Abstract: SA-PO724
Preliminary Satisfaction and Acceptability Ratings of a Supportive Care Video Decision Aid for Elderly Patients with Advanced CKD
Session Information
- Geriatric Nephrology
October 27, 2018 | Location: Exhibit Hall, San Diego Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Geriatric Nephrology
- 1100 Geriatric Nephrology
Authors
- Eneanya, Nwamaka D., Massachusetts General Hospital, Boston, Massachusetts, United States
- Percy, Shananssa, Massachusetts General Hospital, Boston, Massachusetts, United States
- Germain, Michael J., Renal and Transplant Assoc of New England, Hampden, Massachusetts, United States
- Thadhani, Ravi I., Cedars-Sinai, Los Angeles, California, United States
- Temel, Jennifer S., MGH, Waban, Massachusetts, United States
- Paasche-Orlow, Michael, Boston University, Boston, Massachusetts, United States
- Volandes, Angelo, MGH, Waban, Massachusetts, United States
Background
The benefits of dialysis remain uncertain for elderly and frail patients with advanced chronic kidney disease (CKD). Recent studies have not shown an improvement in survival or quality of life for many such patients on dialysis, thus making supportive kidney care a viable option. Furthermore, decision aids to promote informed decision making about supportive care are lacking. As part of a randomized controlled trial (RCT) to test preliminary efficacy of a video decision aid on knowledge of supportive care among elderly patients with advanced CKD, we explored satisfaction and acceptability ratings among participants who received video education.
Methods
Eligible patients are age ≥ 65 years, English-speaking, and receive primary nephrology care at a large medical center in Boston, MA. The video was developed in an iterative process by a national panel of nephrologists with an expertise in shared decision making in this patient population. The video includes images of patients undergoing hemodialysis, peritoneal dialysis or no dialysis.
Results
A total of 64 out of eligible 100 patients have enrolled in the RCT and 43.8% (n=28) have been randomized to video education. Satisfaction and acceptability ratings of the video decision aid are displayed in Table 1.
Conclusion
Most patients who have received the video decision aid thus far in the RCT report high satisfaction and acceptability ratings. These findings contradict historical beliefs that patients are fearful or averse to learning about supportive care. Future research will determine whether a supportive care video decision aid improves supportive care knowledge for elderly patients with CKD.
Table 1. Satisfaction and acceptability ratings of a supportive care video decision aid
| Question | Very N (%) | Somewhat N (%) | A little N (%) | Not N (%) |
| How satisfied were you with this video? | 17 (60.71%) | 9 (32.14%) | 1 (3.57%) | 1 (3.57%) |
| How helpful was the video in forming your preferences for end-stage renal disease care? | 17 (60.71%) | 7 (25.00%) | 2 (7.14%) | 2 (7.14%) |
| How comfortable were you when you watched this video? | 21 (75.00%) | 6 (21.43%) | 0 | 1 (3.57%) |
| Definitely N (%) | Probably N (%) | Probably not N (%) | Definitely not N (%) | |
| Would you recommend this video to other people who are thinking of making similar decisions? | 18 (64.29%) | 8 (28.57%) | 2 (7.14%) | 0 |
Funding
- NIDDK Support