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New coaching program helps seniors decide on dialysis with confidence

NCT ID NCT04392440

Knowledge-focused Sponsor: University of Rochester Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested a program called DIAL-SDM that trains kidney doctors and coaches older patients (65+) with advanced kidney disease to have better conversations about dialysis. The goal was to see if the program was practical and acceptable. 102 patients, their caregivers, and 20 doctors took part. The results showed the program was feasible and well-liked, but this was a small pilot study, so more research is needed to know if it actually improves decisions or health.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
communication training and coaching program
What this could lead to
If this approach works, it could help older kidney patients make more informed, values-aligned decisions about dialysis, potentially improving quality of life and reducing regret.
What could go wrong
This is a small pilot study focused on feasibility, not on health outcomes. The intervention may not change actual dialysis decisions or improve survival, and results may not apply to all patients.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

102 people

The number who actually took part.

Started

Feb 2022

Finished

May 2024

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

65 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: For nephrologist: * Member of Strong nephrology group working at Strong Memorial Hospital * Treat patients with CKD For patients: * Age ≥65 years old * Presence of advanced CKD stage 4 or 5 (i.e. e GFR ≤ 20 ml/min) * Patient's nephrologist is enrolled in the study, and has seen that nephrologist at least once * Speaks English * Have not attended a dialysis education class or met with the dialysis education coordinator. * Have not made a dialysis decision For Caregivers: * Self-identified caregiver (per definition:"family member, partner, friend or someone else who is involved with your health care issues, for example, someone who you talk to about personal issues including medical decisions or who comes to doctor appointments with you. This person may also help with routine day-to-day activities, like transportation or paperwork.") * 21 years of age or older. Exclusion Criteria: For Nephrologists: \- Expecting to leave in six months. For Patients: * Patient has already been seen by a palliative care clinician or is enrolled in hospice * Is already on dialysis * Hospitalized at the time of recruitment * Cognitive impairment * Does not speak English For Caregivers: * If Support is offered primarily in a professional role (e.g., clergy). * Cognitive impairment

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Conditions

The condition(s) this trial relates to.

chronic kidney disease chronic renal failure syndrome end stage renal failure

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Chronic kidney diseases End-stage renal disease

Contacts and locations

Locations

  • University of Rochester

    Rochester, New York, 14642, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.