Patient perceptions by race of educational animations about living kidney donation made for a diverse population

Abstract

Introduction This qualitative study sought to identify potential design and delivery alterations to inform cultural adaptation of educational animations about living donor kidney transplantation (LDKT)–previously developed for a diverse population–to better fit Black Americans’ needs. Methods We conducted a secondary analysis of 88 transcripts derived from interviews and focus groups conducted with diverse target users (62 kidney failure patients, 36 prior/potential donors, and 11 care partners) to develop 12 animations about LDKT, named KidneyTIME . Statements were abstracted and coded pertaining to cognitive and communication barriers to LDKT, and the perceived value of using the videos to learn and share the information with social network members using content analysis. Incidence counts of each content code were also calculated to assess differences between Black and non-Black patients. Results Cognitive barrier codes included lack of knowledge, ambivalence, and concern for donor. Communication barrier codes included reluctance and difficulty talking about LDKT. Cognitive facilitating codes included attention-getting, efficient learning, manageable content, emotional impact, and new knowledge. Communication facilitating codes included delivery through many dissemination channels and broadly shareable. Compared to non-black patients (n = 33) Black patients (n = 29) more often stated concern for donor and reluctance/difficulty talking about LDKT as barriers, and less often stated efficient learning and manageable content as facilitators. Conclusion Findings highlight the value of LDKT informational content that is visually appealing, digestible, non-threatening, and highly shareable. Heterogeneity may exist when considering access and intervention preferences in using KidneyTIME videos and highlight a potential for further cultural targeting or tailoring.

Multimodal approaches for inequality in kidney care: turning social determinants of health into opportunities

“…Using behaviour change theory within patients’ social support network has been proposed as a key approach to transplant-directed self-management for members of diverse communities [23]. For those who require education around topics such as living kidney donation, Keller et al [24] found that informational content that showed diversity and representation visually (via educational animations) was valuable to recipients.…”

The effect of animated Sci-Fi characters’ racial presentation on narrative engagement, wishful identification, and physical activity intention among children

“…Most of the narratives used in previous work are live-action videos or written texts. Animated narratives have received little attention partially due to the lack of animated health behavior-changing narratives, along with the greater costs of animation production in general (e.g., Keller et al, 2022 ; Winder et al, 2012 ). Almost all animations used in health communication research with children are short non-narrative educational videos instead of the typical entertainment narratives.…”