The clinical and cost-effectiveness of the BRinging Information and Guided Help Together (BRIGHT) intervention for the self-management support of people with stage 3 chronic kidney disease in primary care: study protocol for a randomized controlled trial

Christian Blickem, Tom Blakeman, Anne Kennedy, Peter Bower, David Reeves, Caroline Gardner, Victoria Lee, Carolyn Chew-Graham, Gerry Richardson, Helen Brooks, Shoba Dawson, Rahena Mossabir, Praksha Jariwala, Angela Swallow, Evan Kontopantelis, Hannah Gaffney, Nicola Small, Eldon Spackman, Anne Rogers

Research output: Contribution to journalArticle (Academic Journal)

16 Citations (Scopus)

Abstract

BACKGROUND: Improving the quality of care for people with vascular disease is a key priority. Chronic kidney disease (CKD) has recently been included as a target condition for general practices to add to registers of chronic conditions as part of the Quality and Outcome Framework. This paper outlines the implementation and evaluation of a self-management intervention involving an information guidebook, tailored access to local resources and telephone support for people with stage 3 chronic kidney disease.

METHODS/DESIGN: The study involves a multi-site, longitudinal patient-level randomized controlled trial. The study will evaluate the clinical use and cost-effectiveness of a complex self-management intervention for people with stage 3 chronic kidney disease in terms of self-management capacity, health-related quality of life and blood pressure control compared to care as usual. We describe the methods of the patient-level randomized controlled trial.

DISCUSSION: The management of chronic kidney disease is a developing area of research. The BRinging Information and Guided Help Together (BRIGHT) trial aims to provide evidence that a complementary package of support for people with vascular disease that targets both clinical and social need broadens the opportunities of self-management support by addressing problems related to social disadvantage.

TRIAL REGISTRATION: Trial registration reference: ISRCTN45433299.

Original languageEnglish
Pages (from-to)28
JournalTrials
Volume14
DOIs
Publication statusPublished - 28 Jan 2013

Keywords

  • Blood Pressure
  • Clinical Protocols
  • Cost-Benefit Analysis
  • Delivery of Health Care, Integrated
  • England
  • Health Care Costs
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility
  • Humans
  • Pamphlets
  • Patient Education as Topic
  • Primary Health Care
  • Quality of Life
  • Renal Insufficiency, Chronic
  • Research Design
  • Risk Reduction Behavior
  • Self Care
  • Severity of Illness Index
  • Social Support
  • Telephone
  • Time Factors
  • Treatment Outcome
  • Vascular Diseases
  • Journal Article
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

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