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, Jr; Ziya Kirkali; Naim M Maalouf; H Henry Lai; Alana C Desai; Hussein R Al-Khalidi; Gregory E Tasian

doi:10.1186/s12882-024-03605-y

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

Journal article

Peer reviewed

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, Jr, …

BMC nephrology, Vol.25(1), pp.183-11

05/28/2024

DOI: 10.1186/s12882-024-03605-y

PMID: 38807063

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Abstract

Structured 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. In 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. With 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. We 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. ClinicalTrials.gov Identifier NCT03244189.

Drinking

Drinking Behavior

Female

Humans

Male

Problem Solving

Urinary Calculi - prevention & control

Details

Title: Subtitle: Using structured problem solving to promote fluid consumption in the prevention of urinary stones with hydration (PUSH) trial
Creators: Peter P Reese - University of Pennsylvania
Salima Shah - Children's Hospital of Philadelphia
Emily Funsten - University of New Mexico
Sandra Amaral - Children's Hospital of Philadelphia
Janet Audrain-McGovern - University of Pennsylvania
Kristen Koepsell - Bristol-Myers Squibb (United States)
Hunter Wessells - University of Washington
Jonathan D Harper - University of Washington
Rebecca McCune - Children's Hospital of Philadelphia
Charles D Scales, Jr - Duke University School of Medicine
Ziya Kirkali - National Institute of Diabetes and Digestive and Kidney Diseases
Naim M Maalouf - The University of Texas Southwestern Medical Center
H Henry Lai - Washington University in St. Louis
Alana C Desai - Washington University in St. Louis
Hussein R Al-Khalidi - Duke University
Gregory E Tasian - Children's Hospital of Philadelphia
Resource Type: Journal article
Publication Details: BMC nephrology, Vol.25(1), pp.183-11
DOI: 10.1186/s12882-024-03605-y
PMID: 38807063
ISSN: 1471-2369
eISSN: 1471-2369
Grant note: U01-DK110954 / NIDDK NIH HHS U01-DK110995 / NIDDK NIH HHS U01 DK110954 / NIDDK NIH HHS U01-DK110988 / NIDDK NIH HHS U01-DK110986 / NIDDK NIH HHS U01-DK110961 / NIDDK NIH HHS U01 DK110994 / NIDDK NIH HHS U01 DK110961 / NIDDK NIH HHS U01 DK110988 / NIDDK NIH HHS U01 DK110986 / NIDDK NIH HHS
Language: English
Date published: 05/28/2024
Academic Unit: Urology
Record Identifier: 9985244654202771

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