title: Pilot study of a physician-delivered education tool to increase patient knowledge about CKD.
abstract: BACKGROUND
  Limited research exists on physician-delivered education interventions. We examined the feasibility and impact of an educational tool on facilitating physician-patient kidney disease communication.
  
  
  METHODS
  Pilot feasibility clinical trial with a historical control to examine effect size on patient knowledge and structured questions to elicit physician and patient feedback.
  
  
  METHODS
  Adults with chronic kidney disease (CKD) stages 1-5, seen in nephrology clinic.
  
  
  METHODS
  1-page educational worksheet, reviewed by physicians with patients.
  
  
  RESULTS
  Kidney knowledge between patient groups and provider/patient feedback.
  
  
  METHODS
  Patient kidney knowledge was measured using a previously validated questionnaire compared between patients receiving the intervention (April to October 2010) and a historical cohort (April to October 2009). Provider input was obtained using structured interviews. Patient input was obtained through survey questions. Patient characteristics were abstracted from the medical record.
  
  
  RESULTS
  556 patients were included, with 401 patients in the historical cohort and 155 receiving the intervention. Mean age was 57 ± 16 (SD) years, with 53% men, 81% whites, and 78% with CKD stages 3-5. Compared with the historical cohort, patients receiving the intervention had higher adjusted odds of knowing they had CKD (adjusted OR, 2.20; 95% CI, 1.16-4.17; P = 0.02), knowing their kidney function (adjusted OR, 2.25; 95% CI, 1.27-3.97; P = 0.005), and knowing their stage of CKD (adjusted OR, 3.22; 95% CI, 1.49-6.92; P = 0.003). Physicians found the intervention tool easy and feasible to integrate into practice and 98% of patients who received the intervention recommended it for future use.
  
  
  CONCLUSIONS
  Study design did not randomly assign patients for comparison and enrollment was performed in clinics at one center.
  
  
  CONCLUSIONS
  In this pilot study, a physician-delivered education intervention was feasible to use in practice and was associated with higher patient kidney disease knowledge. Further examination of physician-delivered education interventions for increasing patient disease understanding should be tested through randomized trials.
authors.affiliation: Department of Internal Medicine, Division of Nephrology, University of Michigan Health System, Ann Arbor, MI, USA.
authors.forename: Julie
authors.initials: J
authors.lastname: Wright Nunes
authors.forename: Jane H
authors.initials: JH
authors.lastname: Greene
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wallston
authors.forename: Svetlana
authors.initials: S
authors.lastname: Eden
authors.forename: Ayumi
authors.initials: A
authors.lastname: Shintani
authors.forename: Tom
authors.initials: T
authors.lastname: Elasy
authors.forename: Russell L
authors.initials: RL
authors.lastname: Rothman
authors.forename: T Alp
authors.initials: TA
authors.lastname: Ikizler
authors.forename: Kerri L
authors.initials: KL
authors.lastname: Cavanaugh
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010819:Physician's Role; D010817:Physician-Patient Relations; D010865:Pilot Projects; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy
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