Computerized Education for Kidney Disease

(ICCKD Trial)

Overseen By Akilah King, MSW

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Chicago

Disqualifiers: Non-African American, Transplant, Dialysis, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

120 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

The goal of this pilot clinical trial is to evaluate a culturally tailored computerized education program in hospitalized African-American patients with advanced chronic kidney disease (CKD). The main question it aims to answer are: does computerized adaptive education (CAE) increase patients' knowledge about CKD self-care and renal replacement therapy (RRT) options compared to usual care (UC) and will CAE will be increase patients' intent to participate in CKD self-care and RRT preparation compared to UC

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

Is the Computerized Education for Kidney Disease treatment safe for humans?

There is no specific safety data available for the Computerized Education for Kidney Disease treatment, but related telemedicine tools have been used to improve patient safety in chronic kidney disease care. ^{1 2 3 4 5}

What makes the Computerized CKD Education treatment unique for kidney disease?

The Computerized CKD Education treatment is unique because it uses interactive computer technology to educate patients about chronic kidney disease, offering a flexible and engaging learning experience that can be tailored to individual needs, unlike traditional face-to-face education methods. ^{6 7 8 9 10}

What data supports the effectiveness of the treatment Computerized CKD Education?

Research shows that computer-assisted learning can effectively increase knowledge, as seen in nephrology nurses who improved their test scores by over 20% after using a learning module. Additionally, innovative education approaches, including digital media, have been recognized as promising strategies for educating people with chronic kidney disease (CKD). ^{9 11 12 13 14}

Who Is on the Research Team?

Milda Saunders, MD

Principal Investigator

Associate Professor of Medicine

Are You a Good Fit for This Trial?

This trial is for hospitalized African-American patients with advanced chronic kidney disease (CKD), including those with high blood pressure. The study focuses on evaluating a computerized education program tailored to their cultural needs.

Inclusion Criteria

African-American inpatients

Enrolled in the Hospitalist Project

My kidney function is reduced.

Exclusion Criteria

Does not self-identify as African American

I am currently in the Intensive Care Unit.

I am currently receiving dialysis.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Intervention

Participants receive either usual care or computerized patient education, with baseline and post-intervention assessments

1 day

1 visit (in-person)

Follow-up

Participants are monitored for changes in CKD knowledge, health intent, and self-management behaviors

30 days

1 visit (in-person), 1 follow-up (virtual)

What Are the Treatments Tested in This Trial?

Interventions

• Computerized CKD Education

Trial Overview The study compares two approaches: a culturally tailored computerized CKD education program versus the usual hospital care. It aims to see if the new method improves knowledge and intent for self-care and preparation for renal replacement therapy.

How Is the Trial Designed?

Group I: Computerized Patient Education Experimental Treatment 1 Intervention

The RA will assist participants in starting the computer program and encourage review of the advanced CKD education module. The computer-adaptive education module will alter the content of education topics based on some preliminary participant information.

Group II: Usual Care Active Control 1 Intervention

The research assistant (RA) will use tablet to give participants baseline General Health Knowledge and Intent survey and leave printed patient education materials about general health maintenance. In the initial consent, pre-intervention survey and education materials, investigators will not provide CKD specific knowledge or inform participants about their CKD.

Who Is Running the Clinical Trial?

University of Chicago

Lead Sponsor

Trials

1,086

Recruited

844,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials

2,513

Recruited

4,366,000+

Published Research Related to This Trial

Patient education is crucial for improving outcomes in individuals with progressive kidney disease, but various barriers such as low health literacy, limited information availability, and provider time constraints hinder its implementation in the U.S.

Innovative educational strategies, including self-management support and community engagement, show promise in enhancing patient education, particularly for those with advanced kidney disease, despite challenges in evaluating their effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. Narva, AS., Norton, JM., Boulware, LE.[2022]

A quality improvement project successfully increased attendance at kidney replacement therapy (KRT) education sessions for patients with advanced chronic kidney disease (CKD stage 4 and 5) by offering virtual education options, especially beneficial during and after the COVID-19 pandemic.

