Controlling Hypertension through Education and Coaching in Kidney Disease (CHECK-D): protocol of a cluster randomised controlled trial

• Published in: BMJ open Vol. 13; no. 8; p. e071318
• Main Authors: Wright Nunes, Julie A, Resnicow, Ken, Richardson, Caroline, Levine, Diane, Kerr, Eve, Saran, Rajiv, Gillespie, Brenda, Bragg-Gresham, Jennifer, Delacroix, Emerson L, Considine, Shannon, Fan, Audrey, Ellies, Tammy, Garcia-Guzman, Luis, Grzyb, Katie, Klinkman, Michael, Rockwell, Pamela, Billi, John, Martin, Carly, Collier, Kristin, Parker-Featherstone, Ebony, Bryant, Nicole, Seitz, Maria, Lukela, Jennifer, Brinley, Floyd John, Fagerlin, Angela
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 01-08-2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Protocol
• Subjects: Blood Pressure; Body mass index; Chronic renal failure; Clinical outcomes; Clinical trials; Coaching; Creatinine; EDUCATION & TRAINING (see Medical Education & Training); Electronic health records; Health behavior; Health Services Research; Humans; Hypertension; Hypertension - therapy; Kidney diseases; Knowledge; Medical records; Mentoring - methods; Motivation; Nephrology; Patient compliance; Patient education; PRIMARY CARE; Randomized Controlled Trials as Topic; Renal Insufficiency, Chronic - therapy; Web portals; Hypertension; Nephrology; Chronic renal failure; EDUCATION & TRAINING (see Medical Education & Training); PRIMARY CARE
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2022-071318

IntroductionChronic kidney disease (CKD) affects 30 million Americans. Early management focused on blood pressure (BP) control decreases cardiovascular morbidity and mortality. Less than 40% of patients with CKD achieve recommended BP targets due to many barriers. These barriers include a lack of understanding of the implications of their diagnosis and how to optimise their health.This cluster randomised control trial hypothesises that the combination of early primary care CKD education, and motivational interviewing (MI)-based health coach support, will improve patient behaviours aligned with BP control by increasing patient knowledge, self-efficacy and motivation. The results will aid in sustainable interventions for future patient-centric education and coaching support to improve quality and outcomes in patients with CKD stages 3–5. Outcomes in patients with CKD stages 3–5 receiving the intervention will be compared with similar patients within a control group. Continuous quality improvement (CQI) and systems methodologies will be used to optimise resource neutrality and leverage existing technology to support implementation and future dissemination. The innovative approach of this research focuses on the importance of a multidisciplinary team, including off-site patient coaching, that can intervene early in the CKD care continuum by supporting patients with education and coaching.Methods and analysisWe will test impact of BP control when clinician-delivered education is followed by 12 months of MI-based health coaching. We will compare outcomes in 350 patients with CKD stages 3–5 between intervention and control groups in primary care. CQI and systems methodologies will optimise education and coaching for future implementation and dissemination.Ethics and disseminationThis study was approved by the University of Michigan Institutional Review Boards (IRBMED) HUM00136011, HUM00150672 and SITE00000092 and the results of the study will be published on ClinicalTrials.gov, in peer-reviewed journals, as well as conference abstracts, posters and presentations.Trial registration numberNCT04087798.