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

Study Overview
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Brief Summary
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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.

Official Title
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A Video Decision Support Tool to Assist Elderly Patients in ESRD Treatment Decision-making - A Pilot Randomized Control Trial

Conditions
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Chronic Kidney Disease, Decision-making

Intervention / Treatment
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* Other: End-stage renal disease treatment options


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 65 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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>This group will receive verbal education about dialytic and non-dialytic therapies via a standardized script. | |
| Experimental: Intervention<br>This group will receive the intervention which is a 11.5 minute video about dialysis and non-dialytic therapies. | Other: End-stage renal disease treatment options<br>* This group will receive the intervention which is a 11.5 minute video about dialysis and non-dialytic therapies.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 |