Recruiting

CKD Topics

Sponsor:

Dartmouth-Hitchcock Medical Center

Code:

NCT07221604

Conditions

Chronic Kidney Disease Stage 4

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Chronic Kidney Disease Structured Agenda-Setting Tool

Study Details

Brief summary:

The goal of this open pilot is to practice using an intervention and surveys before a larger pilot stepped wedge clinical trial. The intervention the researchers plan to use is Chronic Kidney Disease (CKD) Topics, and it is a structured clinical agenda-setting intervention (SAS), or a customized list of discussion topics. The people the researchers are practicing using the SAS with have advanced CKD (stages 4-5), and many of them live in rural areas. The researchers will practice administering CKD Topics, along with survey questions. By doing the open pilot, the researchers will learn if they need to modify the steps they plan to take in the larger trial.

The main questions the researchers aim to answer are:

  • Do the steps for identifying eligible participants work?
  • Do the steps for administering CKD Topics work?
  • Do the steps to administer survey questions work?

Conditions

Chronic Kidney Disease Stage 4

Study ID

NCT07221604

Start date

May 19, 2026

Status verified date

Jul, 2026

Completion date

Sep, 2026

Anticipated

Primary completion date

Aug, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Adults >18 years old who have been diagnosed with advanced CKD (stages 4-5).
  • Care partners, clinicians and staff supporting these CKD patients who are willing and able to provide informed consent
  • English-speaking
  • Able to provide informed consent
  • Patient must be attending outpatient visits \*(in-person and/or telehealth allowable).

Exclusion Criteria:

  • Children under 18 years old will not be included
  • Non-English-speaking patients and/or care partners
  • Patients on dialysis
  • Individuals unable or unwilling to provide informed consent

Study Design

Enrollment

30 participants

Anticipated

Intervention Model

Single group

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Arm 1 is Clinical Visit Agenda Setting Tool Intervention

The study team will implement a structured clinical visit agenda-setting (SAS) intervention customized for advanced chronic kidney disease, called Chronic Kidney Disease (CKD) Topics.

Interventions

Chronic Kidney Disease Structured Agenda-Setting Tool

Chronic Kidney Disease (CKD) Topics is a novel clinical visit agenda-setting intervention developed through participatory research methods for people with CKD living in rural areas. CKD Topics includes 8 structured discussion topic areas with the option for patients to consider and indicate their priority topic areas and take notes before, during, and after a clinical visit.

Primary outcome measure

  • Primary Feasibility Outcome: Intervention receipt [ Time Frame: Day 1 ]

Central Contacts and Locations

Central contacts

Catherine H. Saunders, Assistant Professor of Medicine and of Health Policy, PhD, MPH

603-653-3436Catherine.Hylas.Saunders@dartmouth.edu

Anne E. Dade, Research Associate, MPP

anne.e.dade@dartmouth.edu

Locations

Cheshire Medical Center/Dartmouth-Hitchcock

Recruiting

Keene, New Hampshire, United States, 03431

Contacts

Maryam Gul, MD

603-354-6622mgul@cheshire-med.com

More Information

Sponsor

Dartmouth-Hitchcock Medical Center

Last update posted

Jul 23, 2026

Last verified

Jul, 2026

Keywords

  • Chronic kidney disease
  • Chronic kidney disease stage 4
  • Chronic kidney disease stage 5
  • Agenda-setting
  • Patient engagement
  • Rural
  • Participatory research
  • Open pilot

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Dartmouth-Hitchcock Medical Center on 2026-07-23.