Educational Videos for Chronic Kidney Disease

(CKM-EMPOWER Trial)

Overseen By Rachel Smith

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: University of Washington

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

4 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests educational videos aimed at helping healthcare providers better support patients with chronic kidney disease (CKD). The trial compares these training videos, called CKM-EMPOWER (Conservative Kidney Management Educational Videos), with traditional education methods to assess their impact. Nephrology fellows currently enrolled in a fellowship program in the United States are ideal participants. As an unphased trial, this study provides a unique opportunity to contribute to innovative educational methods that could enhance patient care.

Do I need to stop my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What prior data suggests that these educational videos are safe for use in nephrology providers?

Research has shown that CKM-EMPOWER uses educational videos to help healthcare providers better manage chronic kidney disease. CKM-EMPOWER poses no safety concerns, as it involves only watching videos, not taking medication or undergoing medical procedures. The videos aim to educate and empower both patients and healthcare workers, offering a safe and non-invasive option. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about CKM-EMPOWER because it uses educational videos to empower patients with chronic kidney disease, offering a unique approach compared to traditional educational methods. Unlike standard care, which often relies on in-person counseling or printed materials, these videos provide accessible, engaging, and consistent education that patients can revisit anytime. This method not only aims to improve patient understanding and management of their condition but also enhances the potential for better health outcomes by allowing patients to take more control of their care journey.

What evidence suggests that CKM-EMPOWER educational videos are effective for improving nephrology providers' ability to provide CKM?

Research has shown that educational tools can greatly improve healthcare. For individuals with advanced chronic kidney disease, studies have found that conservative kidney management (CKM) is a helpful approach. CKM focuses on providing supportive care without dialysis, aiming to enhance quality of life. Evidence suggests that well-informed healthcare providers can better assist patients by offering options like CKM. In this trial, participants will receive either usual education or the CKM-EMPOWER educational videos. These videos are designed to equip kidney specialists with up-to-date knowledge to better support their patients. ^{1 2 3 6 7}

Are You a Good Fit for This Trial?

This trial is for nephrology fellows currently enrolled in a U.S. nephrology fellowship training program, with no restrictions on other specific criteria.

Inclusion Criteria

Nephrology fellow enrolled in US nephrology fellowship training program

Exclusion Criteria

Not applicable.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive CKM-EMPOWER educational videos or usual education

2 weeks

Web-based surveys

Follow-up

Participants are monitored for changes in knowledge, confidence, and practice of CKM

2 weeks

What Are the Treatments Tested in This Trial?

Interventions

• CKM-EMPOWER

Trial Overview The study is evaluating the effectiveness of CKM-EMPOWER, which are educational videos designed to enhance kidney specialists' skills in providing conservative kidney management.

How Is the Trial Designed?

Group I: CKM-EMPOWER Experimental Treatment 1 Intervention

Training videos

Group II: Usual education Active Control 1 Intervention

No training videos

Who Is Running the Clinical Trial?

University of Washington

Lead Sponsor

Trials

1,858

Recruited

2,023,000+

Published Research Related to This Trial

A decision aid focused on conservative kidney management (CKM) significantly improved discussions about CKM between patients with advanced chronic kidney disease (CKD) and their healthcare providers, with 26.4% of patients discussing CKM compared to only 3.0% in the usual care group.

The study, which included 92 patients aged 75 and older, demonstrated that the decision aid was both feasible and acceptable, suggesting it could enhance patient education and decision-making regarding CKD treatment options.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Patient Decision Aid About Conservative Kidney Management in Advanced Kidney Disease: A Randomized Pilot Trial. Wong, SPY., Oestreich, T., Prince, DK., et al.[2023]

The Treatment Options Program (TOPs) has successfully educated over 73,000 chronic kidney disease patients about their treatment options, leading to increased utilization of home therapies as the first treatment choice.

Patients who participated in TOPs showed a higher rate of permanent vascular access and reduced reliance on hemodialysis catheters, which can improve patient outcomes and align with the goals of accountable healthcare systems.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The culture of education in a large dialysis organization: informing patient-centered decision making on treatment options for renal replacement therapy. Mollicone, D., Pulliam, J., Lacson, E.[2013]

Educational interventions for patients with chronic kidney disease (CKD) can significantly improve knowledge, self-management, and quality of life, as shown in a systematic review of 26 studies involving 5,403 participants.

Effective interventions were characterized by interactive teaching sessions, group participation, and frequent interactions with educators, leading to better clinical outcomes and patient engagement in their care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Educational Interventions for Patients With CKD: A Systematic Review. Lopez-Vargas, PA., Tong, A., Howell, M., et al.[2022]

A review of 69 patient education materials (PEMs) on chronic kidney disease (CKD) found that 79% were rated as 'adequate' in terms of readability and content, with an overall mean rating of 58.3%.

