Controlling Hypertension through Education and Coaching in Kidney Disease (CHECK-D): protocol of a cluster randomised controlled trial.

Autor:	Wright Nunes JA; Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, Michigan, USA juwright@med.umich.edu.; Department of Internal Medicine, Quality & Innovation, University of Michigan, Ann Arbor, Michigan, USA., Resnicow K; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.; Center for Health Communication Research, Rogel Cancer Center, University of Michigan, Ann Arbor, Michigan, USA., Richardson C; Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA., Levine D; Department of Internal Medicine, Division of Hospital Medicine, Wayne State University, Detroit, Michigan, USA., Kerr E; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan, USA.; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA., Saran R; Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, Michigan, USA.; Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.; Kidney Epidemiology and Cost Center, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA., Gillespie B; Kidney Epidemiology and Cost Center, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.; Consulting for Statistics, Computing and Analytics Research, University of Michigan, Ann Arbor, Michigan, USA., Bragg-Gresham J; Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, Michigan, USA.; Kidney Epidemiology and Cost Center, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA., Delacroix EL; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.; Center for Health Communication Research, Rogel Cancer Center, University of Michigan, Ann Arbor, Michigan, USA., Considine S; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.; Center for Health Communication Research, Rogel Cancer Center, University of Michigan, Ann Arbor, Michigan, USA., Fan A; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan, USA., Ellies T; Department of Internal Medicine, Quality & Innovation, University of Michigan, Ann Arbor, Michigan, USA., Garcia-Guzman L; Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan, USA., Grzyb K; Department of Internal Medicine, Quality & Innovation, University of Michigan, Ann Arbor, Michigan, USA., Klinkman M; Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA., Rockwell P; Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA., Billi J; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan, USA., Martin C; Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, Michigan, USA., Collier K; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan, USA., Parker-Featherstone E; Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA., Bryant N; Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, Michigan, USA., Seitz M; Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, Michigan, USA., Lukela J; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan, USA., Brinley FJ; Department of Internal Medicine, Division of General Medicine, University of Michigan, Ann Arbor, Michigan, USA., Fagerlin A; Department of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, Utah, USA.; Informatics Decision-Enhancement and Analytic Sciences (IDEAS) Center for Innovation, VA Salt Lake City Health Care System, Salt Lake City, Utah, USA.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Aug 01; Vol. 13 (8), pp. e071318. Date of Electronic Publication: 2023 Aug 01.
DOI:	10.1136/bmjopen-2022-071318
Abstrakt:	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. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu