A Randomized Trial of a Home-Based Educational Approach to Increase Live Donor Kidney Transplantation: Effects in Blacks and Whites

Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

“…The results are on the basis of a convenience sample of 101 urban-dwelling black patients with ESRD at two hemodialysis clinics affiliated with a university hospital in north Philadelphia that serve a largely minority lowincome patient population (53). Despite their comparatively high rate of transplant referral, our patients are similar to other patients in that many do not complete the workup step toward the waitlist (13,16,48). Although other studies show that patients with private insurance have better access to LDKT (24,25), only two of our patients had private insurance, and neither wanted an LDKT.…”

“…Lack of strong social support may explain why the widowed patients (all of whom were women) were less likely to want LDKT in the multivariate analysis. This finding also suggests that, in addition to educating patients about health and quality of life benefits, the availability or lack of social support should be factored into the design of interventions (8,(42)(43)(44)(45)(46)(47)(48)(49)(50)(51). It is also important to note that black women are also more likely to be excluded from living kidney donation for medical reasons (52).…”

Barriers to Living Donor Kidney Transplantation among Black or Older Transplant Candidates

“…Educational and behavioral interventions can increase the proportion of transplant candidates who bring forth potential living donors (20 -22). Such interventions have been especially effective among blacks (21,22).…”

Home-Based Family Intervention Increases Knowledge, Communication and Living Donation Rates: A Randomized Controlled Trial

“…To determine an adequate sample size for detecting the effect, we did a power analysis based on the primary outcomes found in previous research (15,16). The knowledge parameter shows a large effect size that would result in a very low sample size, whereas self-efficacy would require a larger sample size.…”

“…Additionally, there was a significant increase in the number of living donor inquiries, living donor evaluations and LDKTs performed in the home-based education group. The ''house-calls'' approach was even more beneficial for black patients in the number of donor evaluations and LDKTs compared with white patients (16). This additional effort to increase LDKT rates is needed since a recent paper points toward a decline in living kidney donations in North America (17).…”