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Enhanced Kidney Follow-up for AKI Survivors in Care Transitions

Primary Purpose

Acute Kidney Injury

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Education
Education and follow-up
Sponsored by
Mayo Clinic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Acute Kidney Injury focused on measuring transitions of care, education, patient reported outcomes, chronic kidney disease, acute kidney injury

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • KDIGO Stage 3 AKI
  • Primary care provider at Mayo Rochester.

Exclusion Criteria:

  • Patient with need for dialysis at discharge from hospital or hospice.
  • Enrolled in the Primary Care Transition Program.
  • Non-English speaking.
  • Cognitive impairment.
  • Dementia.
  • Mini-Cog score of less than 3.

Sites / Locations

  • Mayo Clinic in Rochester

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

No Intervention

Active Comparator

Active Comparator

Arm Label

Usual care

Education alone

Education and follow-up

Arm Description

Outcomes

Primary Outcome Measures

Modified Kidney Knowledge Survey (mKIKS)
Assesses participants' objective knowledge about AKI causes, risk factors, and management. The minimum score is 0, maximum score is 15, higher scores indicate greater knowledge.

Secondary Outcome Measures

Brief health literacy screen
A 4-item tool to assess health literacy. Minimum score of 0, maximum score 20, higher scores indicate higher health literacy
Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health 10
Based on the provided responses, an overall summary score, and two subset scores - Global health physical and Global health mental can be calculated. Raw summed score are converted into T-scores. Higher scores indicate better health.

Full Information

First Posted
August 4, 2020
Last Updated
January 3, 2022
Sponsor
Mayo Clinic
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1. Study Identification

Unique Protocol Identification Number
NCT04505891
Brief Title
Enhanced Kidney Follow-up for AKI Survivors in Care Transitions
Official Title
Enhanced Kidney Follow-up for AKI Survivors in Care Transitions (The ACT Study): Impact on Patient Reported Outcomes
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
August 17, 2020 (Actual)
Primary Completion Date
December 21, 2021 (Actual)
Study Completion Date
December 21, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mayo Clinic

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the ability of education and outpatient kidney care follow-up in order to improve patient knowledge about acute kidney injury (AKI).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Kidney Injury
Keywords
transitions of care, education, patient reported outcomes, chronic kidney disease, acute kidney injury

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
49 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Usual care
Arm Type
No Intervention
Arm Title
Education alone
Arm Type
Active Comparator
Arm Title
Education and follow-up
Arm Type
Active Comparator
Intervention Type
Behavioral
Intervention Name(s)
Education
Intervention Description
Kidney health education will be delivered prior to discharge by trained nurse educators.
Intervention Type
Behavioral
Intervention Name(s)
Education and follow-up
Intervention Description
In patients allocated to the education and follow-up arm, education along with a a post-discharge healthcare visit from a multidisciplinary care team will be performed.
Primary Outcome Measure Information:
Title
Modified Kidney Knowledge Survey (mKIKS)
Description
Assesses participants' objective knowledge about AKI causes, risk factors, and management. The minimum score is 0, maximum score is 15, higher scores indicate greater knowledge.
Time Frame
14-days after last study contact
Secondary Outcome Measure Information:
Title
Brief health literacy screen
Description
A 4-item tool to assess health literacy. Minimum score of 0, maximum score 20, higher scores indicate higher health literacy
Time Frame
30-days post hospitalization
Title
Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health 10
Description
Based on the provided responses, an overall summary score, and two subset scores - Global health physical and Global health mental can be calculated. Raw summed score are converted into T-scores. Higher scores indicate better health.
Time Frame
30-days post hospitalization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: KDIGO Stage 3 AKI Primary care provider at Mayo Rochester. Exclusion Criteria: Patient with need for dialysis at discharge from hospital or hospice. Enrolled in the Primary Care Transition Program. Non-English speaking. Cognitive impairment. Dementia. Mini-Cog score of less than 3.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Erin F Barreto, PharmD, RPh
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic in Rochester
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://www.mayo.edu/research/clinical-trials
Description
Mayo Clinic Clinical Trials

Learn more about this trial

Enhanced Kidney Follow-up for AKI Survivors in Care Transitions

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