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Lupus Nephritis Care Pathway
Evaluation of a Lupus Nephritis Care Pathway Integrating Telemedicine and Clinical Pharmacist Practitioners
The purpose of this study is to evaluate an approach to managing patients with lupus nephritis called the Lupus Nephritis (LN) Pathway among approximately 25 patients. Activities include answering surveys and participating in an interview.
Objectives include: 1) Assess feasibility and acceptability of the LN Care Pathway, 2) evaluate user experiences to identify opportunities for improvement, and 3) explore the preliminary effect of this pathway on medication adherence and clinical outcomes.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
The Lupus Nephritis (LN) Pathway is an innovative, scalable, team-based model that leverages clinical pharmacist practitioners (CPPs) to deliver frequent telemedicine visits and implement protocol-based adherence support, medication management, and remote monitoring, all with oversight from rheumatology and nephrology physicians.
The investigators will include 25 patients with lupus nephritis. The study primarily assesses the LN Care Pathway's feasibility and acceptability using surveys, exit interviews, and metrics of enrollment, retention, and engagement. The investigators will also evaluate user experiences and identify areas for improvement in exit interviews. Lastly, the investigators will explore preliminary effects on medication adherence and key clinical outcomes
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Edna Scarlett
- Telefoonnummer: 919-684-6150
- E-mail: edna.scarlett@duke.edu
Studie Contact Back-up
- Naam: Dana Burshell, MPH
- E-mail: dana.burshell@duke.edu
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Active patient at a Duke University Health System clinic
- Current diagnosis of Systemic Lupus Erythematosus (SLE) based on the 1997 ACR,32 2012 Systemic Lupus International Collaborating Clinics (SLICC),33 or 2019 European League Against Rheumatism (EULAR)/ACR (American College of Rheumatology)34 classification criteria
- Aged 18 years or older
- Able to provide informed consent
- Able to attend telemedicine visits
- New onset or ongoing active LN based on rheumatologist or nephrologist evaluation
Exclusion Criteria:
- Patients with severe cognitive impairment
- Do not wish to receive longitudinal care at our health system
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Onderzoek naar gezondheidsdiensten
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Lupus Nephritis (LN) Care Pathway
All participants receive the same LN Care Pathway intervention.
|
The LN Care Pathway is an innovative, scalable, team-based model that leverages clinical pharmacist practitioners (CPPs) to deliver frequent telemedicine visits and implement protocol-based adherence support, medication management, and remote monitoring, all with oversight from rheumatology and nephrology physicians.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Proportion of Eligible Patients Who Consent to and Enroll in the Study
Tijdsspanne: From study start through completion of enrollment
|
The proportion of eligible patients who provide informed consent and enroll in the study.
Feasibility of recruitment will be supported if at least 70% of eligible patients consent to and enroll.
|
From study start through completion of enrollment
|
|
Proportion of Enrolled Participants Who Complete the 6-Month Lupus Nephritis Care Pathway
Tijdsspanne: 6 months
|
The proportion of enrolled participants who complete the 6-month Lupus Nephritis Care Pathway.
Feasibility of retention will be supported if at least 80% of enrolled participants complete the Care Pathway.
|
6 months
|
|
Proportion of Enrolled Participants Who Complete at Least 50% of Planned Visits
Tijdsspanne: 6 months
|
The proportion of enrolled participants who complete at least 50% of planned telehealth visits during the 6-month Lupus Nephritis Care Pathway.
Feasibility of participant engagement will be supported if at least 75% meet this threshold.
|
6 months
|
|
Feasibility of the Lupus Nephritis Care Pathway as Measured by the Feasibility of Intervention Measure
Tijdsspanne: 6 months
|
The Feasibility of Intervention Measure is a 4-item measure of perceived feasibility.
Each item is rated on a 5-point scale from 1 to 5, with higher scores indicating greater feasibility.
The mean score across items will be calculated.
|
6 months
|
|
Acceptability of the Lupus Nephritis Care Pathway as Measured by the Acceptability of Intervention Measure
Tijdsspanne: 6 months
|
The Acceptability of Intervention Measure is a 4-item measure of perceived acceptability.
Each item is rated on a 5-point scale from 1 to 5, with higher scores indicating greater acceptability.
The mean score across items will be calculated.
|
6 months
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Kai Sun, MD, MS, Duke University
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Urogenitale ziekten
- Mannelijke urogenitale ziekten
- Nier Ziekten
- Urologische ziekten
- Vrouwelijke urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Bindweefselziekten
- Auto-immuunziekten
- Ziekten van het immuunsysteem
- Glomerulonefritis
- Lupus erythematosus, systemisch
- Nefritis
- Huid- en bindweefselaandoeningen
- Lupus-nefritis
- Health Services Administration
- Management voor patiëntenzorg
- Planning van patiëntenzorg
- Uitgebreide gezondheidszorg
- Kritische paden
Andere studie-ID-nummers
- Pro00120423
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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