Accepted for/Published in: JMIR Research Protocols
Date Submitted: Sep 26, 2024
Date Accepted: Mar 7, 2025
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Chronic Kidney Disease Education for Hospitalized African American Patients (I-C CKD Study): a structured study protocol for an interactive computer-adaptive randomized controlled trial
ABSTRACT
Background:
End-stage kidney disease (ESKD) or kidney failure, is a condition where the kidneys lose the ability to function. African Americans (AAs) are 4 times as likely to develop ESKD compared to White Americans. In addition, AA are less likely to have an optimal dialysis start and to choose renal replacement therapy that aligns with their goals and values.
Objective:
The study will determine whether the CAE and UHC impacts the health literacy of African American (AA) patients with kidney disease. It will also assess how patients’ lifestyle and commitment to health goals are impacted by the method of health literacy education.
Methods:
We will screen, recruit, and enroll hospitalized who self-identify as African American and have advanced chronic kidney disease (CKD) based on their estimated glomerular filtration rate (eGFR). Eligible and consented patients will be randomized into either the computerized adaptive education (CAE) intervention and the control, usual hospital care (UHC). Intervention patients will receive a culturally tailored, adaptive education module. Patients will complete the pre- and post-test and a follow-up survey on their CKD knowledge, ESKD treatment options, and health goals.
Results:
Recruitment for IC-CKD began 5/2/2023. We are currently recruiting and will communicate trial results after data analysis has been completed.
Conclusions:
AAs often receive less patient education about self-care and treatment options for CKD. We hope this study provides a solution to increase AA hospitalized patients’ knowledge of CKD and motivation for CKD self-care through CAE, reduce disparities, and improve patient outcomes. Clinical Trial: NCT06364358
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