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N/A N=125 Randomized Health Services Research

Home-base Kidney Care in Zuni Indians

Chronic Kidney Disease

Enrolled (actual)
125
Serious AEs
3.2%
Results posted
Dec 2019
Primary outcome: Primary: Patient Activation Measure (PAM) -13 Item Questionnaire — 9.1; -1.4 points — p=0.01

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Educational and lifestyle coaching (Other)
Age
Adult, Older Adult · 21+ yrs
Sex
All
Sponsor
University of New Mexico
Primary completion
Jun 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Patient Activation Measure (PAM) -13 Item Questionnaire
9.1; -1.4 0.01 sig
PRIMARY
Patient Activation Measure (PAM) Level Greater Than 2
44; 33
SECONDARY
A1c
-0.5; 0.1
SECONDARY
Diastolic Blood Pressure
-0.1; 0.2
SECONDARY
Systolic Blood Pressure
3.4; 5.2
SECONDARY
Body Mass Index
-1.3; -0.2
SECONDARY
Low-density Lipoprotein LDL Cholesterol
-12.4; -4.9
SECONDARY
High-density Lipoprotein HDL Cholesterol
3.5; 1.5
SECONDARY
Triglycerides
-8.0; -8.5
SECONDARY
Serum Total Cholesterol
-19; -4.5
SECONDARY
High Sensitive C-reactive Protein-hsCRP
-1.5; 1.7
SECONDARY
Serum Total Protein
-0.2; -0.1
SECONDARY
eGFR
-5.2; -9.6
SECONDARY
UACR
-45; 17.5
SECONDARY
KDQOL-Symptom/Problem
0.1; 2.7
SECONDARY
KDQOL-EKD
3.2; 2.9
SECONDARY
KDQOL-BKD
14.8; 2.3
SECONDARY
KDQOL-SF12 Physical Score
2.1; 0.8
SECONDARY
KDQOL-SF12 Mental Score
7.5; -0.2
SECONDARY
8-Item Morisky Score
5.4; 4.6

Summary

People reach End Stage Renal Disease (ESRD) due to progressive chronic kidney disease (CKD). CKD is associated with increased risks for heart disease and death. The burden of chronic kidney disease is increased among minority populations compare to Caucasians. The Zuni Indians are experiencing an epidemic of chronic kidney disease is due primarily to the high rates of obesity and diabetes. The present study entitled Home-Based Kidney Care is designed to delay / reduce rate of ESRD by early interventions in CKD. Investigators propose to assess the safety and efficacy of conducting a full-scale study to determine if home based care delivered by a collaborative team composed of community health workers and University of New Mexico faculty will decrease the risk for the development and the progression of CKD.

Eligibility Criteria

Inclusion Criteria

  • Clinical diagnosis of diabetes
  • Clinical diagnosis of microalbuminuria
  • Must be living in a household with more than 1 living participant
  • Age 21 to 80 years
  • Must have negative pregnancy test in women of child-bearing potential

Exclusion Criteria

  • Life expectancy < 1 year
  • On dialysis
  • With renal transplant
  • Pregnancy or absence of reliable birth control in women of child-bearing potential
  • Malignancy except non-melanoma skin cancer
  • Blind
  • Unwilling or unable to give informed consent.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02915029). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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