TY - JOUR
T1 - Controlling Hypertension through Education and Coaching in Kidney Disease (CHECK-D)
T2 - protocol of a cluster randomised controlled trial
AU - Wright Nunes, Julie A.
AU - Resnicow, Ken
AU - Richardson, Caroline
AU - Levine, Diane
AU - Kerr, Eve
AU - Saran, Rajiv
AU - Gillespie, Brenda
AU - Bragg-Gresham, Jennifer
AU - Delacroix, Emerson L.
AU - Considine, Shannon
AU - Fan, Audrey
AU - Ellies, Tammy
AU - Garcia-Guzman, Luis
AU - Grzyb, Katie
AU - Klinkman, Michael
AU - Rockwell, Pamela
AU - Billi, John
AU - Martin, Carly
AU - Collier, Kristin
AU - Parker-Featherstone, Ebony
AU - Bryant, Nicole
AU - Seitz, Maria
AU - Lukela, Jennifer
AU - Brinley, Floyd John
AU - Fagerlin, Angela
N1 - Publisher Copyright:
© 2023 Authors. All rights reserved.
PY - 2023/8/1
Y1 - 2023/8/1
N2 - Introduction Chronic 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 analysis We 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 dissemination This 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 number NCT04087798.
AB - Introduction Chronic 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 analysis We 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 dissemination This 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 number NCT04087798.
KW - Chronic renal failure
KW - EDUCATION & TRAINING (see Medical Education & Training)
KW - Hypertension
KW - Nephrology
KW - PRIMARY CARE
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UR - http://www.scopus.com/inward/citedby.url?scp=85166055537&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2022-071318
DO - 10.1136/bmjopen-2022-071318
M3 - Article
C2 - 37527897
AN - SCOPUS:85166055537
SN - 2044-6055
VL - 13
JO - BMJ open
JF - BMJ open
IS - 8
M1 - e071318
ER -
