Advance Care Planning Coaching for Patients With Chronic Kidney Disease

Summary

This project will develop and test a model intervention for Advance Care Planning (ACP) for patients with advanced chronic kidney disease (CKD) cared for in nephrology clinics that have the capacity to consult with or refer to palliative care. Specifically, we will compare the effectiveness of having a trained ACP coach meet in person with patients to discuss their goals and preferences vs. providing patients with a packet of material to review on their own and then discuss with their nephrologist at their initiation.

Hypothesis: In patients aged 55 or older with stage 3-5 Chronic Kidney Disease cared for in a CKD outpatient clinic, an advance care planning process that involves in-person meetings with a trained ACP coach will be more effective than providing patients with printed educational materials alone.

Conditions

• Chronic Kidney Diseases

Interventions

BEHAVIORAL

Advance care planning coaching session.

A 60-minute in-person coaching session. The advance care planning coach, trained in motivational interviewing, will use a flexible script and checklist to assess the participant's readiness to engage in advance care planning and guide the participant forward in the process, proceeding at the participant's pace. Some participants may complete advance directives while others will not get that far. Some participants may receive a follow-up session 2-4 weeks later. Typically this 20 to 30-minute conversation will be by phone, but it may be conducted at the clinic as indicated for the participant.

BEHAVIORAL

Printed advance care planning materials

Participants are provided with a folder containing an advance care planning guide developed by the Coalition for the Supportive Care of Kidney Patients for persons with Chronic Kidney Disease. The patient folder also contains the advance directive form used by the clinic that is appropriate to the state.

Sponsors & Collaborators

• Quality Insights

  collaborator UNKNOWN

• Renal & Transplant Associates of New England

  collaborator UNKNOWN

• Mountain Kidney and Hypertension Associates

  collaborator UNKNOWN

• University of Pittsburgh

  collaborator OTHER

• Medstar Health Research Institute

  collaborator OTHER

• George Washington University

  lead OTHER

Principal Investigators

• Dale E Lupu, PhD, MPH · The George Washington University

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

55 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-05-15

Primary Completion

2019-10-28

Completion

2020-03-31

Countries

• United States

Study Locations