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Kidney Week

Abstract: FR-PO260

The Effect of Peer Mentoring on Active Engagement Among Patients with Advanced CKD

Session Information

Category: CKD (Non-Dialysis)

  • 1902 CKD (Non-Dialysis): Clinical, Outcomes, and Trials

Authors

  • Al Zein, Said, Penn State College of Medicine , Hershey, Pennsylvania, United States
  • Alkhasoneh, Mo'Tasem, Penn State College of Medicine , Hershey, Pennsylvania, United States
  • Liaghat, Tara, Penn State College of Medicine , Hershey, Pennsylvania, United States
  • Ghahramani, Nasrollah, Penn State College of Medicine , Hershey, Pennsylvania, United States
Background

Peer mentoring is an effective strategy in patient education and has been proposed as an effective model for active patient engagement. This study compares the effect of peer mentoring (face-to-face and online) with usual care on active engagement among patients with chronic kidney disease (CKD).

Methods

Patients with stage 4 or stage 5 CKD were randomly assigned either to face-to-face (FTF) peer mentoring, online peer mentoring, or usual care (control). For the FTF group, the frequency of contact by a mentor was weekly by phone and monthly FTF visit. For the online mentorship, the frequency of contact by mentor was weekly by the online platform, and more frequently as initiated by the mentee. The mentorships were maintained for at least 6 months. Usual care participants received a printed copy of an information handbook and were encouraged to discuss questions with their care team. We used the 13-item validated Patient Activation Measure® (PAM) at baseline and at 12 months to assess change in level of engagement. Univariate and multivariate analyses were used to compare the change in PAM scores from baseline to 12 months.

Results

A total of 130 patients completed the 12 month assessment. Baseline PAM score and demographic characteristics (mean age, educational attainment, gender and race distribution) were similar among the 3 groups. There was a significant improvement in the mean PAM score for the online peer mentoring group (69.7±15.6 vs. 76.44 ± 13.96; p=0.02). There was a slight (non-significant) improvement in PAM among the FTF group and no change in PAM among the control group. Improvements in PAM stage (by at least one level) were seen among 33% of the FTF, 48.7% of the online and 22.7% of the control group. PAM was decreased by at least one stage among 36% of the FTF, 12.8% of online and 31.8% of control group.

Conclusion

Compared with face-to-face mentoring and information only education, online peer mentoring is associated with improved scores in Patient Activation Measure and PAM stage among patients with advanced CKD.

Funding: PCORI

Funding

  • Other U.S. Government Support