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

Trials. 2013 Jan 28:14:28. doi: 10.1186/1745-6215-14-28.

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.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Pressure
  • Clinical Protocols
  • Cost-Benefit Analysis
  • Delivery of Health Care, Integrated / economics*
  • England
  • Health Care Costs*
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility / economics
  • Humans
  • Pamphlets
  • Patient Education as Topic / economics*
  • Primary Health Care / economics*
  • Quality of Life
  • Renal Insufficiency, Chronic / diagnosis
  • Renal Insufficiency, Chronic / economics
  • Renal Insufficiency, Chronic / physiopathology
  • Renal Insufficiency, Chronic / psychology
  • Renal Insufficiency, Chronic / therapy*
  • Research Design*
  • Risk Reduction Behavior
  • Self Care / economics*
  • Severity of Illness Index
  • Social Support
  • Telephone / economics
  • Time Factors
  • Treatment Outcome
  • Vascular Diseases / diagnosis
  • Vascular Diseases / economics
  • Vascular Diseases / physiopathology
  • Vascular Diseases / psychology
  • Vascular Diseases / therapy*

Associated data

  • ISRCTN/ISRCTN45433299