Improving decision-making for chronic kidney disease patients and their caregivers

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to enhance the decision-making skills of patients with stage 4 chronic kidney disease (CKD) and their caregivers through a structured intervention. Utilizing a Multiphase Optimization Strategy (MOST), 64 dyads will be randomized to receive various components of decision partnering training, which includes caregiver coaching and communication training. The goal is to empower both patients and caregivers to navigate health-related decisions more effectively, particularly in the context of CKD management and end-of-life choices. The intervention is designed to address the unique challenges faced by historically excluded populations, particularly Black CKD patients and their families.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients

  1. Age ≥18;
  2. EMR documented diagnosis of stage 4 CKD (2 eGFR 29-15 within 90 days);
  3. Ability to speak and read English and complete baseline questionnaires;
  4. Patients must have an enrolled caregiver

Exclusion Criteria:

* Patients

  1. Receiving hospice;
  2. Receiving dialysis;
  3. Medical record documentation of active unmedicated severe mental illness, moderate-severe dementia, suicidal ideation, uncorrected hearing loss, and active substance abuse.

Inclusion Criteria:

* Caregivers

  1. Age ≥18;
  2. Self-endorsing or identified by the patient as a relative, friend, or partner that has a close relationship with you and who assists you with your medical decisions and who may or may not live in the same residence as you and who is not paid for their help
  3. Caring for a patient with CKD;
  4. Ability to speak and read English and complete baseline questionnaires;
  5. Caregivers must have an enrolled patient.

Exclusion Criteria:

* Caregivers 1) Self-reported unmedicated mental illness, Moderate-severe dementia, active suicidal ideation, uncorrected hearing loss, or active substance abuse ascertained by scripted study introduction questioning.

Where it's running

• Shena Gazaway
  Birmingham, Alabama, United States Recruiting

Study contacts

• Principal investigator: Shena Gazaway, PhD — University of Alabama at Birmingham
• Study coordinator: Shena Gazaway, Phd, RN
• Email: gazaways@uab.edu
• Phone: 205-975-5704

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.