PEMs that included patient-centered content and opportunities for interaction received higher ratings, and materials suitable for a literacy level of 6th grade or lower were associated with better understanding among patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Assessment of printed patient-educational materials for chronic kidney disease. Tuot, DS., Davis, E., Velasquez, A., et al.[2022]

Only 7% of patients with chronic kidney disease (CKD) were planning for conservative kidney management (CKM), indicating a lack of awareness or discussion about this treatment option among patients.

While most healthcare providers felt comfortable discussing CKM, none of the clinics had dedicated resources or protocols for CKM, highlighting a significant gap in the implementation of this approach in the United States.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Conservative Kidney Management Practice Patterns and Resources in the United States: A Cross-Sectional Analysis of CKDopps (Chronic Kidney Disease Outcomes and Practice Patterns Study) Data. Scherer, JS., Bieber, B., de Pinho, NA., et al.[2023]

Increasing awareness and understanding of home dialysis options among patients with advanced chronic kidney disease (CKD) is crucial for improving its utilization in the U.S.

Targeted patient education before kidney failure can significantly enhance knowledge about kidney disease and promote informed choices regarding home dialysis, but the lack of standardized education protocols leads to inconsistent outcomes in home dialysis implementation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Needs and Considerations for Standardization of Kidney Disease Education in Patients with Advanced CKD. Shukla, AM., Cavanaugh, KL., Jia, H., et al.[2023]

Empowering and educational initiatives significantly improve the quality of life for renal patients, impacting both psychosocial and functional aspects, which is crucial for overall patient care.

Patients who receive home care and self-care training in hemodialysis show better quality of life, reduced medical service utilization, and higher satisfaction with care, highlighting the benefits of patient education and empowerment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Is there data to support the concept that educated, empowered patients have better outcomes? Latham, CE.[2019]

Patients with chronic renal disease should receive comprehensive counseling and educational support to enhance their quality of life.

Healthcare systems need to develop educational programs that utilize existing staff resources, as no additional funding has been allocated for patient education in hospitals.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Patient education]. Tourette-Turgis, C., Isnard-Bagnis, C.[2013]

A Conservative Kidney Management (CKM) Pathway was developed in Alberta, Canada, involving 282 participants, including healthcare professionals and patients, to provide tailored care for those unlikely to benefit from dialysis.

The CKM Pathway includes essential components like symptom management guidelines, timely communication, and decision-support tools, which can be adapted for use in other healthcare systems to improve patient care and self-management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Identification of core components and implementation strategies for a Conservative Kidney Management Pathway across a complex, multisector healthcare system in Canada using World Cafés and the Theoretical Domains Framework. Davison, S., Steinke, V., Wasylynuk, BA., et al.[2022]

The paper discusses innovative patient education strategies for chronic kidney disease (CKD) that utilize social media platforms like YouTube and Instagram to improve patient adherence to treatment.

These strategies involve using videos, images, and text to effectively communicate important health information to CKD patients, addressing a significant public health issue in Brazil.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Chronic Kidney Disease and the Use of Social Media as Strategy for Health Education in Brazil. de Oliveira, JGR., Askari, M., Fahd, MGN., et al.[2019]

Citations

1. withpower.com withpower.com/trial/phase-renal-insufficiency-chronic-7-2024-722b9

Educational Videos for Chronic Kidney Disease This study aims to test the efficacy of a series of just-in-time educational videos on topics related to CKM (CKM-EMPOWER) in improving nephrology providers ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12261656/

Policy strategies to enhance uptake of conservative kidney ... Conservative kidney management (CKM) is an established treatment option for patients with advanced chronic kidney disease(CKD) who are not ...

3. ajkd.org ajkd.org/article/S0272-6386(23)00065-3/fulltext

A Patient Decision Aid About Conservative Kidney ... Conservative kidney management (CKM) is a planned and comprehensive approach to caring for patients with advanced chronic kidney disease (CKD) ...

4. academic.oup.com academic.oup.com/ndt/article/39/Supplement_2/ii35/7749762

Global access and quality of conservative kidney management Conservative kidney management (CKM) describes supportive care for people living with kidney failure who choose not to receive or are unable to access kidney ...

5. ckmcare.com ckmcare.com/

Conservative Kidney Management CKM is a treatment option for managing advanced chronic kidney disease. This pathway is a resource for patients and healthcare professionals.

6. kidney.org kidney.org/news-stories/understanding-conservative-care-kidney-failure

Understanding Conservative Care for Kidney Failure Conservative care for kidney failure focuses on managing symptoms without dialysis or a transplant.

7. youtube.com youtube.com/watch?v=Hg191wXxQ-Q

Conservative Management for Kidney Failure Conservative management for kidney failure means that your health care team continues your care without dialysis or a kidney transplant.