A randomized controlled trial protocol testing a decision support intervention for older patients with advanced kidney disease
Brown, Leanne, Gardner, Glenn, & Bonner, Ann (2016) A randomized controlled trial protocol testing a decision support intervention for older patients with advanced kidney disease. Journal of Advanced Nursing, 72(5), pp. 1191-1202.
- To assess the effectiveness of a decision support intervention using a pragmatic single blind Randomized Controlled Trial.
- Worldwide the proportion of older people (aged 65 years and over) is rising. This population is known to have a higher prevalence of chronic diseases including chronic kidney disease. The resultant effect of the changing health landscape is seen in the increase in older patients (aged ≥65 years) commencing on dialysis. Emerging evidence suggests that for some older patients dialysis may provide minimal benefit. In a majority of renal units non-dialysis management is offered as an alternative to undertaking dialysis. Research regarding decision-making support that is required to assist this population in choosing between dialysis or non-dialysis management is limited. Design. A multisite single blinded pragmatic randomized controlled trial is proposed.
- Patients will be recruited from four Queensland public hospitals and randomizd into either the control or intervention group. The decision support intervention is multimodal and includes counselling provided by a trained nurse. The comparator is standard decision-making support. The primary outcomes are decisional regret and decisional conflict. Secondary outcomes are improved knowledge and quality of life. Ethics approval obtained November 2014.
- This is one of the first randomized controlled trials assessing a decision support intervention in older people with advance chronic kidney disease. The results may provide guidance for clinicians in future approaches to assist this population in decision-making to ensure reduced decisional regret and decisional conflict.
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|Item Type:||Journal Article|
|Keywords:||chronic kidney disease, conservative kidney management,, decision making dialysis, non-dialysis management, randomized controlled trial|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
|Copyright Owner:||Copyright 2016 John Wiley & Sons Ltd|
|Deposited On:||18 Feb 2016 03:42|
|Last Modified:||10 Jun 2016 03:06|
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