The purpose of this research is to develop a patient decision aid in paper and web formats to help patients with chronic kidney disease make informed dialysis treatment decisions.
This research will develop and evaluate a paper and web resource known as a decision-aid to help patients make informed decisions about dialysis treatment. The Yorkshire Dialysis Decision Aid (YoDDA) will help patients' with chronic kidney disease make informed decisions between haemodialysis and peritoneal dialysis choices by a) re-writing dialysis information in a more meaningful way for patients, b) restructuring information to make this difficult decision more manageable, and c) using prompts to help patients imagine the choices' consequences. The research will assess the acceptability of a patient decision aid in paper and web versions to patients and their carers, and its impact on patients choices about dialysis. The programme of research included: A survey using qualitative methods of patients with chronic kidney disease and professionals providing predialysis services to develop the Yorkshire Dialysis Decision Aid content, and integration within usual predialysis care practices. A before-and-after study was carried out to evaluate the acceptability of the YoDDA-booklet to patients with sustained deterioration of kidney function making dialysis decision across the Yorkshire and Humber region, UK. An experimental study was carried out on-line to evaluate the acceptability of three versions of YoDDA-web (YoDDA; YoDDA+values tasks; YoDDA\_patient videos) to people, or carers of people, with kidney disease. The study was advertised with flyers within UK renal units and notices on the National Kidney Federation's website and members' magazine.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
SINGLE
Enrollment
488
The Yorkshire Dialysis Decision Aid (YoDDA) resource in web and paper format
The Yorkshire dialysis decision aid (YoDDA) plus a set of narratives provided by patients on the treatment options (home and hospital haemodialysis; continuous ambulatory and automated peritoneal dialysis
The Yorkshire Dialysis decision aid (YoDDA) plus a set of questions to help patients explore what aspects of their life important to them about this decision (values clarification)
Hull and East Yorkshire Hospital Trust
Hull, East Yorkshire, United Kingdom
Sheffield Northern General Teaching Hospital
Sheffield, South Yorkshire, United Kingdom
St James University Hospital
Leeds, West Yorkshire, United Kingdom
Bradford Teaching Hospital
Bradford, Yorkshire, United Kingdom
Preparation for decision making scale
Assesses patient's perception of how useful the resource was in helping patients prepare for a consultation to talk about their health decision (Graham and O'Connor, 2010). http://decisionaid.ohri.ca/docs/develop/User\_Manuals/UM\_PrepDM.pdf
Time frame: one and six weeks after provision information about dialysis choices
Usefulness of information
Study specific items to assess perceived usefulness of information in helping patients understand chronic kidney disease, dialysis treatments and thinking about dialysis
Time frame: one and six weeks after the provision of information
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
York teaching Hospital NHS Foundation trust
York, Yorkshire, United Kingdom
Doncaster Royal Infirmary
Doncaster, United Kingdom