Education and support program for people with advanced kidney disease and high blood pressure

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for Black or African American adults with advanced chronic kidney disease who are in the hospital at the University of Chicago and expected to stay more than 48 hours.

Age

Over 18 and under 70 years.

Sex

All sexes can join.

Disease stage

Advanced chronic kidney disease: Stage 3B or above, or eGFR<45 during the hospital stay and in earlier medical visits.

Biomarker or test result

eGFR<45 during admission and in previous medical encounters.

Main reasons for not taking part

• Does not speak English
• Cannot communicate because of current medical condition
• Cannot give consent because of mental status
• Expected hospital stay less than 24 hours
• Currently in the ICU

The registry criteria, word for word

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

• Are you between 18 and 70 years old?YesNo

What the trial wants to find out

Intensive Patient Referral and Education Program prior to Renal Replacement Therapy (iPREP-RRT) is a 12-week intervention that identifies hospitalized African Americans with advanced chronic kidney disease (CKD) and provides them with hospital- and community-based education, navigation and self-management support. Participants will be randomized to the iPREP-RRT intervention versus enhanced usual care.

The 2 groups in the trial

• Intensive Intervention (iPREP RRT)Treatment being tested

  The intervention is administered by a patient educator (PE), a culturally concordant health educator. S/he will review the CKD and RRT education materials on a tablet device with the participant, answer any questions they have, and using motivational interviewing techniques get a commitment for future action. The participant and the patient educator will work together to decide on potential CKD self-management and RRT options and/or next steps. The PE will teach the participant how to use the home blood pressure monitor and will leave it with the participant. The patient educator will check in with the participant through text messages and follow-up phone calls.

  Treatment: In-Person Patient Education, Commitment to Change, Blood pressure monitoring, Text-based reinforcement for CKD self-management, and Community-based education session, reinforcement for self-management

• Enhanced Usual CarePlacebo, for comparison

  The enhanced usual care is administered by a patient educator (PE), a culturally concordant health educator. The PE will drop off written general health education materials. The patient educator will check in with the participant through text messages.

  Treatment: Written Patient Education and Text-based reinforcement for general health self-management