Patient-Provider Trust Among Individuals With End-Stage Kidney Disease
| Status: | Completed |
|---|---|
| Conditions: | Renal Impairment / Chronic Kidney Disease, Renal Impairment / Chronic Kidney Disease |
| Therapuetic Areas: | Nephrology / Urology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/5/2019 |
| Start Date: | December 30, 2003 |
Exploring Patient-Provider Trust Among Individuals With End-Stage Renal Disease
This study will examine communication and trust between patients in the kidney transplant
process and their health care providers. It will assess patients' perception of trust in
their physician and nurse coordinator; determine the patients' level of trust in the areas of
competence, compassion, control, communication, and confidentiality; and determine how the
trust level varies as patients progress in the transplant process.
Patients 18 years of age and older who are in various stages of the kidney transplant process
at Walter Reed Army Medical Center and the NIH Clinical Center may be eligible for this
study. Candidates include individuals who:
- are on dialysis but not on a transplant waiting list
- are on the organ waiting list and are also on dialysis
- are on the organ waiting list but are not on dialysis
- have had a kidney transplant within the last year.
Participants will be interviewed by someone who is not their direct health care provider
about the doctor/patient, primary provider/patient, or nurse/patient relationship, their
health history, medical condition, and ideas about their care. With the patient's permission,
parts of the interview will be tape-recorded. The interview will take about 30 to 40 minutes.
process and their health care providers. It will assess patients' perception of trust in
their physician and nurse coordinator; determine the patients' level of trust in the areas of
competence, compassion, control, communication, and confidentiality; and determine how the
trust level varies as patients progress in the transplant process.
Patients 18 years of age and older who are in various stages of the kidney transplant process
at Walter Reed Army Medical Center and the NIH Clinical Center may be eligible for this
study. Candidates include individuals who:
- are on dialysis but not on a transplant waiting list
- are on the organ waiting list and are also on dialysis
- are on the organ waiting list but are not on dialysis
- have had a kidney transplant within the last year.
Participants will be interviewed by someone who is not their direct health care provider
about the doctor/patient, primary provider/patient, or nurse/patient relationship, their
health history, medical condition, and ideas about their care. With the patient's permission,
parts of the interview will be tape-recorded. The interview will take about 30 to 40 minutes.
Health disparities related to the provision of, and access to, healthcare in the United
States are well documented across racial and ethnic groups. One area of particular interest
to health disparities researchers has been solid organ transplantation. Both provider and
patient behaviors are implicated as contributing to ethnic variance of medical care in kidney
transplantation. This pilot study will explore the perceptions of trust among patients in the
kidney transplant process at the Warren Magnuson Clinical Center at the National Institutes
of Health and at Walter Reed Army Medical Center. For sampling purposes the transplant
process is defined as 1) patients currently on dialysis; 2) patients on the transplantation
waiting list receiving dialysis; 3) patients on the transplantation waiting list not
receiving dialysis; 4) patients newly transplanted (less than or equal to one year since
transplantation) and 5) patients transplanted for greater than one year. Five dimensions
contributing to trust have been identified in the literature: competence, compassion,
control, communication and confidentiality. Face-to-face interviews to explore these five
dimensions will include questions regarding demographic variables, the Trust in Physician
Scale; the Trust in Nurse Scale, and the Patient Trust Scale. Results will be analyzed using
descriptive statistics, Chi-square for categorical comparison of means and multivariate
analysis for differences between groups.
States are well documented across racial and ethnic groups. One area of particular interest
to health disparities researchers has been solid organ transplantation. Both provider and
patient behaviors are implicated as contributing to ethnic variance of medical care in kidney
transplantation. This pilot study will explore the perceptions of trust among patients in the
kidney transplant process at the Warren Magnuson Clinical Center at the National Institutes
of Health and at Walter Reed Army Medical Center. For sampling purposes the transplant
process is defined as 1) patients currently on dialysis; 2) patients on the transplantation
waiting list receiving dialysis; 3) patients on the transplantation waiting list not
receiving dialysis; 4) patients newly transplanted (less than or equal to one year since
transplantation) and 5) patients transplanted for greater than one year. Five dimensions
contributing to trust have been identified in the literature: competence, compassion,
control, communication and confidentiality. Face-to-face interviews to explore these five
dimensions will include questions regarding demographic variables, the Trust in Physician
Scale; the Trust in Nurse Scale, and the Patient Trust Scale. Results will be analyzed using
descriptive statistics, Chi-square for categorical comparison of means and multivariate
analysis for differences between groups.
- INCLUSION CRITERIA:
The investigators will interview a cohort of patients from Walter Reed Army Medical Center
and the NIDDK intramural program in various stages of the transplant process. The stages
are divided into the following categories:
1. individuals on dialysis but not on a waiting list
2. individuals on the organ waiting list who are also on dialysis
3. individuals on the organ waiting list but not on dialysis
4. individuals who have had a kidney transplant within the last year
5. individuals who have had a kidney transplant greater than one year
EXCLUSION CRITERIA:
1. Patients less than 18 years old will not be included in this study. The interview
questions and responses to the instruments may be inappropriate for children.
2. All other exclusions are as stated in the NIDDK and WRAMC parent protocols.
We found this trial at
2
sites
9000 Rockville Pike
Bethesda, Maryland 20892
Bethesda, Maryland 20892
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6900 Georgia Ave NW
Washington, District of Columbia 20307
Washington, District of Columbia 20307
(202) 782-6849
Walter Reed Army Medical Center The Walter Reed National Military Medical Center is one of...
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