Intensive Patient Referral and Education Program Prior to Renal Replacement Therapy

BEHAVIORAL

In-Person Patient Education

In-person patient education about CKD, CKD risk factor management and renal replacement therapy options.

BEHAVIORAL

Commitment to Change

Motivational interviewing to assist participants in committing to change in CKD management or RRT selection.

BEHAVIORAL

Blood pressure monitoring

Participants will learn how to check their blood pressure and will receive a blood pressure cuff for home.

BEHAVIORAL

Written Patient Education

Written patient education booklet about general health care management including taking medications, having a primary care doctor, weight management and exercise.

BEHAVIORAL

Text-based reinforcement for CKD self-management

Patient educator will use text messages based on social cognitive theory to remind participants about and reinforce goals set around CKD self-management, blood pressure control and RRT selection

BEHAVIORAL

Community-based education session, reinforcement for self-management

Patient educator will use provide a "booster" session based on social cognitive theory to remind participants about and reinforce goals set around CKD self-management, blood pressure control and RRT selection

BEHAVIORAL

Text-based reinforcement for general health self-management

Patient educator will use text messages to send general health management messages

Kidney Disease Knowledge Questionnaire (KIKS)

Time frame: Baseline, 1 day Post Brief Intervention, Week 4, Week 12, Week 16

The Kidney Disease Knowledge Questionnaire (KIKS) is a validated instrument that assesses CKD knowledge. Scores range from 0 (no knowledge)-28 (full knowledge). Change =Post intervention-Baseline scores, and Follow-up (Week 4, Week 12, Week 16)-Baseline

ESRD Knowledge

Time frame: Baseline, 1 day Post Brief Intervention, Week 4, Week 12, Week 16

The Kidney Failure Treatment Knowledge is an investigator developed tool that assesses knowledge of 6 ESKD treatment options using a Likert scale (0=no knowledge and 4=a great deal of knowledge). Possible scores range from 0-24. Change =Post intervention-Baseline scores, and Follow-up (Week 4, Week 12, Week 16)-Baseline

Blood Pressure Knowledge

Time frame: Baseline, 1 day Post Brief Intervention, Week 4, Week 12, Week 16

Blood Pressure Knowledge Scale (BPKS, revised) is an 11-item scale; a summed score is computed. Scores range from 7 to 77 and higher scores indicate greater knowledge. Change =Post intervention-Baseline scores, and Follow-up (Week 4, Week 12, Week 16)-Baseline

CKD Self-Management

Time frame: Baseline, Week 8, Week 12, Week 16

The CKD Self-Management Knowledge Toolkit (CKD-SMKT) is a validated 10 item survey to assess participants CKD self-management behaviors. The survey consists of 2 true /false questions for each of the 10 self-care domains and can be scored from 0 (no self-care) to 20 (full self-care). Change is Follow-up Score (Week 8, Week 12, Week 16)-Baseline

What is a clinical trial?

A clinical trial is a research study that tests new medical treatments, drugs, devices, or procedures to determine their safety and effectiveness. Trials are carefully designed and monitored to protect participants while advancing medical knowledge.

Is it safe to participate?

Clinical trials follow strict safety guidelines and ethical standards. Trials must be reviewed and approved, and participants are closely monitored by medical professionals throughout the study. You can withdraw at any time if you choose.

Will I be compensated?

Many clinical trials offer compensation for your time, travel expenses, and inconvenience. The specific compensation varies by study and will be discussed during the screening process. All study-related medical care is typically provided at no cost to participants.

Will I receive a placebo instead of treatment?

When effective treatment exists, participants typically receive either the standard treatment plus the study intervention, or the standard treatment plus placebo. You would not be denied effective care. Placebos are primarily used when no proven treatment is available, or in addition to standard care. Your trial consent form will clearly explain what treatments you may receive.

Can I leave a trial if I change my mind?

Absolutely. Participation in clinical trials is completely voluntary. You have the right to withdraw from the study at any time, for any reason, without penalty or loss of benefits to which you are otherwise entitled.

How long does a clinical trial last?

Trial duration varies widely depending on the study design and purpose. Some trials last just a few weeks, while others may continue for months or years. The study coordinator will provide specific timeline information during your screening call.