Educational Videos for Chronic Kidney Disease

(CKM-EMPOWER Trial)

Overseen By Rachel Smith

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: University of Washington

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

Compensation: Varies

Number of Visits: Unknown

126 Participants Needed

Trial Summary

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

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

What data supports the effectiveness of the treatment CKM-EMPOWER, Conservative Kidney Management Educational Videos, for chronic kidney disease?

Research shows that educating and empowering patients with chronic kidney disease can improve their quality of life and lead to better health outcomes, such as reduced hospital visits and increased satisfaction with care. Educational programs have been linked to better decision-making and treatment choices, which can enhance overall patient well-being. ^{1 2 3 4 5}

How is the CKM-EMPOWER treatment different from other treatments for chronic kidney disease?

CKM-EMPOWER is unique because it uses educational videos to help patients understand and manage their chronic kidney disease, focusing on empowering them with knowledge to make informed decisions about their care, unlike traditional treatments that may not emphasize patient education as much. ^{6 7 8 9 10}

What is the purpose of this trial?

This study aims to test the efficacy of a series of just-in-time educational videos on topics related to CKM (CKM-EMPOWER) in improving nephrology providers ability to provide CKM.

Eligibility Criteria

This trial is for nephrology fellows currently enrolled in a U.S. nephrology fellowship training program, with no restrictions on other specific criteria.

Inclusion Criteria

Nephrology fellow enrolled in US nephrology fellowship training program

Exclusion Criteria

Not applicable.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive CKM-EMPOWER educational videos or usual education

2 weeks

Web-based surveys

Follow-up

Participants are monitored for changes in knowledge, confidence, and practice of CKM

2 weeks

Treatment Details

Interventions

• CKM-EMPOWER

Trial Overview The study is evaluating the effectiveness of CKM-EMPOWER, which are educational videos designed to enhance kidney specialists' skills in providing conservative kidney management.

Participant Groups

Group I: CKM-EMPOWER Experimental Treatment 1 Intervention

Training videos

Group II: Usual education Active Control 1 Intervention

No training videos

Who Is Running the Clinical Trial?

University of Washington

Lead Sponsor

Trials

1,858

Recruited

2,023,000+

Findings from Research

Empowering and educational initiatives significantly improve the quality of life for renal patients, impacting both psychosocial and functional aspects, which is crucial for overall patient care.

Patients who receive home care and self-care training in hemodialysis show better quality of life, reduced medical service utilization, and higher satisfaction with care, highlighting the benefits of patient education and empowerment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Is there data to support the concept that educated, empowered patients have better outcomes? Latham, CE.[2019]

Patients with chronic renal disease should receive comprehensive counseling and educational support to enhance their quality of life.

Healthcare systems need to develop educational programs that utilize existing staff resources, as no additional funding has been allocated for patient education in hospitals.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Patient education]. Tourette-Turgis, C., Isnard-Bagnis, C.[2013]

A decision aid focused on conservative kidney management (CKM) significantly improved discussions about CKM between patients with advanced chronic kidney disease (CKD) and their healthcare providers, with 26.4% of patients discussing CKM compared to only 3.0% in the usual care group.

The study, which included 92 patients aged 75 and older, demonstrated that the decision aid was both feasible and acceptable, suggesting it could enhance patient education and decision-making regarding CKD treatment options.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Patient Decision Aid About Conservative Kidney Management in Advanced Kidney Disease: A Randomized Pilot Trial. Wong, SPY., Oestreich, T., Prince, DK., et al.[2023]

The Treatment Options Program (TOPs) has successfully educated over 73,000 chronic kidney disease patients about their treatment options, leading to increased utilization of home therapies as the first treatment choice.

Patients who participated in TOPs showed a higher rate of permanent vascular access and reduced reliance on hemodialysis catheters, which can improve patient outcomes and align with the goals of accountable healthcare systems.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The culture of education in a large dialysis organization: informing patient-centered decision making on treatment options for renal replacement therapy. Mollicone, D., Pulliam, J., Lacson, E.[2013]

A Conservative Kidney Management (CKM) Pathway was developed in Alberta, Canada, involving 282 participants, including healthcare professionals and patients, to provide tailored care for those unlikely to benefit from dialysis.

