Evidence map›Paper›PMID 38807063›Full record

Trial reportBMC nephrology2024

Using structured problem solving to promote fluid consumption in the prevention of urinary stones with hydration (PUSH) trial.

Peter P Reese, Salima Shah, Emily Funsten, Sandra Amaral, Janet Audrain-McGovern, Kristen Koepsell, Hunter Wessells, Jonathan D Harper, Rebecca McCune, Charles D Scales and 6 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03244189 (Prevention of Urinary Stones With Hydration), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03244189 nacompletednot on this map

Prevention of Urinary Stones With Hydration

TypeinterventionalSponsorDuke UniversityRan2017 to 2024Enrolled1,658ConditionsUrinary StonesArmsFluid prescription, Financial incentive, Structured Problem Solving
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Peter P ReeseRenal-Electrolyte and Hypertension Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. peter.reese@pennmedicine.upenn.edu.
Salima ShahDivision of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Emily FunstenUniversity of New Mexico School of Medicine, Albuquerque, NM, USA.
Sandra AmaralDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Janet Audrain-McGovernDepartment of Psychiatry, Perelman School of Medicine, Philadelphia, PA, USA.
Kristen KoepsellBristol Myers Squibb, Princeton, NJ, USA.
Hunter WessellsDepartment of Urology, University of Washington, Seattle, WA, USA.
Jonathan D HarperDepartment of Urology, University of Washington, Seattle, WA, USA.
Rebecca McCuneDivision of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Charles D ScalesDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Ziya KirkaliNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA.
Naim M MaaloufDepartment of Internal Medicine and Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, Dallas, TX, USA.
H Henry LaiDepartment of Surgery (Urology), Washington University in St. Louis, St. Louis, MO, USA.
Alana C DesaiDepartment of Surgery (Urology), Washington University in St. Louis, St. Louis, MO, USA.
Hussein R Al-KhalidiDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Gregory E TasianDivision of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Extension of Urinary Stone Disease Research Network (USDRN) at Washington UniversityU01DK110986 · NIDDK · WASHINGTON UNIVERSITY · PI Hing Hung Henry Lai · 2022 to 2022
$989k
Fluid Therapy and Stent Management in Nephrolithiasis, USDRN extensionU01DK110994 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI NAIM M MAALOUF · 2022 to 2022
$968k
Harnessing Behavior to Decrease Urinary Stone Disease Morbidity Research ProjectU01DK110961 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI PETER PHILIP REESE, Gregory Edward Tasian · 2022 to 2022
$690k
UW USDRN Clinical CenterU01DK110954 · NIDDK · UNIVERSITY OF WASHINGTON · PI Jonathan D. Harper, HUNTER WESSELLS · 2022 to 2022
$612k
NIDDK NIH HHS U01-DK110954NIDDK NIH HHS U01 DK110961NIDDK NIH HHS U01-DK110961NIDDK NIH HHS U01-DK110986NIDDK NIH HHS U01-DK110988NIDDK NIH HHS U01 DK110994NIDDK NIH HHS U01-DK110995
6 · The paper itself

Abstract

backgroundStructured Problem Solving (SPS) is a patient-centered approach to promoting behavior change that relies on productive collaboration between coaches and participants and reinforces participant autonomy. We aimed to describe the design, implementation, and assessment of SPS in the multicenter Prevention of Urinary Stones with Hydration (PUSH) randomized trial.

methodsIn the PUSH trial, individuals with a history of urinary stone disease and low urine output were randomized to control versus a multicomponent intervention including SPS that was designed to promote fluid consumption and thereby prevent recurrent stones. We provide details specifically about training and fidelity assessment of the SPS coaches. We report on implementation experiences related to SPS during the initial conduct of the trial.

resultsWith training and fidelity assessment, coaches in the PUSH trial applied SPS to help participants overcome barriers to fluid consumption. In some cases, coaches faced implementation barriers such as variable participant engagement that required tailoring their work with specific participants. The coaches also faced challenges including balancing rapport with problem solving, and role clarity for the coaches.

conclusionsWe adapted SPS to the setting of kidney stone prevention and overcame challenges in implementation, such as variable patient engagement. Tools from the PUSH trial may be useful to apply to other health behavior change settings in nephrology and other areas of clinical care.

trial registrationClinicalTrials.gov Identifier NCT03244189.

Indexed as

DrinkingProblem SolvingUrinary CalculiDrinking BehaviorFemaleHumansMaleBehavior changeFinancial incentivesKidney stone

Identifiers

PMID38807063
PMCPMC11134957

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.