Interactive Computer-adaptive Chronic Kidney Disease Education Program
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Computerized CKD Education, Usual Hospital Care.
- Who it may be relevant to
- Registry conditions: Chronic Kidney Diseases, Hypertension. Basic parameters: 18 years — 70 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Pilot to Develop and Test an Interactive Computer-adaptive Chronic Kidney Disease Education Program for Hospitalized African American Patients (I-C-CKD)
Overview
The goal of this pilot clinical trial is to evaluate a culturally tailored computerized education program in hospitalized African-American patients with advanced chronic kidney disease (CKD). The main question it aims to answer are: does computerized adaptive education (CAE) increase patients' knowledge about CKD self-care and renal replacement therapy (RRT) options compared to usual care (UC) and will CAE will be increase patients' intent to participate in CKD self-care and RRT preparation compared to UC
Detailed description
The goal of this pilot clinical trial is to evaluate a culturally tailored adaptive computerized education program in hospitalized African-American patients with advanced chronic kidney disease (CKD). The investigator's first hypothesis is that computerized adaptive education (CAE) will be more effective than standard of care in improving knowledge about self-care for advanced CKD and renal replacement therapy (RRT) options (Primary Outcome). The primary outcome is knowledge about CKD and knowledge about RRT. The study team will measure this using the Kidney Disease Knowledge Survey (KiKs). The investigator's second hypothesis is that CAE will increase patients' intent to participate in CKD self-care (to take diabetes and/or hypertension meds, see a nephrologist, and make additional lifestyle changes like smoking cessation, exercise, low-salt diet) compared to standard of care. The study team will measure this using an investigator-developed Health Intent Survey and measure patient activation through the Patient Activation Measure (PAM). Similarly, the investigator hypothesizes that CAE will increase patients' intent to obtain non-catheter access prior to dialysis initiation, to initiate self-care dialysis (peritoneal (PD) or home hemodialysis (HHD), and/or have transplant evaluation compared to standard of care. The study team will measure this using an investigator-developed Health Intent Survey. The investigator's final hypothesis is that CAE will increase patients' action at 30 days post-discharge in participating in CKD self-care and CKD health-seeking behavior compared to standard of care controls.
Interventions
- Behavioral Computerized CKD Education
The intervention is a culturally tailored computer-based adaptive program (developed during this intervention) to educate patients about kidney disease and renal replacement therapy options. - Behavioral Usual Hospital Care
Computer based patient education materials about general healthy lifestyle that will include information about the importance of a healthy diet, physical activity and medical adherence
Primary outcome measures
- Change in CKD Knowledge baseline to post patient education intervention [Time frame: Baseline and 1 day post-intervention]
- Change in Knowledge about end stage kidney disease (ESKD) treatments from baseline to 1 day post patient education intervention [Time frame: Baseline and 1 day post-intervention]
- Change in ESKD Treatment Preferences from baseline to 1 day post-intervention [Time frame: Baseline and 1 day post-intervention]
Secondary outcome measures (3)
- Change in Patient Activation Measure from Baseline to 30 days Post-intervention [Time frame: Baseline, 1 day post-intervention, and 30 day follow-up]
- Increase in Health Intent baseline to post intervention (at 1 day and 30 day follow-up) [Time frame: Baseline, 1 day post-intervention and 30 day follow-up]
- CKD Self-Management from baseline to 30 day post-intervention [Time frame: Baseline and 30 day follow-up]
Eligibility criteria
Inclusion criteria
- African-American inpatients
- Ages 18-70
- estimated glomerular filtration rate (eGFR)<45
- Enrolled in the Hospitalist Project
Exclusion criteria
- Does not self-identify as African American
- Not able to consent
- Unable to speak English
- eGFR <45 due to acute kidney injury
- In Intensive Care Unit
- has had a transplant
- currently on dialysis
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Health services research
Study locations
United States · 1 center
- University of Chicago Medical Center — Chicago
Publications
- King A, Omoniyi T, Zasadzinski L, Gaspard C, Gorman D, Saunders M. Interactive Computer-Adaptive Chronic Kidney Disease (I-C-CKD) Education for Hospitalized African American Patients: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2025 Apr 17;14:e66846. doi: 10.2196/66846. PMID 40245387
Identifiers
NCT: NCT06364358 · IRB23-0385 · 5R21DK121262