Evaluation of a mentorship program to support chronic kidney disease care

Jocelyn Pang; Allan Grill; Monisha Bhatt; Graham L. Woodward; Scott Brimble

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Table 1.

Baseline characteristics of primary care provider mentees: N=89.

CHARACTERISTIC	*SURVEY RESPONDENTS,^ N (%)**
Sex
• Male	30 (33.7)
• Female	59 (66.3)
Profession
• MD (ie, primary care physician)	68 (76.4)
• Nurse practitioner	20 (22.5)
• Registered nurse	1 (1.1)
No. of years in practice
• 0–5	23 (25.8)
• 6–10	11 (12.4)
• 11–15	13 (14.6)
• 16–20	7 (7.9)
• 21–25	20 (22.5)
• > 25	15 (16.9)
Type of practice
• Solo	16 (18.0)
• Small group	56 (62.9)
• Large group	17 (19.1)
Frequency of CKD patient visits
• Daily	24 (27.0)
• Weekly	44 (49.4)
• Monthly	14 (15.7)
• Rarely	7 (7.9)
• Never	0 (0.0)
Mean no. of CKD patients seen per year
• 0	0 (0.0)
• 1–10	11 (12.4)
• 11–20	33 (37.1)
• > 20	45 (50.6)

CKD—chronic kidney disease, MD—medical doctor.
↵* Percentages might not add to 100% owing to rounding.

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Table 2.

Univariate and multivariate predictors of increased mentee-mentor interactions

VARIABLE	UNIVARIATE		MULTIVARIATE

	ODDS RATIO (95% CI)	P VALUE	ODDS RATIO (95% CI)	P VALUE
MD vs non-MD	0.59 (0.29–1.22)	.16	0.54 (0.24–1.22)	.140
Female vs male	1.11 (0.53–2.32)	.78	NA	NA
> 5 y in practice vs ≤ 5 y in practice	1.98 (0.90–4.34)	.09	2.34 (1.03–5.33)	.043
Group vs solo practice	1.20 (0.46–3.14)	.71	NA	NA
>20 CKD patients per y vs ≤ 20 CKD patients per y	0.55 (0.27–1.13)	.10	0.49 (0.23–1.03)	.058

CKD—chronic kidney disease, MD—medical doctor, NA—not applicable.

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Table 3.

Changes in mentees’ knowledge of and comfort levels with various CKD topics: Items ranked on a 5-point scale (1 = not at all knowledgeable or comfortable; 2 = not very knowledgeable or comfortable; 3 = somewhat knowledgeable or comfortable; 4 = very knowledgeable or comfortable; 5 = extremely knowledgeable or comfortable).

CKD TOPIC	KNOWLEDGE MEAN		P VALUE	COMFORT LEVEL MEAN		P VALUE

	PRE PROGRAM	POST PROGRAM		PRE PROGRAM	POST PROGRAM
Counseling about smoking cessation (N = 87)	3.71	4.22	< .001	3.77	4.30	< .001
Counseling about diet modification (N = 86)	3.16	4.21	< .001	3.13	4.30	< .001
Diagnosing and treating comorbid conditions (N = 89)	3.21	4.11	< .001	3.20	4.27	< .001
Medication management (N = 89)	3.48	4.02	< .001	3.40	4.15	< .001
Screening appropriate patients for CKD (N = 89)	3.07	3.91	< .001	3.07	4.13	< .001
Appropriate referrals (N = 88)	2.83	3.74	< .001	2.75	3.94	< .001

CKD—chronic kidney disease.

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Table 4.

Changes in ease of access to and satisfaction with nephrologist support

ITEM	PRE-PROGRAM MEAN	POST-PROGRAM MEAN	P VALUE
Ease of access (N = 87)^*	2.99	4.21	< .001
Satisfaction with nephrologist support
• Overall (N = 86)^†	3.45	4.33	< .001
• In person (N = 37)^‡	3.57	4.65	< .001
• E-mail (N = 64)^‡	3.42	4.48	< .001
• Small group (N = 53)^‡	3.43	4.51	< .001
• Telephone or teleconference (N = 70)^‡	3.47	4.06	< .001
• Webinar or videoconference (N = 19)^‡	3.47	3.63	.667

↵* Item ranked on the following 5-point scale: 1 = always difficult; 2 = often difficult; 3 = sometimes easy or difficult; 4 = very easy; 5 = extremely easy.
↵† Overall satisfaction represents the mean across all modes of communication for each respondent.
↵‡ Item ranked on the following 5-point scale: 1 = not at all satisfied; 2 = slightly satisfied; 3 = moderately satisfied; 4 = very satisfied; 5 = extremely satisfied.