Immediate Postintervention Outcomes from a Randomized Trial that Sought to Enhance Access to Live Donor Kidney Transplant for Black and African Americans.

IF 0.6 4区 医学 Q4 SURGERY Progress in Transplantation Pub Date : 2024-12-19 DOI:10.1177/15269248241304794
Kimberly Jacob Arriola, D'Jata Barrett, Stephen Pastan, Jennie Perryman, Derek DuBay, Courtney Tresslar, Sara Useche De Abreu, Mengyu Di, Larissa Teunis, Miranda Montoya, Tatenda Mangurenje, Rachel E Patzer
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Abstract

Introduction: Eliminating racial inequities in access to kidney transplantation requires multilevel interventions that target both patients and health systems.

Research question: The aim of this study was to determine whether adding culturally sensitive, web-based patient education to a transplant center-level intervention was associated with increased knowledge, motivation to pursue living donor kidney transplant, and confidence in the behavioral skills to discuss living donation among Black/African American patients with end-stage kidney disease.

Design: A total of 411 transplant candidates were randomized to intervention (N = 222) or control groups (N = 189) and completed measures at baseline and immediate follow-up during the transplant evaluation visit.

Results: Results indicated no significant change in knowledge across time or study condition. At immediate follow-up, participants of both study conditions exhibited a significantly higher motivation to pursue living donation (t = 3.066, P < .01) versus at baseline. Both study conditions demonstrated increased confidence in the behavioral skills to discuss living donation over time (t = 3.580, P < .001). Process evaluation findings demonstrated limited engagement with the online video content across both conditions.

Conclusion: Results suggest that the intervention did not perform better than control but raised important considerations for the delivery of transplant education targeting Black/African American patients in a busy clinical setting.

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一项旨在提高黑人和非裔美国人获得活体肾脏移植的随机试验的干预后即时结果。
引言:消除在获得肾移植方面的种族不平等需要针对患者和卫生系统的多层次干预。研究问题:本研究的目的是确定在移植中心水平的干预中增加文化敏感的、基于网络的患者教育是否与增加知识、追求活体肾脏移植的动机以及对讨论终末期肾病黑人/非裔美国患者活体肾脏移植的行为技能的信心有关。设计:共有411名移植候选者被随机分为干预组(N = 222)或对照组(N = 189),并在基线和移植评估访视期间立即随访时完成测量。结果:结果显示,在不同的时间和研究条件下,知识没有显著的变化。在立即随访时,两种研究条件下的参与者都表现出更高的追求活体捐赠的动机(t = 3.066, P)。结论:结果表明,干预并不比对照组表现更好,但在繁忙的临床环境中,针对黑人/非裔美国人患者进行移植教育提出了重要的考虑。
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来源期刊
Progress in Transplantation
Progress in Transplantation SURGERY-TRANSPLANTATION
CiteScore
1.50
自引率
12.50%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Progress in Transplantation (PIT) is the official journal of NATCO, The Organization for Transplant Professionals. Journal Partners include: Australasian Transplant Coordinators Association and Society for Transplant Social Workers. PIT reflects the multi-disciplinary team approach to procurement and clinical aspects of organ and tissue transplantation by providing a professional forum for exchange of the continually changing body of knowledge in transplantation.
期刊最新文献
Racial Variation of Donor-Derived Cell-Free DNA in Kidney Transplant Recipients. A Systematic Review of Anxiety Measurement Scales in Pediatric Organ Transplantation Patients. Immediate Postintervention Outcomes from a Randomized Trial that Sought to Enhance Access to Live Donor Kidney Transplant for Black and African Americans. Empowering the Voice of Patients, Families, and Caregivers Through Participation in Organ Donation and Transplantation Conferences. A Journey From Patient and Physician to Entrepreneur and Advocate in Transplantation.
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