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N/A N=29 Randomized Health Services Research

Motivational Strategies To Empower African Americans To Improve Dialysis Adherence

End Stage Renal Disease on Dialysis

Enrolled (actual)
29
Serious AEs
0.0%
Results posted
Mar 2024
Primary outcome: Primary: Dialysis Treatment Adherence — 95.85; 93.26 percentage of minutes completed — p=0.101

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Motivational interviewing (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Vanderbilt University Medical Center
Primary completion
Jan 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Dialysis Treatment Adherence
95.85; 93.26 0.101
SECONDARY
Change in Autonomous Regulation
7.0; 6.8 0.78
SECONDARY
Change in Autonomy Support
7.0; 5.2 0.314
SECONDARY
Change in Perceived Competence
38; 34 0.679
SECONDARY
Change in Apathy
26; 26 0.994
SECONDARY
Change in Optimism
24; 22 0.258
SECONDARY
Perceived Expectancies Index
43; 40 0.857

Summary

This study addresses the need to rigorously advance the science and understanding of the development, feasibility, acceptability and adoption of novel culturally-sensitive motivational strategies to improve dialysis treatment adherence among African Americans with end-stage kidney disease (ESKD). This study specifically aims to: 1. Gain advanced skills in the development and implementation of novel culturally sensitive motivational strategies 2. Acquire critical preliminary data for an R01-funded phase II efficacy trial testing the use of these motivational strategies to improve dialysis treatment adherence.

Eligibility Criteria

Inclusion Criteria

  • African American
  • Receiving hemodialysis treatments
  • Been on hemodialysis for more than 30 days
  • 18 years of age and older
  • Within a 3-month look back at the time of screening, patients who have missed at least one dialysis session or shortened at least one dialysis session by 15 minutes.

Exclusion Criteria

  • Not self-identified as African American
  • Impaired with mental status or severe illness
  • Non-English speaking
  • No documented evidence of dialysis treatment non-adherence
  • Missed or shortened treatments due to hospitalizations or excused travel
  • Terminal condition
  • Living in a nursing home/rehab
  • Planned transplant within the next 3 months
  • Planned conversion to peritoneal dialysis within the next 3 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05003115). 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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