Protocol Number: 04-CC-0070

Title:

Exploring Patient-Provider Trust Among Individuals with End-Stage Renal Disease

Number:

04-CC-0070

Summary:

This study will examine communication and trust between patients in the kidney transplant process and their health care providers. It will assess patients' perception of trust in their physician and nurse coordinator; determine the patients' level of trust in the areas of competence, compassion, control, communication, and confidentiality; and determine how the trust level varies as patients progress in the transplant process.

Patients 18 years of age and older who are in various stages of the kidney transplant process at Walter Reed Army Medical Center and the NIH Clinical Center may be eligible for this study. Candidates include individuals who:

-are on dialysis but not on a transplant waiting list

-are on the organ waiting list and are also on dialysis

-are on the organ waiting list but are not on dialysis

-have had a kidney transplant within the last year.

Participants will be interviewed by someone who is not their direct health care provider about the doctor/patient, primary provider/patient, or nurse/patient relationship, their health history, medical condition, and ideas about their care. With the patient's permission, parts of the interview will be tape-recorded. The interview will take about 30 to 40 minutes.

Sponsoring Institute:

Warren G. Magnuson Clinical Center (CC)

Recruitment Detail

Type: Active Accrual Of New Subjects

Gender: Male & Female

Referral Letter Required: Yes

Population Exclusion(s): Children

Eligibility Criteria:

INCLUSION CRITERIA:

The investigators will interview a cohort of patients from Walter Reed Army Medical Center and the NIDDK intramural program in various stages of the transplant process. The stages are divided into the following categories:

1. individuals on dialysis but not on a waiting list

2. individuals on the organ waiting list who are also on dialysis

3. individuals on the organ waiting list but not on dialysis

4. individuals who have had a kidney transplant within the last year

5. individuals who have had a kidney transplant greater than one year

EXCLUSION CRITERIA:

1. Patients less than 18 years old will not be included in this study. The interview questions and responses to the instruments may be inappropriate for children.

2. All other exclusions are as stated in the NIDDK and WRAMC parent protocols.

Special Instructions: Currently Not Provided

Keywords:

Health Disparities

Transplantation

Trust

Interview

Ethnic Bias

Recruitment Keywords:

None

Conditions:

Kidney Failure, Chronic

Investigational Drug(s):

None

Investigational Device(s):

None

Contacts:

Patient Recruitment and Public Liaison Office
Building 61
10 Cloister Court
Bethesda, Maryland 20892-4754
Toll Free: 1-800-411-1222
TTY: 301-594-9774 (local),1-866-411-1010 (toll free)
Fax: 301-480-9793

Electronic Mail:prpl@mail.cc.nih.gov

Citations:

Cain VS, Kington RS. Investigating the role of racial/ethnic bias in health outcomes. Am J Public Health. 2003 Feb;93(2):191-2. No abstract available. PMID: 12554567

Furth SL, Garg PP, Neu AM, Hwang W, Fivush BA, Powe NR. Racial differences in access to the kidney transplant waiting list for children and adolescents with end-stage renal disease. Pediatrics. 2000 Oct;106(4):756-61. PMID: 11015519

Eggers PW. Racial differences in access to kidney transplantation. Health Care Financ Rev. 1995 Winter;17(2):89-103. PMID: 10157383

• Questions about participating in a study, please contact the Patient Recruitment and Public Liaison Office, CC.
• Technical questions regarding the Clinical Center web site, please contact the Department of Networks and Applications, CC.

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