Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 1, 2020
Date Accepted: Aug 18, 2020
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Leveraging the Behavior Change Wheel to develop and study The Kidney Score Platform on patient and clinician awareness, communication and management of kidney disease: protocol for a mixed methods study
ABSTRACT
Background:
Patient awareness, clinician detection, and management of chronic kidney disease (CKD) remain suboptimal, despite clinical practice guidelines and diverse education programs.
Objective:
To develop and study the impact of the National Kidney Foundation (NKF) Kidney Score Platform on CKD awareness, communication and management, leveraging the Behavior Change Wheel (BCW), an Implementation Science framework that helps identify behavioral intervention targets and functions that address barriers to behavior change.
Methods:
We interviewed 20 CKD patients and 11 clinicians to identify patient and clinician behaviors ripe for intervention and barriers to behavior change (i.e., asymptomatic nature of CKD and patient reliance on primary care clinicians to determine risk and order kidney testing; clinicians’ limited data analytics to highlight CKD care gaps, limited awareness of CKD clinical practice guidelines). Leveraging the BCW, the Kidney Score Platform was developed with a patient-facing online Risk Calculator and a clinician-facing Clinical Practice Toolkit. The Risk Calculator utilizes risk predictive analytics to provide interactive health information tailored to an individual’s CKD risk and health status. The Clinical Practice Toolkit assists clinicians in discussing CKD with individuals at risk for and with CKD and in managing their patient population with CKD.
Results:
The Kidney Score Platform will be tested in 2 Veterans Affairs primary care settings using a pre-post study design. Outcomes will include changes in: patient self-efficacy for CKD management (primary outcome), quality of communication with clinicians about CKD, and practitioners’ CKD knowledge. Process outcomes will identify usability and adoption of different elements of the Kidney Score Platform using qualitative and quantitative methods.
Conclusions:
Results of this study will be inform integration of Kidney Score Platform within primary care settings so that it can serve as a central component of the NKF’s national Public Awareness Kidney Risk Campaign to educate, engage, and empower individuals at risk for and living with CKD.
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