kidney disease, acute kidney injury