New video aims to help seniors with kidney disease make tough choices
NCT ID NCT04347629
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a video decision aid helps older adults with advanced kidney disease plan their future medical care. About 456 patients aged 65 and older will watch a video explaining dialysis, non-dialysis management, and CPR, then record their preferences. The goal is to see if this tool increases advance care planning documentation in medical records compared to usual care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Advance Care Planning Video Decision Aid
- What this could lead to
- If successful, this could help older kidney patients make more informed decisions about their care options, potentially improving quality of life and reducing unwanted treatments.
- What could go wrong
- This is a behavioral intervention study, not a drug trial. The video may not change actual care decisions or outcomes, and results may not apply to all patient groups.
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
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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
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456 people
The number who actually took part.
- Started
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Jun 2021
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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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
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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: * Patients age ≥70 are eligible if they have EITHER Advanced CKD defined as ONE eGFR value ≤ 30 ml/min/1.73m2 in the past 12 months NOT determined to be a result of AKI OR Have a diagnosis of CKD and less than a two-year prognosis from any cause, defined by the clinician answering "NO" to the Surprise Question ("Would you be surprised if this patients died in the next two years?") * Patients age 65-69 are eligible if they have BOTH Advanced CKD defined as ONE eGFR value ≤ 30 ml/min/1.73m2 NOT determined to be a result of AKI AND Have less than a two-year prognosis, defined by the clinician answering "NO" to the Surprise Question ("Would you be surprised if this patients died in the next two years?") * Patients who have not had a nephrology visit in the past 12 months can be recruited from non-Nephrology Clinics per the above eligibility criteria Exclusion Criteria: * listed for kidney transplantation or previous transplant recipient * already on or previously on dialysis (including emergent dialysis) * new patient visit * visually impaired beyond 20/200 corrected * psychological state not appropriate for ACP discussions as determined by the primary nephrologist * cognitive impairment
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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.
Contacts and locations
Locations
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Boston Medical Center
Boston, Massachusetts, 02118, United States
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Brigham & Women's Hospital
Boston, Massachusetts, 02115-6110, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02118-2908, United States
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Renal and Transplant Associates of New England, PC
Springfield, Massachusetts, 01107-1381, United States
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Stanford University
Palo Alto, California, 94034, United States
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The University of New Mexico Health Sciences Center
Albuquerque, New Mexico, 87131-0001, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104-6205, United States
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University of Washington
Seattle, Washington, 98195-9472, United States
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VA Palo Alto Health Care System
Palo Alto, California, 94034-1290, United States
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Other studies related to the condition(s) this trial covers.
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- Could a Finger-Prick test replace blood draws for kidney patients?
- Training healthcare teams to see the whole person behind the illness