A Stakeholder-enhanced Intervention to Improve the Decisional Partnership of Chronic Kidney Disease Dyads (IMPART)

Launched by UNIVERSITY OF ALABAMA AT BIRMINGHAM · Dec 7, 2023

Keywords

ClinConnect Summary

The IMPART trial is studying how to improve the decision-making skills of people with stage 4 chronic kidney disease (CKD) and their caregivers. The goal is to help these patients and their caregivers work together better when making important medical decisions. By participating in this study, participants will receive training from coaches on how to support each other in decision-making. The study will involve about 64 pairs of patients and caregivers, and they will be randomly assigned to different training sessions to see which approach is most effective.

To be eligible for this trial, patients must be at least 18 years old, have a diagnosis of stage 4 CKD, and have a caregiver who can help them. Caregivers must also be at least 18 years old and be someone close to the patient who assists with medical decisions. Participants will be asked to complete some questionnaires and attend training sessions, but they will not receive dialysis or be in hospice care during the study. This trial is a great opportunity for patients and their caregivers to enhance their partnership in managing CKD together.

Gender

ALL

Eligibility criteria

• 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.