AzTrials
AzTrials

Chronic Kidney DiseasesCHECK-DNCT04087798

Controlling Hypertension Through Education and Coaching in Kidney Disease

A study testing Intervention-EDI and Health coaching in people with Chronic Kidney Diseases and Chronic Disease, run by University of Michigan at 11 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Chronic kidney disease (CKD) is a serious and growing public health problem. The purpose of this study is to find out if an educational worksheet, called the Encounter Decision Intervention (EDI), combined with health coaching helps CKD patients improve their blood pressure and other health outcomes. Read more about this study

Who is it for?
Ages 21 to 85 years
What is being tested?
Intervention-EDI and Health coaching
Could I receive a placebo?
No, everyone receives an active treatment
How many people
320 participants
Where
11 sitesUnited States
Study dates
4 Feb 2020to 3 Dec 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of CKD stage 3, 4, or 5 documented in medical record
  • Aware of CKD diagnosis
  • Has diagnosis of hypertension documented in medical record and most recent Blood Pressure (BP) within the last year meets criteria of uncontrolled hypertension (≥140 mmHg, and/or a diastolic blood pressure ≥90 mmHg noted in an ambulatory care setting within the past one year)
  • Estimated glomerular filtration rate (eGFR) of <60 within the last 18 months documented in the medical record

Who cannot join

  • Currently on dialysis permanently (i.e. are considered "end-stage renal disease" and receiving dialysis)
  • Previous kidney transplant
  • Pregnant (indicated by medical record or if patient self-identifies as pregnant)
  • Has cognitive, language, or vision impairment(s) that would prohibit participating in education, taking surveys, or participating in coaching activities
  • Has terminal illness

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

United States11 sites
  • University of Michigan / Domino's Farms

    Ann Arbor, Michigan, 48105

  • University of Michigan / Briarwood Family Medicine

    Ann Arbor, Michigan, 48108

  • University of Michigan / Brighton Health Center

    Brighton, Michigan, 48116

  • University of Michigan / Canton Health Center

    Canton, Michigan, 48187

  • University of Michigan / Chelsea Health Center

    Chelsea, Michigan, 48118

  • University Health Center - GMAP/Gen Med

    Detroit, Michigan, 48201

  • University Health Center - Med Peds

    Detroit, Michigan, 48201

  • University of Michigan / Dexter Health Center

    Dexter, Michigan, 48130

  • University of Michigan / Livonia Health Center

    Livonia, Michigan, 48152

  • University of Michigan / Northville Health Center

    Northville, Michigan, 48168

  • University of Michigan / Ypsilanti Health Center

    Ypsilanti, Michigan, 48198

Other trials in United States

About this study

Chronic kidney disease (CKD) is a serious and growing public health problem. The purpose of this study is to find out if an educational worksheet, called the Encounter Decision Intervention (EDI), combined with health coaching helps CKD patients improve their blood pressure and other health outcomes. The research team hypothesizes that the intervention group will have greater improvement in CKD outcomes than the control group.

Read the detailed description

Patients that meet eligibility criteria and are seen in a clinic assigned to the control group will be given a Control-Encounter Decision Intervention (Control-EDI) about kidney disease in general (not tailored to the patient) by their primary care provider. Eligible patients that agree to participate and give consent will complete enrollment, 1, 6, and 12 month follow-up visits.

Eligible patients that are seen in a clinic assigned to the intervention group will be given a personalized Intervention-EDI by their primary care provider. Following this, eligible patients that agree to participate and give consent will complete the enrollment visit, and have a baseline call with a health coach. In addition to the 1, 6, 12 month follow-up visits these patients will also have approximately 4-6 phone calls with the health coach between the baseline visit and 11 months after enrollment.

In both groups the study team will be collecting medical information and assessments regarding their health; blood sample and urine samples at baseline and 12 months; approximately 4-6 phone calls; as well as surveys at various time points.

In order to reduce in-person human subject activity due to the Coronavirus disease 2019 (COVID-19) pandemic, participants in both groups receive an at home blood pressure monitor so that systolic- \& diastolic-BP data can be collected at all 4 time points (baseline, 1, 6, 12 months). Additionally, we have increased the window tolerance for data collection by a few months for greater flexibility.

We also collect survey data from patients' providers to assess their perception of the intervention's usefulness after patients complete their follow-up study visits. The provider survey data collection will occur up to one year, with an anticipated 100 participating providers. In addition to the 320 patients already enrolled, the study is expected to include a total of 420 participants.