The virtual sessions provided greater accessibility for patients, reducing travel costs and accommodating those with work or other commitments, ultimately improving patient engagement in their treatment education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Quality Improvement Initiative to Increase Modality Education in a Nephrology Clinic During the COVID-19 Pandemic. Prakash, S., Rabbitt, C., Danylyuk, I., et al.[2023]

A computer-assisted learning module on dialysis complications significantly improved knowledge among non-expert nephrology nurses, with over a 20% increase in test scores from pre- to post-test.

The study suggests that this type of learning is well-accepted in the nephrology environment, indicating its potential as an effective educational strategy for nurses.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Creating a computer-assisted learning module for the non-expert nephrology nurse. Dennison, HA.[2022]

Patient education is crucial for managing chronic kidney disease (CKD), but there are significant challenges such as patients' lack of awareness and physicians' self-doubt about their teaching abilities.

There is a need for more research to develop effective patient education programs and tools, including multidisciplinary care approaches and digital resources, to improve CKD education across different medical settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Education of patients with chronic kidney disease at the interface of primary care providers and nephrologists. Wright Nunes, JA.[2022]

In a study of 60 chronic kidney disease (CKD) patients, group-based education during hospital admission led to a significant reduction in body weight and uric acid levels compared to individual-based education, particularly in patients with higher sodium intake.

Both education methods showed similar effects on estimated glomerular filtration rate (eGFR), indicating that while group education may help with weight and uric acid management, it does not significantly impact kidney function over the 6-month period.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of comprehensive group-based education in lowering body weight, uric acid levels, and diuretic use in patients with chronic kidney disease: a retrospective study. Hotta, A., Iwatani, H.[2023]

Chronic kidney disease (CKD) patients face a high risk of adverse safety events due to factors like impaired kidney function and polypharmacy, which can lead to serious outcomes such as hospitalization and accelerated kidney function loss.

Telemedicine, particularly through interactive voice-response systems, offers a promising way for CKD patients to communicate safety-related issues to healthcare providers, although many patients face challenges in accessing these technologies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Telemedicine to Promote Patient Safety: Use of Phone-Based Interactive Voice-Response System to Reduce Adverse Safety Events in Pre-dialysis CKD. Weiner, S., Fink, JC.[2022]

Patients with stage 3 and 4 chronic kidney disease (CKD) are at high risk for adverse drug events (ADEs) due to the kidneys' role in medication clearance, highlighting the need for effective monitoring systems.

Interviews with clinics revealed significant differences in electronic decision support practices and organizational culture, which are crucial factors to consider when implementing electronic drug-disease alerts to reduce ADEs in outpatient settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Using the diffusion of innovations theory to assess socio-technical factors in planning the implementation of an electronic health record alert across multiple primary care clinics. Lin, CP., Guirguis-Blake, J., Keppel, GA., et al.[2018]

A mobile tablet-based educational tool was developed to enhance patient awareness of safety hazards in chronic kidney disease (CKD), focusing on key topics like avoiding NSAIDs and recognizing hypoglycemia risks.

In a usability study with 12 CKD patients, the tool was found to be user-friendly, with 83% of participants completing most tasks easily and rating the experience positively, indicating its potential for improving patient education in this high-risk group.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Patient Safety Educational Tool for Patients With Chronic Kidney Disease: Development and Usability Study. Bowman, C., Lunyera, J., Alkon, A., et al.[2020]

The Kaiser Permanente Southern California creatinine safety program identified a higher incidence of end-stage renal disease (ESRD) among 12,394 participants, with a relative risk of 2.7 times greater than the general population, highlighting the program's effectiveness in detecting at-risk individuals.

The study suggests that using the Chronic Kidney Disease Epidemiology Collaboration equation could improve diagnostic accuracy for chronic kidney disease (CKD) but would capture 44% fewer individuals, indicating a need for better urine testing practices, as only 13% of those with repeated creatinine measurements underwent urine studies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

End-Stage Renal Disease Outcomes among the Kaiser Permanente Southern California Creatinine Safety Program (Creatinine SureNet): Opportunities to Reflect and Improve. Sim, JJ., Batech, M., Danforth, KN., et al.[2022]

An educational program for nursing technicians significantly improved their understanding of how to recognize and record Adverse Events (AEs) in hemodialysis patients, with test scores increasing from an average of 3.7 to 4.2 out of 5 after the intervention.