The CKM Pathway includes essential components like symptom management guidelines, timely communication, and decision-support tools, which can be adapted for use in other healthcare systems to improve patient care and self-management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Identification of core components and implementation strategies for a Conservative Kidney Management Pathway across a complex, multisector healthcare system in Canada using World Cafés and the Theoretical Domains Framework. Davison, S., Steinke, V., Wasylynuk, BA., et al.[2022]

A review of 69 patient education materials (PEMs) on chronic kidney disease (CKD) found that 79% were rated as 'adequate' in terms of readability and content, with an overall mean rating of 58.3%.

PEMs that included patient-centered content and opportunities for interaction received higher ratings, and materials suitable for a literacy level of 6th grade or lower were associated with better understanding among patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Assessment of printed patient-educational materials for chronic kidney disease. Tuot, DS., Davis, E., Velasquez, A., et al.[2022]

Educational interventions for patients with chronic kidney disease (CKD) can significantly improve knowledge, self-management, and quality of life, as shown in a systematic review of 26 studies involving 5,403 participants.

Effective interventions were characterized by interactive teaching sessions, group participation, and frequent interactions with educators, leading to better clinical outcomes and patient engagement in their care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Educational Interventions for Patients With CKD: A Systematic Review. Lopez-Vargas, PA., Tong, A., Howell, M., et al.[2022]

Only 7% of patients with chronic kidney disease (CKD) were planning for conservative kidney management (CKM), indicating a lack of awareness or discussion about this treatment option among patients.

While most healthcare providers felt comfortable discussing CKM, none of the clinics had dedicated resources or protocols for CKM, highlighting a significant gap in the implementation of this approach in the United States.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Conservative Kidney Management Practice Patterns and Resources in the United States: A Cross-Sectional Analysis of CKDopps (Chronic Kidney Disease Outcomes and Practice Patterns Study) Data. Scherer, JS., Bieber, B., de Pinho, NA., et al.[2023]

Increasing awareness and understanding of home dialysis options among patients with advanced chronic kidney disease (CKD) is crucial for improving its utilization in the U.S.

Targeted patient education before kidney failure can significantly enhance knowledge about kidney disease and promote informed choices regarding home dialysis, but the lack of standardized education protocols leads to inconsistent outcomes in home dialysis implementation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Needs and Considerations for Standardization of Kidney Disease Education in Patients with Advanced CKD. Shukla, AM., Cavanaugh, KL., Jia, H., et al.[2023]

The paper discusses innovative patient education strategies for chronic kidney disease (CKD) that utilize social media platforms like YouTube and Instagram to improve patient adherence to treatment.

These strategies involve using videos, images, and text to effectively communicate important health information to CKD patients, addressing a significant public health issue in Brazil.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Chronic Kidney Disease and the Use of Social Media as Strategy for Health Education in Brazil. de Oliveira, JGR., Askari, M., Fahd, MGN., et al.[2019]

References

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

Is there data to support the concept that educated, empowered patients have better outcomes? [2019]

2. France pubmed.ncbi.nlm.nih.gov

[Patient education]. [2013]

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

A Patient Decision Aid About Conservative Kidney Management in Advanced Kidney Disease: A Randomized Pilot Trial. [2023]

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

The culture of education in a large dialysis organization: informing patient-centered decision making on treatment options for renal replacement therapy. [2013]

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

Identification of core components and implementation strategies for a Conservative Kidney Management Pathway across a complex, multisector healthcare system in Canada using World Cafés and the Theoretical Domains Framework. [2022]

6. Switzerland pubmed.ncbi.nlm.nih.gov

Assessment of printed patient-educational materials for chronic kidney disease. [2022]

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

Educational Interventions for Patients With CKD: A Systematic Review. [2022]

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

Conservative Kidney Management Practice Patterns and Resources in the United States: A Cross-Sectional Analysis of CKDopps (Chronic Kidney Disease Outcomes and Practice Patterns Study) Data. [2023]

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

Needs and Considerations for Standardization of Kidney Disease Education in Patients with Advanced CKD. [2023]

10. Netherlands pubmed.ncbi.nlm.nih.gov

Chronic Kidney Disease and the Use of Social Media as Strategy for Health Education in Brazil. [2019]