Intensive Patient Referral and Education Program Prior to Renal Replacement Therapy

Conditions studied

Chronic Kidney Disease, Hypertension

About this study

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.

Interventions

• Behavioral: In-Person Patient Education — In-person patient education about CKD, CKD risk factor management and renal replacement therapy options.
• Behavioral: Commitment to Change — Motivational interviewing to assist participants in committing to change in CKD management or RRT selection.
• Behavioral: Blood pressure monitoring — Participants will learn how to check their blood pressure and will receive a blood pressure cuff for home.
• Behavioral: Written Patient Education — Written patient education booklet about general health care management including taking medications, having a primary care doctor, weight management and exercise.
• Behavioral: Text-based reinforcement for CKD self-management — Patient educator will use text messages based on social cognitive theory to remind participants about and reinforce goals set around CKD self-management, blood pressure control and RRT selection
• Behavioral: Community-based education session, reinforcement for self-management — Patient educator will use provide a "booster" session based on social cognitive theory to remind participants about and reinforce goals set around CKD self-management, blood pressure control and RRT selection
• Behavioral: Text-based reinforcement for general health self-management — Patient educator will use text messages to send general health management messages

Primary outcomes

• Kidney Disease Knowledge Questionnaire (KIKS) (Baseline, 1 day Post Brief Intervention, Week 4, Week 12, Week 16)
• ESRD Knowledge (Baseline, 1 day Post Brief Intervention, Week 4, Week 12, Week 16)
• Blood Pressure Knowledge (Baseline, 1 day Post Brief Intervention, Week 4, Week 12, Week 16)
• CKD Self-Management (Baseline, Week 8, Week 12, Week 16)

Eligibility information

Study locations

• University of Chicago Medical Center, Chicago, Illinois 60637 United States