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

J. A. Green, Patti L Ephraim, Felicia Hill-Briggs, T. Browne, T. S. Strigo, C. L. Hauer, R. A. Stametz, Jonathan David Darer, U. D. Patel, K. Lang-Lindsey, B. L. Bankes, S. A. Bolden, P. Danielson, S. Ruff, L. Schmidt, A. Swoboda, P. Woods, B. Vinson, D. Littlewood, G. JacksonJ. F. Pendergast, J. St. Clair Russell, K. Collins, E. Norfolk, I. D. Bucaloiu, S. Kethireddy, C. Collins, D. Davis, J. dePrisco, D. Malloy, Clarissa Diamantidis, S. Fulmer, J. Martin, D. Schatell, N. Tangri, A. Sees, C. Siegrist, J. Breed, A. Medley, E. Graboski, J. Billet, M. Hackenberg, D. Singer, S. Stewart, A. Alkon, N. A. Bhavsar, L. Lewis-Boyer, C. Martz, C. Yule, Raquel Charles Greer, M. Saunders, B. Cameron, Leigh Boulware

Research output: Contribution to journalArticle

Abstract

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

Original languageEnglish (US)
Pages (from-to)98-110
Number of pages13
JournalContemporary Clinical Trials
Volume73
DOIs
StatePublished - Oct 1 2018

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Patient Transfer
Randomized Controlled Trials
Kidney
Nephrology
Health
Patient Care Team
Renal Insufficiency
Electronic Health Records
Self Care
Ambulatory Care Facilities
Chronic Renal Insufficiency
Telephone
Registries
Decision Making
Patient Care

Keywords

  • Care navigation
  • Chronic kidney disease
  • Electronic health tools
  • Kidney failure
  • Self-management
  • Shared decision-making

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Putting patients at the center of kidney care transitions : PREPARE NOW, a cluster randomized controlled trial. / Green, J. A.; Ephraim, Patti L; Hill-Briggs, Felicia; Browne, T.; Strigo, T. S.; Hauer, C. L.; Stametz, R. A.; Darer, Jonathan David; Patel, U. D.; Lang-Lindsey, K.; Bankes, B. L.; Bolden, S. A.; Danielson, P.; Ruff, S.; Schmidt, L.; Swoboda, A.; Woods, P.; Vinson, B.; Littlewood, D.; Jackson, G.; Pendergast, J. F.; St. Clair Russell, J.; Collins, K.; Norfolk, E.; Bucaloiu, I. D.; Kethireddy, S.; Collins, C.; Davis, D.; dePrisco, J.; Malloy, D.; Diamantidis, Clarissa; 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, N. A.; Lewis-Boyer, L.; Martz, C.; Yule, C.; Greer, Raquel Charles; Saunders, M.; Cameron, B.; Boulware, Leigh.

In: Contemporary Clinical Trials, Vol. 73, 01.10.2018, p. 98-110.

Research output: Contribution to journalArticle

Green, JA, Ephraim, PL, Hill-Briggs, F, 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, C, 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, L 2018, 'Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial', Contemporary Clinical Trials, vol. 73, pp. 98-110. https://doi.org/10.1016/j.cct.2018.09.004
Green, J. A. ; Ephraim, Patti L ; Hill-Briggs, Felicia ; Browne, T. ; Strigo, T. S. ; Hauer, C. L. ; Stametz, R. A. ; Darer, Jonathan David ; Patel, U. D. ; Lang-Lindsey, K. ; Bankes, B. L. ; Bolden, S. A. ; Danielson, P. ; Ruff, S. ; Schmidt, L. ; Swoboda, A. ; Woods, P. ; Vinson, B. ; Littlewood, D. ; Jackson, G. ; Pendergast, J. F. ; St. Clair Russell, J. ; Collins, K. ; Norfolk, E. ; Bucaloiu, I. D. ; Kethireddy, S. ; Collins, C. ; Davis, D. ; dePrisco, J. ; Malloy, D. ; Diamantidis, Clarissa ; 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, N. A. ; Lewis-Boyer, L. ; Martz, C. ; Yule, C. ; Greer, Raquel Charles ; Saunders, M. ; Cameron, B. ; Boulware, Leigh. / Putting patients at the center of kidney care transitions : PREPARE NOW, a cluster randomized controlled trial. In: Contemporary Clinical Trials. 2018 ; Vol. 73. pp. 98-110.
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AU - Strigo, T. S.

AU - Hauer, C. L.

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