- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07783152
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.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Edna Scarlett
- Telefonnummer: 919-684-6150
- E-post: edna.scarlett@duke.edu
Studera Kontakt Backup
- Namn: Dana Burshell, MPH
- E-post: dana.burshell@duke.edu
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Proportion of Eligible Patients Who Consent to and Enroll in the Study
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
|
Samarbetspartners och utredare
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Kai Sun, MD, MS, Duke University
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
- Urogenitala sjukdomar
- Manliga urogenitala sjukdomar
- Njursjukdomar
- Urologiska sjukdomar
- Kvinnliga urogenitala sjukdomar
- Kvinnliga urogenitala sjukdomar och graviditetskomplikationer
- Bindvävssjukdomar
- Autoimmuna sjukdomar
- Immunsystemets sjukdomar
- Glomerulonefrit
- Lupus erythematosus, systemisk
- Nefrit
- Hud- och bindvävssjukdomar
- Lupus nefrit
- Administration
- Patientvårdshantering
- Patientvårdsplanering
- Omfattande vård
- Kritiska vägar
Andra studie-ID-nummer
- Pro00120423
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
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