Protocol of a cluster randomized trial of an educational intervention to increase knowledge of living donor kidney transplant among potential transplant candidatesReport as inadecuate




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BMC Nephrology

, 14:256

Dialysis and Transplantation

Abstract

BackgroundThe best treatment option for end-stage renal disease is usually a transplant, preferably a live donor kidney transplant LDKT. The most effective ways to educate kidney transplant candidates about the risks, benefits, and process of LDKT remain unknown.

Methods-designWe report the protocol of the Enhancing Living Donor Kidney Transplant Education ELITE Study, a cluster randomized trial of an educational intervention to be implemented during initial transplant evaluation at a large, suburban U.S. transplant center. Five hundred potential transplant candidates are cluster randomized by date of visit to receive either: 1 standard-of-care -usual- transplant education, or 2 intensive education that is based upon the Explore Transplant series of educational materials. Intensive transplant education includes viewing an educational video about LDKT, receiving print education, and meeting with a transplant educator. The primary outcome consists of knowledge of the benefits, risks, and process of LDKT, assessed one week after the transplant evaluation. As a secondary outcome, knowledge and understanding of LDKT are assessed 3 months after the evaluation. Additional secondary outcomes, assessed one week and 3 months after the evaluation, include readiness, self-efficacy, and decisional balance regarding transplant and LDKT, with differences assessed by race. Although the unit of randomization is the date of the transplant evaluation visit, the unit of analysis will be the individual potential transplant candidate.

DiscussionThe ELITE Study will help to determine how education in a transplant center can best be designed to help Black and non-Black patients learn about the option of LDKT.

Trial registrationClinicaltrials.gov number NCT01261910

KeywordsKidney transplantation Live kidney donor Education Clinical trial Randomized trial Cluster randomization AbbreviationsLDKTLive donor kidney transplant

DDKTDeceased donor kidney transplant

ESRDEnd-stage renal disease

CKDChronic kidney disease

NVSNewest vitals sign

SBMCSaint Barnabas Medical Center

ELITE studyEnhancing living donor kidney transplant education study.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2369-14-256 contains supplementary material, which is available to authorized users.

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Author: Francis L Weng - Diane R Brown - John D Peipert - Bart Holland - Amy D Waterman

Source: https://link.springer.com/



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