Peer Support In Dialysis

End Stage Renal Disease Clinical Trial

Official title:

Peer Support In Dialysis: A Feasibility Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05400720
• Other study ID #: SIH131_Peer Mentoring
• Status: Completed
• Phase: N/A
• Start date: June 6, 2022
• Est. completion date: May 1, 2023

Study information

• Verified date: July 2022
• Source: Satellite Healthcare
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Peer mentoring is an approach used to support patients through their experience. In the End Stage Kidney Disease community many patients find out about their kidney failure without warning. This study is designed to test the feasibility of a structured peer support program, specifically, patient uptake, engagement and patient and staff perspectives.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 57
• Est. completion date: May 1, 2023
• Est. primary completion date: May 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Mentor Patient Participants Inclusion criteria:

• Patients living with dialysis or kidney transplant, who volunteer to support other patients.

• Mentor participants agree to complete the CMS End Stage Renal Disease Network Peer Mentoring training program (https://www.kidneylearninghub.com/patients-peer-mentoring-program/ ) and follow the guidelines for participation in the program.

Mentor Patient Participants Exclusion criteria:

• Age <18 years.

• Patient cannot communicate in English.

• Concerns raised by the clinical team that may expose the mentor, mentee, staff, or the program to risks, as identified by the clinical team and discussed with the principal investigator.

Mentee Patient Participants Inclusion criteria:

• All incident (new) dialysis patients or their care partners, within the first three months of dialysis.

OR

• Prevalent dialysis patients or their care partners identified by the clinical team to need peer support.

Mentee Patient Participants Exclusion criteria:

• Age < 18 years.

• Significant physical or psychological health conditions (including cognitive impairment) that would limit the patient's ability to interact with the mentor, AND care partner not available or reachable to join the program.

• This criteria will be subjectively evaluated by the clinical team.

Clinical and administrative staff supporting the program inclusion criteria

• referring physicians, the medical director of the center, social workers, nurses, patient care technicians (PCT), certified clinical hemodialysis technicians (CCHT), and administrative staff.

• Support staff are those who interact with mentors or mentees as part of their routine work.

• Formally participate in supporting the program by identifying candidates, introducing them to the program, or providing them with support.

Related Conditions & MeSH terms

• End Stage Renal Disease
• Kidney Failure, Chronic

Intervention

Behavioral:
• Mentoring
At least one meeting between the mentor and mentee will occur to share experiences and see if the mentee would like to continue meeting with a mentor

Locations

Country	Name	City	State
United States	Satellite Healthcare Mountain View	Mountain View	California
United States	WellBound Mountain View	Mountain View	California

Sponsors (1)

Lead Sponsor	Collaborator
Satellite Healthcare

Country where clinical trial is conducted

United States, 

References & Publications (7)

Bennett PN, St Clair Russell J, Atwal J, Brown L, Schiller B. Patient-to-patient peer mentor support in dialysis: Improving the patient experience. Semin Dial. 2018 Sep;31(5):455-461. doi: 10.1111/sdi.12703. Epub 2018 May 2. — View Citation

Collins, K. (2016). NKF Peers Mentoring Program. National Kidney Foundation Journal of Nephrology Social Work, 40(2), 25-33.

Fida'Husain, H. K., & Johan, A. (2020). Effects of Peer Support Program on Self-Management in Patients with End-Stage Renal Disease Undergoing Hemodialysis.

Flythe JE, Narendra JH, Yule C, Manivannan S, Murphy S, Lee SD, Strigo TS, Peskoe S, Pendergast JF, Boulware LE, Green JA. Targeting Patient and Health System Barriers To Improve Rates of Hemodialysis Initiation with an Arteriovenous Access. Kidney360. 2021 Feb 26;2(4):708-720. doi: 10.34067/KID.0007812020. eCollection 2021 Apr 29. — View Citation

Hussein WF, Bennett PN, Schiller B. Innovations to Increase Home Hemodialysis Utilization: The Transitional Care Unit. Adv Chronic Kidney Dis. 2021 Mar;28(2):178-183. doi: 10.1053/j.ackd.2021.02.009. — View Citation

Orsmond GI, Cohn ES. The Distinctive Features of a Feasibility Study: Objectives and Guiding Questions. OTJR (Thorofare N J). 2015 Jul;35(3):169-77. doi: 10.1177/1539449215578649. — View Citation

St Clair Russell J, Southerland S, Huff ED, Thomson M, Meyer KB, Lynch JR. A Peer-to-Peer Mentoring Program for In-Center Hemodialysis: A Patient-Centered Quality Improvement Program. Nephrol Nurs J. 2017 Nov-Dec;44(6):481-496. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mentor	Number of patients registering to become mentors, percent of those registered completing mentor training and percent of trained mentors who meet at least one mentee.	6 - 12 months
Primary	Mentee	Number and proportion of patients starting dialysis, or prevalent dialysis patients identified by the clinical team to need peer support, who receive an introductory peer mentor visit. Number and % of mentees who indicate interest to continue with more peer mentoring visits.	1 month
Secondary	Mentor Perspectives	Evaluation of recruitment, training and program. Data collection will be through the Mentor Recruitment and Training Evaluation form and through focus group discussions	6-12month
Secondary	Mentee Perspectives	Peer Mentorship Program Evaluation - Mentee form to be completed by the mentee to collect data on the mentees perspective of the program	1-4 weeks
Secondary	Support Staff Perspectives	Peer Mentorship Program Evaluation - Staff to be completed by the center staff to collect data on their perspective of the program	3,6,9 and 12 months
Secondary	Mentor - Mentee Matching	Preferences about matching (n and % for age range, gender, race, language, social conditions, specific dialysis experiences [e.g. Peritoneal Dialysis / Home HemoDialysis / transplant], and others).	1 month

External Links

•   Centers for Medicare and Medicaid Services (CMS). (2021). Partnership for patients.
•   ESRD National Coordinating Center. (2021). ESRD Networks Peer Mentor Program.
•   Lessons Learned: Implementation of a Peer-to-Peer Mentor Program in Individuals Requiring Hemodialysis.