Use of a Supportive Kidney Care Video Decision Aid in Older Patients: A Randomized Controlled Trial.
Use of a Supportive Kidney Care Video Decision Aid in Older Patients: A Randomized Controlled Trial.
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DOI：
10.1159/000509711
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发表时间：
2020
影响因子：
4.2
通讯作者：
Volandes AE
中科院分区：
文献类型：
--
作者：
Eneanya ND;Percy SG;Stallings TL;Wang W;Steele DJR;Germain MJ;Schell JO;Paasche-Orlow MK;Volandes AE
很少有研究将支持性肾脏护理作为一种选择纳入患者决策辅助工具。我们测试了一个视频决策辅助对晚期慢性肾脏病老年患者支持性肾脏护理知识的有效性。参与者（年龄≥ 65岁，患有晚期慢性肾脏病）随机接受口头或视频教育。主要结局是支持性肾脏护理知识（评分范围0-3）。次要结果包括支持性肾脏护理的偏好，以及视频的满意度和可接受性。在所有参与者（n=100）中，接受教育后支持性肾脏护理知识显著增加（p < 0.01）;然而，研究组之间没有差异（p = 0.68）。研究组之间对支持性肾脏护理的偏好无差异（p = 0.49）。在校正分析中，总健康素养评分（aOR 1.08 [95%CI，1.003 - 1.165]）和肾脏科医生对惊奇问题的回答“否”（aOR 4.87 [95%CI，1.22-19.43]）与支持性肾脏护理的偏好相关。大多数人觉得观看视频很舒服（96%），觉得内容很有帮助（96%），并会向其他人推荐视频（96%）。在老年晚期慢性肾脏病患者中，我们没有发现教育性口头脚本和视频决策辅助在提高支持性肾脏护理或偏好的知识方面存在显著差异。然而，接受视频教育的患者报告了较高的满意度和可接受性评级。未来的研究将确定支持性肾脏护理视频决策辅助对现实世界患者结局的有效性。NCT02698722（ClinicalTrials.gov）
There are few studies of patient-facing decision aids that include supportive kidney care as an option. We tested the efficacy of a video decision aid on knowledge of supportive kidney care among older patients with advanced chronic kidney disease. Participants (age ≥ 65 years with advanced chronic kidney disease) were randomized to receive verbal or video education. Primary outcome was knowledge of supportive kidney care (score range 0–3). Secondary outcomes included preference for supportive kidney care, and satisfaction and acceptability of the video. Among all participants (n=100), knowledge of supportive kidney care increased significantly after receiving education (p < 0.01); however, there was no difference between study arms (p = 0.68). There was no difference in preference for supportive kidney care between study arms (p = 0.49). In adjusted analyses, total health literacy score (aOR 1.08 [95% CI, 1.003 – 1.165]) and nephrologists’ answer of “No” to the Surprise Question (aOR 4.87 [95% CI, 1.22–19.43]) were associated with preference for supportive kidney care. Most felt comfortable watching the video (96%), felt the content was helpful (96%) and would recommend the video to others (96%). Among older patients with advanced chronic kidney disease, we did not detect a significant difference between an educational verbal script and video decision aid in improving knowledge of supportive kidney care or preferences. However, patients who received video education reported high satisfaction and acceptability ratings. Future research will determine the effectiveness of a supportive kidney care video decision aid on real-world patient outcomes. NCT02698722 (ClinicalTrials.gov)
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DOI：
10.1053/j.ajkd.2017.11.011
发表时间：
2018-05
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Ladin K;Pandya R;Kannam A;Loke R;Oskoui T;Perrone RD;Meyer KB;Weiner DE;Wong JB
通讯作者：
Wong JB
透析前教育的质量标准：共识会议的结果。
DOI：
10.1093/ndt/gfu225
发表时间：
2015-07
期刊：
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
影响因子：
--
作者：
Isnard Bagnis C;Crepaldi C;Dean J;Goovaerts T;Melander S;Nilsson EL;Prieto-Velasco M;Trujillo C;Zambon R;Mooney A
通讯作者：
Mooney A
影响因子：
3.9
作者：
Karlin, Jennifer;Chesla, Catherine A.;Grubbs, Vanessa
通讯作者：
Grubbs, Vanessa
影响因子：
2.8
作者：
Epstein, Andrew S.;Volandes, Angelo E.;O'Reilly, Eileen M.
通讯作者：
O'Reilly, Eileen M.
影响因子：
4.6
作者：
Cavanaugh, Kerri L.;Osborn, Chandra Y.;Wallston, Kenneth A.
通讯作者：
Wallston, Kenneth A.