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Behavioral Intervention
Educational Strategies for Advanced Kidney Disease (THRiVE Trial)
N/A
Recruiting
Led By Laura M Dember, MD
Research Sponsored by University of Pennsylvania
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age 18 years or older
Documentation in the medical record or confirmation from the treating nephrologist of a patient-nephrologist discussion about hemodialysis
Must not have
Does not speak either English or Spanish
Planning for peritoneal dialysis, preemptive transplant, or conservative management of kidney failure
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 12 months
Awards & highlights
No Placebo-Only Group
Summary
This trial tests 3 ways to help people with advanced kidney disease prepare for hemodialysis vascular access placement. Education, Education-Plus, and Usual Care approaches are compared to understand best practice.
Who is the study for?
This trial is for adults over 18 with advanced chronic kidney disease who've discussed hemodialysis with their doctor, visited a nephrologist in the last 18 months, and have specific lab results indicating severe kidney function decline. It's not for those already planning different kidney failure treatments or who can't use the educational materials due to cognitive or visual impairments.
What is being tested?
The study compares three ways of teaching about vascular access for hemodialysis: 'Education' uses a video and brochure; 'Education-Plus' adds motivational interviews via telehealth; 'Usual Care' is what patients normally get from doctors. Participants will be randomly assigned to one method and share feedback through questionnaires and possible interviews.
What are the potential side effects?
Since this trial focuses on educational methods rather than medical treatments, there are no direct side effects like you'd expect from medication. However, participants may experience stress or anxiety related to learning about their condition and treatment options.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 years old or older.
Select...
I have discussed starting hemodialysis with my kidney doctor.
Select...
My kidney function is severely reduced or my risk of kidney failure is high.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I do not speak English or Spanish.
Select...
I am planning treatment for kidney failure that doesn't involve regular dialysis.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 12 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~12 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Surgery for Creation of Hemodialysis Arteriovenous Access (Effectiveness outcome)
Secondary study objectives
Acceptability Intervention Measure - quantitative acceptability assessment (Implementation outcome)
Acceptability of Intervention Content, Delivery, and Accessibility - qualitative acceptability assessment (Implementation outcome)
Brochure Delivery Mode - quantitative barriers/facilitators assessment (Implementation outcome)
+23 moreOther study objectives
Creation of Arteriovenous Vascular Access Without Subsequent Need for Hemodialysis
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
3Treatment groups
Experimental Treatment
Group I: Usual CareExperimental Treatment2 Interventions
Group II: Education-PlusExperimental Treatment4 Interventions
Group III: EducationExperimental Treatment3 Interventions
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Motivational Interviewing
2020
Completed Phase 3
~8850
Educational Materials
2013
N/A
~16390
Usual Care
1990
Completed Phase 4
~7700
Find a Location
Who is running the clinical trial?
Johns Hopkins UniversityOTHER
2,328 Previous Clinical Trials
14,874,265 Total Patients Enrolled
University of PennsylvaniaLead Sponsor
2,081 Previous Clinical Trials
42,724,460 Total Patients Enrolled
University of North Carolina, Chapel HillOTHER
1,557 Previous Clinical Trials
4,298,692 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I do not speak English or Spanish.I am 18 years old or older.I am planning treatment for kidney failure that doesn't involve regular dialysis.I have an appointment with a surgeon for an evaluation or to create a pathway for dialysis.I have discussed starting hemodialysis with my kidney doctor.I have seen a kidney specialist for my chronic kidney disease in the last 18 months.You have had a previous surgery to create a blood access point.You have trouble thinking clearly or have difficulty seeing that makes it hard to use the educational materials.My kidney function is severely reduced or my risk of kidney failure is high.
Research Study Groups:
This trial has the following groups:- Group 1: Education-Plus
- Group 2: Usual Care
- Group 3: Education
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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