The program effectively combined classroom and online learning, demonstrating that such training methods can enhance the knowledge and skills of healthcare professionals in managing patient safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Nursing educational intervention for the identification of Adverse Events in hemodialysis. Pássaro, PG., D'Ávila, R.[2019]

The study focuses on the development of six computer-assisted learning (CAL) packages designed to educate renal patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD), addressing the need for effective patient education tools.

While data collection is still ongoing, the authors aim to assess the acceptability of CAL among patients and educators, which could enhance educational strategies in renal care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The development and evaluation of computer assisted learning for patients on continuous ambulatory peritoneal dialysis. Luker, KA., Caress, AL.[2007]

Computer technology is increasingly being used in health care not only for clinical tasks like diagnostics and treatment but also for patient education, particularly for end-stage renal disease patients and their families.

While computer-based education is not a substitute for professional involvement, it enhances traditional teaching methods and aligns with effective adult education principles, offering new opportunities for patient learning.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Computer-based learning for ESRD patient education: current status and future directions. Chambers, JK., Frisby, AJ.[2019]

Chronic Kidney Disease (CKD) is linked to high rates of illness and death, highlighting the urgent need for better education on CKD among medical trainees, as current knowledge is lacking.

Internet-based learning resources, such as websites and mobile apps, could effectively enhance CKD education for medical students and residents, potentially improving patient care and interest in nephrology careers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Online CKD education for medical students, residents, and fellows: training in a new era. Bhasin, B., Estrella, MM., Choi, MJ.[2022]

A small study involving 14 healthcare staff members explored their reactions to a new computer-assisted learning (CAL) package designed for educating renal patients on continuous ambulatory peritoneal dialysis (CAPD).

Despite initial concerns, the majority of staff members expressed positive views about the usefulness of CAL for both themselves and their patients, indicating potential for broader acceptance in clinical practice.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Nurses' opinions of the introduction of computer-assisted learning for use in patient education. Firby, PA., Luker, KA., Caress, AL.[2019]

Citations

1. United States pubmed.ncbi.nlm.nih.gov

Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Quality Improvement Initiative to Increase Modality Education in a Nephrology Clinic During the COVID-19 Pandemic. [2023]

3. United States pubmed.ncbi.nlm.nih.gov

Creating a computer-assisted learning module for the non-expert nephrology nurse. [2022]

4. United States pubmed.ncbi.nlm.nih.gov

Education of patients with chronic kidney disease at the interface of primary care providers and nephrologists. [2022]

5. England pubmed.ncbi.nlm.nih.gov

Efficacy of comprehensive group-based education in lowering body weight, uric acid levels, and diuretic use in patients with chronic kidney disease: a retrospective study. [2023]

6. United States pubmed.ncbi.nlm.nih.gov

Telemedicine to Promote Patient Safety: Use of Phone-Based Interactive Voice-Response System to Reduce Adverse Safety Events in Pre-dialysis CKD. [2022]

7. England pubmed.ncbi.nlm.nih.gov

Using the diffusion of innovations theory to assess socio-technical factors in planning the implementation of an electronic health record alert across multiple primary care clinics. [2018]

8. Canada pubmed.ncbi.nlm.nih.gov

A Patient Safety Educational Tool for Patients With Chronic Kidney Disease: Development and Usability Study. [2020]

9. United States pubmed.ncbi.nlm.nih.gov

End-Stage Renal Disease Outcomes among the Kaiser Permanente Southern California Creatinine Safety Program (Creatinine SureNet): Opportunities to Reflect and Improve. [2022]

10. Brazil pubmed.ncbi.nlm.nih.gov

Nursing educational intervention for the identification of Adverse Events in hemodialysis. [2019]

11. United States pubmed.ncbi.nlm.nih.gov

The development and evaluation of computer assisted learning for patients on continuous ambulatory peritoneal dialysis. [2007]

12. United States pubmed.ncbi.nlm.nih.gov

Computer-based learning for ESRD patient education: current status and future directions. [2019]

13. United States pubmed.ncbi.nlm.nih.gov

Online CKD education for medical students, residents, and fellows: training in a new era. [2022]

14. England pubmed.ncbi.nlm.nih.gov

Nurses' opinions of the introduction of computer-assisted learning for use in patient education. [2019]