Actively Recruiting

Phase Not Applicable
Age: 65Years +
All Genders
ID06799936

A Communication-Priming Intervention to Improve Shared Decision-Making Between Older Adults With Advanced Chronic Kidney Disease and Clinicians: A Cluster-Randomized Controlled Trial

Led by The University of Hong Kong · Updated on 2025-04-02

280

Participants Needed

1

Research Sites

8 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a communication-priming intervention called "CKD Jumpstart- Tips" aimed at improving shared decision-making between older adults with advanced chronic kidney disease (CKD) and their clinicians. This cluster-randomized controlled trial focuses on patients with CKD Stage 4 or 5, seeking to enhance communication quality, patient involvement, decisional conflict, decision regret, timing and adherence to treatment choices, and health-related quality of life. The study compares two groups: one receiving the "CKD Jumpstart- Tips" intervention and the other receiving usual care. Patients in the intervention group complete the priming tool before a target clinic visit and receive a summary sheet with communication tips and survey responses to share with their healthcare team. Clinicians also receive a priming sheet with tailored communication guidance based on patient responses. Additional educational materials on kidney failure treatment options are available as part of routine care. Participants will be assessed immediately after the target visit and followed for up to six months. Evaluations include observer-rated and patient-reported shared decision-making, quality of communication, consultation length, patient involvement, decisional conflict and regret, timing and adherence to treatment, and health-related quality of life. The study aims to measure the impact of the communication intervention on these outcomes while monitoring patient experience and treatment decisions over time.

CONDITIONS

Brief Title

A Communication-Priming Intervention to Improve Shared Decision-Making Between Older Adults With Advanced CKD and Clinicians

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Nephrology specialists or higher physician trainees providing care to older adults with advanced chronic kidney disease
  • Diagnosis of advanced CKD Stage 4 or 5 with eGFR less than 30 ml/min
  • Chinese- or English-speaking
  • Identified as patient with planned discussion of advanced kidney disease treatment options
  • Able to provide written informed consent and complete questionnaires
  • Can be contacted by phone
Not Eligible

You will not qualify if you...

  • Eligible for kidney transplant
  • Currently on dialysis
  • Lack decision-making capacity

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or phone)

Communication-Priming Intervention

Duration - Within 1 week before and on the day of the target clinic visit

Participants in the priming intervention arm complete a communication priming tool before a target clinic visit. They receive a summary sheet with their survey responses and communication tips to use during the visit. Clinicians also receive tailored communication tips before and on the day of the visit.

1 baseline visit (target clinic visit)

Follow-up Assessments

Duration - Up to 6 months after the target clinic visit

Participants complete follow-up assessments on decisional conflict, decisional regret, timing and adherence to treatment choice, and health-related quality of life after the target clinic visit.

3 follow-up visits (immediately after, 3 months, and 6 months post-visit)

Trial Site Locations

Total: 1 location

1

Queen Mary Hospital

Hong Kong, Hong Kong

Actively Recruiting

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Research Team

J

Jacqueline KY Yuen, Dr

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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Psychometric Properties of the Chinese Version of the Functional Assessment of Chronic Illness Therapy - Palliative Care (FACIT-Pal) in Patients With Advanced Cancer.

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https://pubmed.ncbi.nlm.nih.gov/37769823

Psychometric assessment of the Chinese version of the decisional conflict scale in Chinese women making decision for breast cancer surgery.

Wendy W T Lam, Marie Kwok, Qiuyan Liao...

https://pubmed.ncbi.nlm.nih.gov/23167846

Hard choices, better outcomes: a review of shared decision-making and patient decision aids around dialysis initiation and conservative kidney management.

Janet L Davis, Sara N Davison

https://pubmed.ncbi.nlm.nih.gov/28212179