Being tested
Control-EDI, Intervention-EDI, Health coaching
Medical subject headings
Renal Insufficiency, Chronic, Chronic Disease, Lymphoma, Follicular, Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Control-EDIBehavioural

    Patients in the control group will receive Control-EDI from their primary care provider during clinic visit. Subsequent patient CKD education and follow-up will be provider dependent. Patients will be called and reminded of their study visits at 1, 6, 12 months to complete study measures, BP checks, and give urine and blood samples (baseline and 12-month visit only).

  • Intervention-EDIBehavioural

    Patients in the intervention group will receive a personalized Intervention-EDI from their primary care provider during visit, which will include their most recent BP, their urine protein level and most recent estimated glomerular filtration rate (eGFR). There is also a space for their provider to type in a sentence about specific goals for the patient.

  • Health coachingBehavioural

    Health coaches will conduct a baseline call and 4-6 coaching calls, based on patient's needs, over an 11-month period. There are 4 topic areas related to blood pressure and CKD that will be the focus of the calls. Coaches will also have pre-determined and vetted educational resources to provide patients if needed. Additionally, patients will be called and reminded of their study visits at 1, 6, 12 months to complete study measures, BP checks, and give urine and blood samples (baseline and 12-month visit only).

Study groups in NCT04087798
Study groupRoleWhat they receive
Control: General Kidney Disease EducationActive comparatorEligible patients enrolled from the control group clinics will be given a Control-EDI which has information about kidney disease in general (not tailored to the patient) during their clinic visit.
Receives: Behavioral: Control-EDI
Intervention: Personalized Kidney Disease Education and Health CoachingExperimentalEligible patients enrolled from the intervention group clinics will be given an Intervention-EDI which has personalized information about kidney disease. There will be space on this for the provider to type in any goals or key points they want the patient to remember. Additionally, patients in this group will also receive health coaching.
Receives: Behavioral: Intervention-EDI; Behavioral: Health coaching

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Systolic Blood Pressure between baseline and 12 months

    Changes in systolic blood pressure between baseline and 12 months will be compared between the intervention group and control group.

    Measured: Baseline, 12 months

Secondary outcomes (23)
  1. Change in Diastolic Blood Pressure between baseline and 12 months

    Changes in diastolic blood pressure between baseline and 12 months will be compared between the intervention group and control group.

    Measured: Baseline, 12 months

  2. Slope of systolic BP between baseline and 12 months using all available BP values

    BP will be collected at 4 time points - baseline, 1, 6, 12 months. This will be compared between the intervention group and control group.

    Measured: Baseline up to 12 months

  3. Slope of diastolic BP between baseline and 12 months using all available BP values

    BP will be collected at 4 time points - baseline, 1, 6, 12 months. This will be compared between the intervention group and control group.

    Measured: Baseline up to 12 months

  4. CKD knowledge measured by the Kidney Knowledge Survey (KiKS)

    This is a 28-item questionnaire measuring objective CKD disease knowledge and includes questions about goals, cardiovascular risk, and anti-hypertensive medications. Patients will answer the questions with a yes or no answer and their score will be based on how many responses were correct. This number will be converted to a percentage.

    Measured: Baseline up to 12 months

  5. Medication Adherence Self-Efficacy Scale-Revised (MASES-R)

    This is a 13-item measure with the answers on a Likert scale of 1 (not at all sure) to 4 (extremely sure). The higher the score the higher the self-efficacy, with a range from 13-52.

    Measured: Baseline up to 12 months

  6. Morisky Medication Adherence Scale (MMAS - 8)

    This scale is to quantify adherence to pharmacological treatments by 8 items. Levels of adherence are based on the following scores: <6 = low adherence; 6-<8 = medium adherence; 8 = high adherence.

    Measured: Baseline up to 12 months

  7. Visit Time with provider

    Length of time provider spends with the patient. This will be compared between the intervention group and control group.

    Measured: Enrollment visit (baseline)

  8. Total time in clinic

    Length of time between patient check-in and check-out. This will be compared between the intervention group and control group.

    Measured: Enrollment visit (baseline)

  9. Patient Motivation by the Treatment Self-Regulation Questionnaire scale (TSRQ)

    This contains a 17-item questionnaire in which the participants select scores from 1-7 or does not apply. A number of 1 = not at all and a score of 7 = considered very true, and zero = not applicable.

    Measured: Baseline up to 12 months

  10. Satisfaction with CKD care based on Communication Assessment Tool (CAT)

    This is a 15-item questionnaire that assesses the quality of physician to patient communication completed by the patients. There are 5 answers to choose from; poor, fair, good, very good, and excellent. The Score range is 1-5, where 1 means negative perception of communication and 5 means positive perception of communication.

