Multi-disciplinary Participatory Design of a Process to Deliver a CKD Diagnosis in Primary Care
Multi-disciplinary Participatory Design of a Process to Deliver a CKD Diagnosis in Primary Care
This study will use an adapted education worksheet to support patient-centered chronic kidney
 disease (CKD) communication, shared decision making, and patient engagement and will test its
 impact on intermediate patient modifiable characteristics in a primary care practice with
 patients who have pre-dialysis CKD.

 The study team will enroll up to 100 patients with chronic kidney disease (CKD) from a
 primary care clinic to start. Patients will receive the intervention, which consists of the
 physicians using the education worksheet during appointments with patients, and patients and
 providers will complete surveys about its use and to measure impact on knowledge and other
 areas related to patient outcomes.

 Once initial user testing is complete, the study team plans to submit an amendment to expand
 on this trial and incorporate comparison sites. This will be submitted and receive IRB
 approval prior to participant involvement.

 Amendment on 12/2018: We have updated the enrollment numbers to include the control group.

 The study hypothesis is that patients who receive the intervention will have greater
 knowledge about their CKD diagnosis, higher satisfaction with provider communication, and
 higher scores related to managing CKD to keep themselves healthy compared to control
 populations.
Inclusion Criteria:

 -  18 years old or older

 -  Have an estimated glomerular filtration rate (eGFR) of less than 60 ml/min/1.73 m2

 -  Able to read and understand English without an interpreter

 -  Diagnosed with chronic kidney disease on record

 Exclusion Criteria:

 -  Patients with renal transplant or on dialysis

 -  Patients who have documented or provider known cognitive impairment or vision
 impairment that will prohibit meaningful interaction with education activation
 worksheet

 -  Patients who are not aware of their CKD diagnosis