Original InvestigationPathogenesis and Treatment of Kidney DiseasePilot Study of a Physician-Delivered Education Tool to Increase Patient Knowledge About CKD
Section snippets
Study Design, Setting, and Participants
Using convenience sampling at one academic center we enrolled patients who were 18 years or older and had established CKD per the National Kidney Foundation–Kidney Disease Outcomes Quality Initiative (NKF-KDOQI) definition.9 This diagnosis was determined by medical record review of estimated glomerular filtration rate (eGFR), kidney imaging/related results (eg, biopsy reports), and nephrology provider documentation. Patients had to understand and speak English because our study was not designed
Patient Characteristics
A total of 401 patients were enrolled in the historical cohort, and 155 received the intervention (Fig 3). Among all patients screened within the nephrology clinic, we did not track the number of patients excluded. We previously reported no differences in age and sex comparing patients who enrolled in the historical cohort (responders) versus those who declined to participate (nonresponders).17 In comparing age and sex between responders and nonresponders in the intervention group, we found no
Discussion
In this pilot study, we showed that a brief physician-delivered education intervention is feasible to apply in an outpatient nephrology practice and is associated with increased patient knowledge about CKD. Patients who received the educational intervention had greater awareness and knowledge about kidney disease compared to a historical cohort. Specifically, they were more likely to know they had a kidney problem, recognize their diagnosis of CKD, accurately report its severity, and have a
Acknowledgements
This work was presented in abstract form at the National Kidney Disease Education Program Coordinating Panel Meeting, November 3, 2011, Bethesda, MA, and the American Society of Nephrology's Kidney Week meeting in Philadelphia, PA, November 8-13, 2011.
Support: This work was supported in part by T32 DK007569 and a Clinical Scientist in Nephrology Fellowship Grant from the American Kidney Fund (Dr Wright Nunes). Additional support was provided by the National Institute of Diabetes and Digestive
References (41)
- et al.
Development and results of a kidney disease knowledge survey given to patients with CKD
Am J Kidney Dis
(2011) - et al.
Predialysis psychoeducational intervention and coping styles influence time to dialysis in chronic kidney disease
Am J Kidney Dis
(2003) - et al.
Predialysis psychoeducational intervention extends survival in CKD: a 20-year follow-up
Am J Kidney Dis
(2005) - et al.
Educational interventions in kidney disease care: a systematic review of randomized trials
Am J Kidney Dis
(2008) - et al.
Associations among perceived and objective disease knowledge and satisfaction with physician communication in patients with chronic kidney disease
Kidney Int
(2011) - et al.
The National Kidney Disease Education Program: improving understanding, detection, and management of CKD
Am J Kidney Dis
(2009) - et al.
The rationale, implementation, and effect of the Medicare CKD education benefit
Am J Kidney Dis
(2011) - et al.
Motivational interviewing for smoking cessation in college students: a group randomized controlled trial
Prev Med
(2010) - et al.
A population-based randomized controlled trial of the effect of combining a pedometer with an intervention toolkit on physical activity among individuals with low levels of physical activity or fitness
Prev Med
(2012) - et al.
Fruit and vegetable intake among rural youth following a school-based randomized controlled trial
Prev Med
(2012)
Publishing pilot and feasibility evaluations of behavioural interventions: implications for preventive medicine
Prev Med
“Practicing medicine”: patient perceptions of physician communication and the process of prescription
Patient Educ Couns
A consequence of omitted covariates when estimating odds ratios
J Clin Epidemiol
Awareness of kidney disease in the US population: findings from the National Health and Nutrition Examination Survey (NHANES) 1999 to 2000
Am J Kidney Dis
Comparison of the CKD Epidemiology Collaboration (CKD-EPI) and Modification of Diet in Renal Disease (MDRD) Study equations: risk factors for and complications of CKD and mortality in the Kidney Early Evaluation Program (KEEP)
Am J Kidney Dis
Optimization of pre-ESRD care: the key to improved dialysis outcomes
Kidney Int
Associations between access to care and awareness of CKD
Am J Kidney Dis
Patient dialysis knowledge is associated with permanent arteriovenous access use in chronic hemodialysis
Clin J Am Soc Nephrol
Self-management, knowledge, and functioning and well-being of patients on hemodialysis
Nephrol Nurs J
Cited by (0)
Originally published online March 28, 2013.