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Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial.

Publication ,  Journal Article
Green, JA; Ephraim, PL; Hill-Briggs, FF; Browne, T; Strigo, TS; Hauer, CL; Stametz, RA; Darer, JD; Patel, UD; Lang-Lindsey, K; Bankes, BL ...
Published in: Contemp Clin Trials
October 2018

UNLABELLED: Care for patients transitioning from chronic kidney disease to kidney failure often falls short of meeting patients' needs. The PREPARE NOW study is a cluster randomized controlled trial studying the effectiveness of a pragmatic health system intervention, 'Patient Centered Kidney Transition Care,' a multi-component health system intervention designed to improve patients' preparation for kidney failure treatment. Patient-Centered Kidney Transition Care provides a suite of new electronic health information tools (including a disease registry and risk prediction tools) to help providers recognize patients in need of Kidney Transitions Care and focus their attention on patients' values and treatment preferences. Patient-Centered Kidney Transition Care also adds a 'Kidney Transitions Specialist' to the nephrology health care team to facilitate patients' self-management empowerment, shared-decision making, psychosocial support, care navigation, and health care team communication. The PREPARE NOW study is conducted among eight [8] outpatient nephrology clinics at Geisinger, a large integrated health system in rural Pennsylvania. Four randomly selected nephrology clinics employ the Patient Centered Kidney Transitions Care intervention while four clinics employ usual nephrology care. To assess intervention effectiveness, patient reported, biomedical, and health system outcomes are collected annually over a period of 36 months via telephone questionnaires and electronic health records. The PREPARE NOW Study may provide needed evidence on the effectiveness of patient-centered health system interventions to improve nephrology patients' experiences, capabilities, and clinical outcomes, and it will guide the implementation of similar interventions elsewhere. TRIAL REGISTRATION: NCT02722382.

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Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

October 2018

Volume

73

Start / End Page

98 / 110

Location

United States

Related Subject Headings

  • Social Support
  • Self-Management
  • Renal Insufficiency, Chronic
  • Registries
  • Public Health
  • Pragmatic Clinical Trials as Topic
  • Patient-Centered Care
  • Patient Transfer
  • Patient Reported Outcome Measures
  • Patient Navigation
 

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Green, J. A., Ephraim, P. L., Hill-Briggs, F. F., Browne, T., Strigo, T. S., Hauer, C. L., … Boulware, L. E. (2018). Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial. Contemp Clin Trials, 73, 98–110. https://doi.org/10.1016/j.cct.2018.09.004
Green, J. A., P. L. Ephraim, F. F. Hill-Briggs, T. Browne, T. S. Strigo, C. L. Hauer, R. A. Stametz, et al. “Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial.Contemp Clin Trials 73 (October 2018): 98–110. https://doi.org/10.1016/j.cct.2018.09.004.
Green JA, Ephraim PL, Hill-Briggs FF, Browne T, Strigo TS, Hauer CL, et al. Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial. Contemp Clin Trials. 2018 Oct;73:98–110.
Green, J. A., et al. “Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial.Contemp Clin Trials, vol. 73, Oct. 2018, pp. 98–110. Pubmed, doi:10.1016/j.cct.2018.09.004.
Green JA, Ephraim PL, Hill-Briggs FF, Browne T, Strigo TS, Hauer CL, Stametz RA, Darer JD, Patel UD, Lang-Lindsey K, Bankes BL, Bolden SA, Danielson P, Ruff S, Schmidt L, Swoboda A, Woods P, Vinson B, Littlewood D, Jackson G, Pendergast JF, St Clair Russell J, Collins K, Norfolk E, Bucaloiu ID, Kethireddy S, Collins C, Davis D, dePrisco J, Malloy D, Diamantidis CJ, Fulmer S, Martin J, Schatell D, Tangri N, Sees A, Siegrist C, Breed J, Medley A, Graboski E, Billet J, Hackenberg M, Singer D, Stewart S, Alkon A, Bhavsar NA, Lewis-Boyer L, Martz C, Yule C, Greer RC, Saunders M, Cameron B, Boulware LE. Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial. Contemp Clin Trials. 2018 Oct;73:98–110.
Journal cover image

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

October 2018

Volume

73

Start / End Page

98 / 110

Location

United States

Related Subject Headings

  • Social Support
  • Self-Management
  • Renal Insufficiency, Chronic
  • Registries
  • Public Health
  • Pragmatic Clinical Trials as Topic
  • Patient-Centered Care
  • Patient Transfer
  • Patient Reported Outcome Measures
  • Patient Navigation