Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial

Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial

Care for patients transitioning from chronic kidney disease to kidney failure often falls short of meeting patients' needs. The PREPARE NOW study is a cluster randomized controlled trial studying the effectiveness of a pragmatic health system intervention, ‘Patient Centered Kidney Transition Ca...

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Bibliographic Details
Published in:Contemporary clinical trials Vol. 73; pp. 98 - 110
Main Authors: Green, J.A., Ephraim, P.L., Hill-Briggs, F.F., Browne, T., Strigo, T.S., Hauer, C.L., Stametz, R.A., Darer, J.D., Patel, U.D., Lang-Lindsey, K., Bankes, B.L., Bolden, S.A., Danielson, P., Ruff, S., Schmidt, L., Swoboda, A., Woods, P., Vinson, B., Littlewood, D., Jackson, G., Pendergast, J.F., St. Clair Russell, J., Collins, K., Norfolk, E., Bucaloiu, I.D., Kethireddy, S., Collins, C., Davis, D., dePrisco, J., Malloy, D., Diamantidis, C.J., Fulmer, S., Martin, J., Schatell, D., Tangri, N., Sees, A., Siegrist, C., Breed, J., Medley, A., Graboski, E., Billet, J., Hackenberg, M., Singer, D., Stewart, S., Alkon, A., Bhavsar, N.A., Lewis-Boyer, L., Martz, C., Yule, C., Greer, R.C., Saunders, M., Cameron, B., Boulware, L.E.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-10-2018
Subjects:
Care navigation
Chronic kidney disease
Decision Making
Delivery of Health Care
Disease Progression
Electronic health tools
Kidney failure
Kidney Failure, Chronic - therapy
Multicenter Studies as Topic
Nephrology
Patient Care Team
Patient Navigation
Patient Reported Outcome Measures
Patient Transfer
Patient-Centered Care
Pragmatic Clinical Trials as Topic
Registries
Renal Insufficiency, Chronic - therapy
Self-Management
Shared decision-making
Social Support
Care navigation
Kidney failure
Self-management
Chronic kidney disease
Electronic health tools
CKD
EHR
Shared decision-making
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Description
Summary:Care for patients transitioning from chronic kidney disease to kidney failure often falls short of meeting patients' needs. The PREPARE NOW study is a cluster randomized controlled trial studying the effectiveness of a pragmatic health system intervention, ‘Patient Centered Kidney Transition Care,’ a multi-component health system intervention designed to improve patients' preparation for kidney failure treatment. Patient-Centered Kidney Transition Care provides a suite of new electronic health information tools (including a disease registry and risk prediction tools) to help providers recognize patients in need of Kidney Transitions Care and focus their attention on patients' values and treatment preferences. Patient-Centered Kidney Transition Care also adds a ‘Kidney Transitions Specialist’ to the nephrology health care team to facilitate patients' self-management empowerment, shared-decision making, psychosocial support, care navigation, and health care team communication. The PREPARE NOW study is conducted among eight [8] outpatient nephrology clinics at Geisinger, a large integrated health system in rural Pennsylvania. Four randomly selected nephrology clinics employ the Patient Centered Kidney Transitions Care intervention while four clinics employ usual nephrology care. To assess intervention effectiveness, patient reported, biomedical, and health system outcomes are collected annually over a period of 36 months via telephone questionnaires and electronic health records. The PREPARE NOW Study may provide needed evidence on the effectiveness of patient-centered health system interventions to improve nephrology patients' experiences, capabilities, and clinical outcomes, and it will guide the implementation of similar interventions elsewhere. Trial registration: NCT02722382
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Authors’ contributions
JAG: study conception/design, data acquisition, data analysis, data interpretation, draft/revising manuscript; PLE: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; FFH-B: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; TB: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; TSS: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; CLH: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; RAS: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; JDD: study conception/design; UDP: study conception/design; KLL: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; BLB: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; SAB: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; PD: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; SR: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; LS: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; AS: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; PW: study conception/design, data acquisition, data interpretation, drafting/revising manuscript; BV: study conception/design, data interpretation, drafting/revising manuscript; DL: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; GJ: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; JFP: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; JSCR: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; KC: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; NE: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; IDB: study conception/design; SK: study conception/design; CC: study conception/design; DD: study conception/design; JdP: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; DM: study conception/design; CJD: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; SF: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; JM: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; DS: study contribution/design, data acquisition, data analysis, data interpretation; drafting/revising manuscript; NT: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; AS: study conception/design; CS: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; JBJr: study conception/design; AM: study conception/design; EG: study conception/design; JB: study conception/design; MH: study conception/design; DS: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; SS: study conception/design; AA: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; NAB: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; LL-B: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; CM: study conception/design; CY: study conception/design; RCG: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript; MS: study conception/design; BC: study conception/design; LEB: study conception/design, data acquisition, data analysis, data interpretation, drafting/revising manuscript.
ISSN:1551-7144
1559-2030
1559-2030
DOI:10.1016/j.cct.2018.09.004