New coaching program helps seniors decide on dialysis with confidence
NCT ID NCT04392440
First seen Apr 03, 2026 · Last updated Jun 23, 2026 · Updated 14 times
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.
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Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
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Contacts and locations
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Locations
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University of Rochester
Rochester, New York, 14642, United States
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.
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.