Understanding how patient education affects the process of treatment decision-making: Cultural model change in kidney disease therapy.

Objective: Chronic kidney disease affects 1 in 7 people in the US, and 1 in 6 US Veterans. Treatment for kidney failure includes home dialysis, which, despite its benefits, is infrequently used. A major barrier to using home dialysis is receiving adequate education about it.

Informed Dialysis Modality Selection Among Veterans With Advanced CKD: A Community-Level Needs Assessment.

Rationale & Objective: The Advancing Americans Kidney Health Executive order has directed substantial increases in home dialysis use for incident kidney replacement therapy (KRT). Clinical guidelines recommend patients' self-selection of KRT modality through a shared decision-making process, which, at the minimum, requires predialysis nephrology care and KRT-directed comprehensive prekidney failure patient education (CoPE). The current state of these essential services among Americans with advanced (stages 4 and 5) chronic kidney disease (CKD) and their informed preferences for home dialysis are unknown.

Electronic Phenotype for Advanced Chronic Kidney Disease in a Veteran Health Care System Clinical Database: Systems-Based Strategy for Model Development and Evaluation.

Background: Identifying advanced (stages 4 and 5) chronic kidney disease (CKD) cohorts in clinical databases is complicated and often unreliable. Accurately identifying these patients can allow targeting this population for their specialized clinical and research needs.

Objective: This study was conducted as a system-based strategy to identify all prevalent Veterans with advanced CKD for subsequent enrollment in a clinical trial.

Development and validation of an end stage kidney disease awareness survey: Item difficulty and discrimination indices.

Introduction: Lack of awareness for chronic kidney disease (CKD), including end stage kidney disease (ESKD) and their management options is a major impediment to patients being able to select and use home dialysis therapies. While some instruments have been developed to measure CKD awareness, we lack validated instruments to evaluate patients' awareness of ESKD and dialysis modalities. This study is part of multipart project for developing and validating an ESKD-centric disease awareness questionnaire.

Children's suffix effects for verbal working memory reflect phonological coding and perceptual grouping.

When listeners recall order of presentation for sequences of unrelated words, recall is most accurate for first and final items. When a speech suffix is appended to the list, however, the advantage for final items is diminished. The usual interpretation is that listeners recover phonological structure from speech signals and use that structure to store items in a working memory buffer; the process of recovering phonological structure for a suffix interrupts that processing for the final list item.