Explore Transplant at Home: a randomized control trial of an educational intervention to increase transplant knowledge for Black and White socioeconomically disadvantaged dialysis patients
| العنوان: | Explore Transplant at Home: a randomized control trial of an educational intervention to increase transplant knowledge for Black and White socioeconomically disadvantaged dialysis patients |
|---|---|
| المؤلفون: | Amy D. Waterman, Leanne Peace, Christina J. Goalby, John D. Peipert, Anna Michelle M. McSorley, Jessica L. Thein, Patricia A. Lutz |
| المصدر: | BMC Nephrology BMC nephrology, vol 16, iss 1 Waterman, AD; McSorley, AMM; Peipert, JD; Goalby, CJ; Peace, LJ; Lutz, PA; et al.(2015). Explore Transplant at Home: A randomized control trial of an educational intervention to increase transplant knowledge for Black and White socioeconomically disadvantaged dialysis patients. BMC Nephrology, 16(1). doi: 10.1186/s12882-015-0143-0. UCLA: Retrieved from: http://www.escholarship.org/uc/item/5mk821v3Test |
| بيانات النشر: | Springer Nature |
| مصطلحات موضوعية: | Research design, Nephrology, Health Knowledge, Attitudes, Practice, Stages of Change, Kidney Disease, medicine.medical_treatment, 030232 urology & nephrology, law.invention, Kidney transplantation, Study Protocol, 0302 clinical medicine, 7.1 Individual care needs, Randomized controlled trial, law, 030212 general & internal medicine, Racial disparities, African Americans, Practice, Living donor, Health Knowledge, 1. No poverty, Patient education, Urology & Nephrology, Transtheoretical model of behavioral change, 3. Good health, Research Design, Renal and Urogenital, Health education, medicine.medical_specialty, European Continental Ancestry Group, Clinical Trials and Supportive Activities, Clinical Sciences, African-Americans, Vulnerable Populations, White People, 03 medical and health sciences, Nursing, Patient Education as Topic, Clinical Research, Renal Dialysis, Internal medicine, Intervention (counseling), medicine, Humans, Health knowledge/attitudes, Dialysis, Transplantation, Whites, business.industry, Organ Transplantation, medicine.disease, Kidney Transplantation, Quality Education, Black or African American, Socioeconomic Factors, Attitudes, Management of diseases and conditions, business |
| الوصف: | © 2015 Waterman et al. Background: Compared to others, dialysis patients who are socioeconomically disadvantaged or Black are less likely to receive education about deceased donor kidney transplant (DDKT) and living donor kidney transplant (LDKT) before they reach transplant centers, often due to limited availability of transplant education within dialysis centers. Since these patients are often less knowledgeable or ready to pursue transplant, educational content must be simplified, made culturally sensitive, and presented gradually across multiple sessions to increase learning and honor where they are in their decision-making about transplant. The Explore Transplant at Home (ETH) program was developed to help patients learn more about DDKT and LDKT at home, with and without telephone conversations with an educator. Methods and Study Design: In this randomized controlled trial (RCT), 540 low-income Black and White dialysis patients with household incomes at or below 250 % of the federal poverty line, some of whom receive financial assistance from the Missouri Kidney Program, will be randomly assigned to one of three education conditions: (1) standard-of-care transplant education provided by the dialysis center, (2) patient-guided ETH (ETH-PG), and (3) health educator-guided ETH (ETH-EG). Patients in the standard-of-care condition will only receive education provided in their dialysis centers. Those in the two ETH conditions will receive four video and print modules delivered over an 8 month period by mail, with the option of receiving supplementary text messages weekly. In addition, patients in the ETH-EG condition will participate in multiple telephonic educational sessions with a health educator. Changes in transplant knowledge, decisional balance, self-efficacy, and informed decision making will be captured with surveys administered before and after the ETH education. Discussion: At the conclusion of this RCT, we will have determined whether an education program administered to socioeconomically disadvantaged dialysis patients, over several months directly in their homes, can help more individuals learn about the options of DDKT and LDKT. We also will be able to examine the efficacy of different educational delivery approaches to further understand whether the addition of a telephone educator is necessary for increasing transplant knowledge. Trial Registration: ClinicalTrials.gov, NCT02268682. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1471-2369 |
| DOI: | 10.1186/s12882-015-0143-0 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c9efceb02f71ee29c124f534ce3e5f3cTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c9efceb02f71ee29c124f534ce3e5f3c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712369 |
|---|---|
| DOI: | 10.1186/s12882-015-0143-0 |