MoVE: Motivational Strategies To Empower African Americans To Improve Dialysis Adherence
Study Details
Study Description
Brief 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:
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Gain advanced skills in the development and implementation of novel culturally sensitive motivational strategies
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Acquire critical preliminary data for an R01-funded phase II efficacy trial testing the use of these motivational strategies to improve dialysis treatment adherence.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: Standard of Care Standard of Care |
|
| Experimental: Intervention Motivational interviewing intervention |
Behavioral: Motivational interviewing
In this trial, motivational interviewing (MI) is the intervention. The MI sessions will embody the spirit of MI (PACE - Partnership, Acceptance, Compassion and Evocation) and the use of MI strategies (OARS - Open-ended questions, Affirmations, Reflections and Summaries) and MI communication processes (engagement, focusing, evoking and planning).
Other Names:
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Outcome Measures
Primary Outcome Measures
- Dialysis treatment adherence [Baseline to 3 months post-intervention]
Abstraction of dialysis treatment adherence data from the dialysis units' records which includes data on every treatment that occurred or should have occurred within the time frame. Records will reflect dialysis treatments which were completed, shortened, missed or did not occur due to hospitalizations, ER visits or travel.
Secondary Outcome Measures
- Change in Autonomous Regulation [Baseline, Week 6, Week 10]
Change in autonomous regulation will be measured by the 6-item Autonomous Regulation (AR) questionnaire. Questions range in score from 1 to 7, and overall score is a mean of all items (range 1 - 7). Lower scores reflect less autonomous regulation, and higher scores reflect greater autonomous regulation
- Change in Autonomy Support [Baseline, Week 6, Week 10]
Change in autonomy support will be measured by the 6-item Health Care Climate (HCC) questionnaire. Questions range in score from 1 to 7, and overall score is a mean of all items (range 1 - 7). Lower scores reflect less autonomous support, and higher scores reflect greater autonomous support.
- Change in Perceived competence [Baseline, Week 6, Week 10]
Change in perceived competence will be measured by the 8-item Perceived Kidney Disease Self-Management Scale (PKDSMS) questionnaire.Each question ranges in score from 1 to 5. Four of the items (#s 1, 2, 6, 7) are reversed-scored. The score is the sum of the 8 individual items. The total PKDSMS score can range from 8 to 40, with higher scores indicating more confidence in self-managing one's (dialysis).
- Change in Apathy [Baseline, Week 6, Week 10]
Change in apathy will be measured by the 7-item Apathy Evaluation Scale survey (AES-S) which measures three domains of apathy: deficits in goal-directed behavior; a decrement in goal-related thought content; and emotional indifference with flat affect. Each question ranges in score from 1 to 4. Item 3 is reverse-scored and then the sum of the 7 item scores is calculated. Range of scores is 7-28.
- Change in Optimism [Baseline, Week 6, Week 10]
Change in optimism will be measured by the 10-item Life Orientation Test - Revised (LOT-R) questionnaire which assesses individual differences in generalized optimism versus pessimism. Only 6 of the 10 items on the revised LOT are used to derive an optimism score. Four of the items are filler items and are not used in scoring. Of the 6 survey questions utilized, each question ranges in score from 1 to 5. Thus, scores in principle can range from 6 to 30.
Eligibility Criteria
Criteria
Inclusion Criteria:
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African American
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Receiving hemodialysis treatments
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Been on hemodialysis for more than 30 days
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18 years of age and older
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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:
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Not self-identified as African American
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Impaired with mental status or severe illness
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Non-English speaking
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No documented evidence of dialysis treatment non-adherence
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Missed or shortened treatments due to hospitalizations or excused travel
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Terminal condition
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Living in a nursing home/rehab
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Planned transplant within the next 3 months
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Planned conversion to peritoneal dialysis within the next 3 months
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Vanderbilt Dialysis Clinic | Nashville | Tennessee | United States | 37204 |
| 2 | Vanderbilt Dialysis Clinic East | Nashville | Tennessee | United States | 37214 |
Sponsors and Collaborators
- Vanderbilt University Medical Center
- National Institutes of Health (NIH)
Investigators
- Principal Investigator: Ebele M Umeukeje, MD, MPH, Vanderbilt University Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 211127