A Pilot Study of The CKM JumpStart Tool
University of Washington
Summary
This is a randomized pilot study to test the feasibility and acceptability of a tool to promote discussion about conservative kidney management (CKM) among older patients with advanced CKD and their providers.
Description
This study is a randomized pilot study to test the acceptability and feasibility of a novel communication tool, called the CKM Jumpstart Tool, to promote discussion of CKM between patients with advanced CKM and their healthcare providers, the investigators hypothesize that the Guide will be feasible and acceptable to patients and their healthcare providers as reflected in greater discussion of CKM between them following use of the Tool as compared with usual care. The investigators will enroll 76 patients aged 75 years and older with advanced CKD and their healthcare providers from University…
Eligibility
- Age range
- 75+ years
- Sex
- All
- Healthy volunteers
- Yes
Patients Inclusion: * Adults aged ≥75 years * Advanced CKD as defined as having at least 2 outpatient measures of eGFR \<25 ml/min/1.73m2 separated by \>90 days in the prior year and with at least 1 eGFR measure \<20. * English-speaking * Receive care from a provider at UW Medicine or VA Puget Sound * Open to discussing their values and treatment options for kidney disease with their provider. Exclusion: * Unable to complete the informed consent process * Currently receiving maintenance dialysis Providers Inclusion * Their patient is a participant in the study. * Are a UW Medicine or VA…
Interventions
- BehavioralCKM Jumpstart Tool
The CKM JumpStart Tool is a 1-page handout that describes the values of a patient and words that a providers can try with the patient to explore the patient' values more and to provide a values-based introduction to CKM. The values described in the CKM JumpStart Tool is based on a patient's response to a single validated question that we will ask the patient at T1, if they had to choose, do they value care directed at longevity or comfort. Using the patient's answer to the values question, study staff will generate a CKM JumpStart Tool prior to their upcoming clinic visit with their nephrologist. Study staff will inform the patient that their response to the values question will be shared with their provider prior to their next clinic visit and that their providers might bring up their values and treatment options for kidney disease, if the situation permits. We will share the CKM Jumpstart Tool with their provider and provide instruction on how to use the Tool.
Locations (2)
- VA Puget Sound Health Care SystemSeattle, Washington
- University of WashingtonSeattle, Washington