Short-Term Impact of an Educational Program Promoting Live Donor Kidney Transplantation in Dialysis Centers

Pradel, Françoise G.; Suwannaprom, Puckwipa; Mullins, C. Daniel; Sadler, John H.; Bartlett, Stephen T.

doi:10.1177/152692480801800409

Cited by 41 publications

(49 citation statements)

References 23 publications

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“…Our 12.8% attrition rate is higher than or comparable to similar studies. 54-56 A shorter app may be more acceptable for patients. Future research will assess patients’ perceptions of the acceptability of the time duration.…”

Section: Discussionmentioning

confidence: 99%

Effect of a Mobile Web App on Kidney Transplant Candidates' Knowledge About Increased Risk Donor Kidneys

Gordon¹,

Sohn

Chang

et al. 2017

Transplantation

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Background Kidney transplant candidates (KTCs) must provide informed consent to accept kidneys from increased risk donors (IRD), but poorly understand them. We conducted a multisite, randomized controlled trial to evaluate the efficacy of a mobile web application, Inform Me, for increasing knowledge about IRDs. Methods KTCs undergoing transplant evaluation at 2 transplant centers were randomized to use Inform Me after routine transplant education (intervention) or routine transplant education alone (control). Computer adaptive learning method reinforced learning by embedding educational material, and initial (Test 1) and additional test questions (Test 2) into each chapter. Knowledge (primary outcome) was assessed in person after education (Tests 1 and 2), and 1-week later by telephone (Test 3). Controls did not receive Test 2. Willingness to accept an IRD kidney (secondary outcome) was assessed after Tests 1 and 3. Linear regression Test 1 knowledge scores were used to test the significance of Inform Me exposure after controlling for covariates. Multiple imputation was used for intention-to-treat analysis. Results Two hundred-eighty-eight KTCs participated. Intervention participants had higher Test 1 knowledge scores (mean difference=6.61; 95% CI, 5.37–7.86) than control participants, representing a 44% higher score than control participants’ scores. Intervention participants’ knowledge scores increased with educational reinforcement (Test 2) compared to control arm Test 1 scores (mean difference=9.50; 95% CI, 8.27–10.73). After 1 week, intervention participants’ knowledge remained greater than controls’ (mean difference=3.63; 95% CI, 2.49–4.78) (Test 3). Willingness to accept an IRD kidney did not differ between study arms at Tests 1 and 3. Conclusion Inform Me use was associated with greater KTC knowledge about IRD kidneys above routine transplant education alone.

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Section: Discussionmentioning

confidence: 99%

Effect of a Mobile Web App on Kidney Transplant Candidates' Knowledge About Increased Risk Donor Kidneys

Gordon¹,

Sohn

Chang

et al. 2017

Transplantation

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“…Transplant centers could examine trends in their LDKT rate since 2004 and use existing quality improvement processes to identify, implement, and evaluate strategies to address any downward pressures on LDKT. For instance, some centers have successfully employed patient navigators (6), home-based education (5), dialysis center-based interventions (8), and enhanced educational processes in the transplant center (7,52,53) to increase LDKT willingness and rates. These quality improvement initiatives and findings could then be disseminated to the broader transplant community for further evaluation and replication.…”

Section: What Can Be Done To Attenuate the Decline In Living Kidney Dmentioning

confidence: 99%

“…However, since the peak of 6,647 donors in 2004, the annual number of living donors has declined from the previous year in all but one year (2009), despite the emergence of novel programs to expand kidney donation (2–8). This observed trend differs from recent increases in living donation seen in some regions of the world (e.g., United Kingdom, Japan, Netherlands, Mexico, and Australia) (11).…”

Section: Introductionmentioning

confidence: 99%

The Decline in Living Kidney Donation in the United States

2013

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The annual number of living kidney donors in the United States peaked at 6,647 in 2004. The preceding decade saw a 120% increase in living kidney donation. However, since 2004, living kidney donation has declined in all but one year, resulting in a 13% decline in the annual number of living kidney donors from 2004 to 2011. The proportional decline in living kidney donation has been more pronounced among men, blacks, younger adults, siblings, and parents. In this paper, we explore several possible explanations for the decline in living kidney donation, including an increase in medical unsuitability, an aging transplant patient population, financial disincentives, public policies, and shifting practice patterns, among others. We conclude that the decline in living donation is not merely reflective of random variation, but one that warrants action by transplant centers, the broader transplant community, and state and national governments.

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“…Although views about living donor transplantation were generally positive, like patients in previous studies, 12,13,[16][17][18][19] New Zealand patients also hold a range of concerns primarily relating to the impacts on donors. While they may express positive views about living donor transplantation, in practice they may have one or more concerns that prevent them approaching others about donation or feeling able to accept offers when made.…”

Section: Discussionmentioning

confidence: 91%

Living donor kidney transplantation: preferences and concerns amongst patients waiting for transplantation in New Zealand

Martin

2013

J Health Serv Res Policy

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The preferences and concerns of patients in New Zealand are similar to those reported elsewhere. Education needs to address the concerns of patients and ensure they have accurate knowledge about living donation. Concerns about financial impacts on donors, however, arise from New Zealand's policy of not fully reimbursing living donors for lost income and cannot be addressed through improved education.

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Short-Term Impact of an Educational Program Promoting Live Donor Kidney Transplantation in Dialysis Centers

Abstract: Although both interventions helped patients consider LDKT and ask for a kidney, more time and expanded educational content might be needed to facilitate patients' discussion about LDKT with their loved ones.

Cited by 41 publications

References 23 publications

Effect of a Mobile Web App on Kidney Transplant Candidates' Knowledge About Increased Risk Donor Kidneys

Effect of a Mobile Web App on Kidney Transplant Candidates' Knowledge About Increased Risk Donor Kidneys

The Decline in Living Kidney Donation in the United States

Living donor kidney transplantation: preferences and concerns amongst patients waiting for transplantation in New Zealand

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