Enhancing the cardiovascular safety of hemodialysis care: A cluster-randomized, comparative effectiveness trial of multimodal provider education and patient activation interventions

Most people in the United States who have end-stage renal disease (ESRD) receive hemodialysis therapy. The stability of hemodialysis sessions varies, and many sessions become unstable, leading to low blood pressure and cardiovascular complications. Session instability is preventable, however, by altering many factors: decisions made by patients, decisions by healthcare providers and dialysis clinic policies.

This study tests two interventions designed to increase the stability of patient dialysis: multimodal provider education (focused on training dialysis facility care teams) and patient activation intervention (focused on instructing and mentoring patients). The results will inform hemodialysis care providers on whether to pursue provider-focused or patient-focused safety interventions.

Start date: 1/1/2016
End date: 12/31/2020

Grants

Enhancing the Cardiovascular Safety of Hemodialysis Care: A Cluster-Randomized, Comparative Effectiveness Trial of Multimodal Provider Education and Patient Activation Interventions, Patient-Centered Outcomes Research Institute (PCORI): $6,775,863

PCORI is an independent, nonprofit organization authorized by Congress in 2010. Its mission is to fund research that will provide patients, their caregivers, and clinicians with the evidence-based information needed to make better-informed healthcare decisions.  For more information about PCORI’s funding, visit www.pcori.org.