A Pilot Study of The CKM JumpStart Tool to Promote Conservative Kidney Management Discussions in Older Adults with Advanced Chronic Kidney Disease

What this Trial Is About

Researchers are evaluating the use of a new communication tool called the CKM JumpStart Tool to encourage discussions about conservative kidney management CKM between older patients with advanced chronic kidney disease CKD and their healthcare providers. This randomized pilot study involves patients aged 75 years and older, aiming to test if the tool is feasible and acceptable compared to usual care. The study is sponsored by the University of Washington and includes patients from two healthcare systems. The CKM JumpStart Tool is a one-page handout tailored to each patient based on their values related to longevity or comfort. Study staff generate this tool before the patients clinic visit and share it with both patient and provider to facilitate values-based conversations about CKM. Participants are randomly assigned either to receive this intervention or to continue with usual care without the tool. The study collects data at enrollment, within two weeks after the clinic visit, and about three months later. Participants will provide information through surveys and interviews at three time points at enrollment, shortly after their next clinic visit, and three months later. Researchers will assess how often CKM discussions occur between patients and providers, whether providers document these discussions, and how acceptable and feasible the tool is based on participant retention and feedback. The study also includes qualitative interviews with patients and nephrologists to understand their experiences using the tool.

A Pilot Study of The CKM JumpStart Tool