Age and Education Level Are Predictors of Patient Preferences for Educational Formats in ESRD Patients Undergoing Transplant Education.
1Dept of Surgery, University of Iowa, Iowa City, IA
2Dept of Social Services, University of Iowa, Iowa City, IA
3Dept of Internal Medicine, University of Iowa, Iowa City, IA.
Meeting: 2016 American Transplant Congress
Abstract number: C60
Keywords: Kidney transplantation, Multivariate analysis, Public policy
Session Information
Session Name: Poster Session C: Economics, Public Policy, Allocation, Ethics
Session Type: Poster Session
Date: Monday, June 13, 2016
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Halls C&D
Background: Health literacy impacts hospitalizations and mortality. ESRD patients have reduced health literacy due to a high proportion of lower educational background and socioeconomic resources. CMS requires transplant centers to provide education for kidney transplant (KT) patients, but data is lacking on the efficacy of different educational formats in ESRD patients.
Objective: To evaluate different educational formats for ESRD patients undergoing KT education at a moderate volume transplant center.
Methods: The KT Knowledge Test (KT2) was developed, validated, and distributed to 470 ESRD patients. The KT2 survey covers ESRD/dialysis, transplant, and living kidney donation. Univariate and multivariate predictors of educational formats were identified. Three patient focus groups facilitated by a transplant clinical psychologist and social worker were held to provide qualitative patient-centered feedback on KT educational formats.
Results: KT2 response rate was 30.2% (141/470). KT2 respondents preferred physician education and written materials. Multivariate analysis for predictors of preferred educational format found that age and education were significant predictors of preference for Internet and DVD formats. In the focus groups, patients reported physician education the most helpful, with the majority also utilizing UNOS and HRSA printed education. Focus group participants indicated they do not use the transplant center website, which may be reflective of their age and education, as supported by the KT2 data.
Conclusion: Mixed methods research identified that ESRD patients prefer physician education and written materials for transplant education. Older age and lower education of ESRD patients were important predictors of non-use of Internet educational resources.
| Table 1 | ||
| Mean Rank (1=best, 5=worst) | Std Dev | |
| Written Materials | 2.39 | 1.4 |
| Internet | 3.17 | 1.4 |
| Video/DVD | 3.08 | 1.4 |
| Group Clinic Session | 3.09 | 1.4 |
| Physician Education | 2.00 | 1.3 |
| Table 2 | ||||
| Predictor | Written p-value | Internet p-value | DVD p-value | Physican p-value |
| Age | 0.047 | 0.0002 | 0.0317 | NS |
| Education Level | NS | 0.009 | NS | NS |
| Household Income | 0.022 | NS | NS | NS |
CITATION INFORMATION: Leick K, Jones J, Witte S, Hunsicker L, Stewart Z. Age and Education Level Are Predictors of Patient Preferences for Educational Formats in ESRD Patients Undergoing Transplant Education. Am J Transplant. 2016;16 (suppl 3).
To cite this abstract in AMA style:
Leick K, Jones J, Witte S, Hunsicker L, Stewart Z. Age and Education Level Are Predictors of Patient Preferences for Educational Formats in ESRD Patients Undergoing Transplant Education. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/age-and-education-level-are-predictors-of-patient-preferences-for-educational-formats-in-esrd-patients-undergoing-transplant-education/. Accessed May 9, 2025.« Back to 2016 American Transplant Congress