    Measured: Baseline up to 12 months

  11. Satisfaction with CKD care based on Consultation Care Measure (CCM)

    This is a 21-item questionnaire that is completed by the patients, and select from the the 4 choices: very strongly agree, strongly agree, agree, and neutral/disagree.

    Each answer is worth one point on a Likert scale with a higher score meaning more satisfied.

    Measured: Baseline up to 12 months

  12. Perceptions of health coaching for the intervention group

    During health coach phone calls, participants will be asked 37 questions about their perceptions of the health coach program, including how much their participation in CHECK-D helped participants change various behaviors. Participant responses will be used to examine various measures of reliability and validity during the analyses of data acquired though this survey.

    Measured: Baseline up to 12 months

  13. Self-efficacy for disease self-management based on The Perceived Kidney/Dialysis Self-Management Scale (PKDSMS)

    This is an 8-item scale regarding self-efficacy where each statement is rated on the level of agreement from 1-5. 1 is disagree and 5 is agree.

    Measured: Baseline up to 12 months

  14. Self-reported Blood Pressure-Related Behaviors Survey

    This is a 5-item survey about knowledge and behaviors regarding sodium in the diet.

    Measured: Baseline up to 12 months

  15. Provider Adoption based on Electronic Medical Records (EMR) query and patient survey

    Provider adoption will be measured by the percentage of enrolled patients whose providers used the EDI with them during their visit. Data will be collected by EMR query and a 1-item question in the patient survey.

    Measured: Baseline

  16. Provider Fidelity measured by EMR query

    Provider fidelity will be measured by the percentage of enrolled patients in the intervention clinics whose providers entered 1-2 patient specific goals in the EDI. This will be collected through EMR query.

    Measured: Baseline

  17. Provider Perception of Usefulness by provider survey

    Provider perception of usefulness will be measured by a survey of 2-3 questions about how useful they thought it was.

    Measured: After all patient follow-ups, up to one year

  18. Change in serum creatinine

    Change in Serum Creatinine between baseline and 12-months

    Measured: Baseline, 12 months

  19. Change in urine protein-creatinine ratio

    Change in urine protein-creatinine ratio between baseline and 12-months

    Measured: Baseline, 12 months

  20. Change in estimated glomerular filtration rate (eGFR)

    Change in estimated glomerular filtration rate (eGFR) between baseline and 12-months

    Measured: Baseline, 12 months

  21. Change in EMR-recorded blood pressure between baseline and 12 months

    Changes in blood pressure recorded in the EMR from baseline to 12 months will be compared between the intervention group and control group

    Measured: Baseline up to 12 months

  22. Change in study visit blood pressure supplemented with EMR blood pressure if missing

    Changes in blood pressure collected during study visits from baseline to 12 months will be compared between the intervention group and control group, with EMR data used to supplement missing values

    Measured: Baseline up to 12 months

  23. Change in blood pressure using the combined dataset of all study visit and EMR blood pressure values

    Changes in blood pressure from baseline to 12 months will be analyzed using a combined dataset that includes all available study visit and EMR blood pressure values

    Measured: Baseline up to 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Sep 2019
  2. Study start4 Feb 2020
  3. Primary completion1 Feb 2025
  4. Study completion3 Dec 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Cluster Randomized Design
Masking
None (open label)
Enrolment
320 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04087798
Sponsor's protocol ID
HUM00136011
Other IDs
R01DK115844-01
Acronym
CHECK-D
Status last verified
Mar 2026
First submitted
24 Aug 2019
Last updated
27 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wright Nunes JA, Resnicow K, Richardson C, Levine D, Kerr E, Saran R, Gillespie B, Bragg-Gresham J, Delacroix EL, Considine S, Fan A, Ellies T, Garcia-Guzman L, Grzyb K, Klinkman M, Rockwell P, Billi J, Martin C, Collier K, Parker-Featherstone E, Bryant N, Seitz M, Lukela J, Brinley FJ, Fagerlin A. Controlling Hypertension through Education and Coaching in Kidney Disease (CHECK-D): protocol of a cluster randomised controlled trial. BMJ Open. 2023 Aug 1;13(8):e071318. doi: 10.1136/bmjopen-2022-071318.

    PubMed 37527897

Questions about this trial

What is this clinical trial studying?

A study testing Intervention-EDI and Health coaching in people with Chronic Kidney Diseases and Chronic Disease, run by University of Michigan at 11 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Systolic Blood Pressure between baseline and 12 months (time frame: Baseline, 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04087798, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in