Table 2.
Examples of patient engagement across the different studies
| ID | Study Title | Who Were Patients/Caregivers? | How Were they Identified/Selected? | How Many Patients Were on Council? | How Did Investigators Interact with Patients? | What Were the Patients’ Specific Responsibilities? | Were There Any Changes over Time in Their Roles? | Who Were Other Stakeholders? |
| 1 | Shared Decision Making and Renal Supportive Care (SDMRSC) | Patients undergoing hemodialysis and families of patients. | Referred by social workers or clinicians. | 12 | Initially monthly, then quarterly. | Reply to the queries from investigators and partner in development of study goals, methodology and dissemination plan. | They were most involved in the planning process, but remain important sources of input. | Representatives from dialysis provider organizations, hospices, nephrologists, and dialysis social workers. |
| 2 | NephCure Kidney Network for Patients with Nephrotic Syndrome (NKN) | Adult patients and parents of minors with primary nephrotic syndrome (n=6) and patient advocates (n=4). | Call for nominations through advocacy organization’s website. | 10 | Weekly e-digest; monthly steering committee calls; monthly workgroup calls. |
Codevelop policies, operational plans; aid in implementation (peer-to-peer recruitment); review ancillary research projects; aid in communications and dissemination. | Roles did not change, but degree of involvement did. Originally, Steering Committee members also were required to be on ≥1 workgroup, modified approach to route interested patients to different roles (governance versus implementation). | Practicing clinicians (n=3), researchers (n=3), representatives from industry (n=2). |
| 3 | Improving Patient Quality of Life and Caregiver Burden by a Peer-Mentoring Program for patients with CKD and Their Caregivers | Patients with CKD (stage 4 or 5) and caregivers. | Referred by social workers or clinicians. | 5 | Initially in focus group setting (for proposal review); during conduct of the study, within the context of periodic meetings. | Review the proposal; serve as members of the community advisory board (oversight of conduct of study) and members of the Patient and Caregiver Advisory Group. | No | Representatives of patient advocacy organization; clinicians; representatives of hospital administration; representatives of healthcare organizations. |
| 4 | PCMH-KD Health System Intervention | Patients with ESRD receiving hemodialysis at one of two outpatient dialysis facilities and their caregiver/family member. | Patients and caregivers recommended and/or who volunteered. | Varied quarterly, ranging from 4–7 per session. | Stakeholder groups led by a trained facilitator 3–4 times per year. | Stakeholder discussion group participants shared experiences during the moderated discussions, reviewed study protocol documents, met with Project Coordinator, and suggested format changes for the discussion group. | Modified format of discussion groups to obtain feedback to report to dialysis center management. | Clinicians, representatives of dialysis center, and Service Chief. |
| Patient representative met with the study team on an ad hoc and regular basis. | ||||||||
| 5 | ASCEND Trial | Patients from included dialysis facilities and national advocacy organizations for patients with kidney disease. | Study leadership reached out to national organizations and patients in target dialysis facilities. | 9 | Patient council phone calls, facilitated by one of study PIs, and one of the patients served as the head of the council. | Partner in development of study goals, methodology, and dissemination plan; provide input on the patient’s perspective of each arm of the intervention; input from patient ambassadors through online surveys. | Council was most active in the design phase of the trial, then frequency of meetings decreased. | Representatives from Dialysis Provider Organizations, NIDDK, Council of Nephrology Social Workers, American Nephrology Nurses Association, National Renal Administrators Association. |
| 6 | Zuni Health Initiative – Home-Based Kidney Care | Patients are from the community of Zuni Pueblo. | Tribal governor and his council members, leaders from community as part of TAP and Zuni IHS clinician. | Zuni Governor and his council (9 members). TAP includes 5 community stakeholders | Group sessions with patients every 3 months. | Patient preferences in kidney care: compliant to lifestyle changes; exercise and nutritional regimen and adherence to prescribed medicine. | None | Zuni Tribal Governor and his council; TAP; Zuni IHS hospital; Zuni wellness Program; NIDDK Phoenix; ECHO program. |
| 7 | EPOCH-RRT | Patients and family members | From target study population with age, sex, occupational, and racial diversity in the panel | 9 | Regular meetings conference calls, and email with patient advisory council. | Served as a key component to inform the research and provide constructive feedback to the design and utility of study materials. Helped train interviewers. | None | Health care providers. |
ID, identification; PCMH-KD, Bringing Care to Patients: Patient-Centered Medical Home for Kidney Disease; ASCEND, A Trial of Sertraline vs. CBT for End-stage Renal Disease Patients With Depression; PI, primary investigator(s); NIDDK, National Institute of Diabetes & Digestive & Kidney Diseases; TAP, tribal advisory panel; IHS, Indian Health Services; ECHO, Extension for Community Healthcare Outcomes; EPOCH-RRT, Empowering Patients on Choices for Renal Replacement Therapy.