*Purpose: The Centers for Medicare and Medicaid Services has set a goal of 30% (currently 18.5%) of dialysis patients to be on a transplant (Tx) waitlist. In this quality improvement (QI) initiative, we assess whether a dialysis center-based educational intervention will increase patients’ Tx knowledge and self-efficacy allowing for increased likelihood of completing Tx evaluation and entry on to the waitlist.

*Methods: During dialysis sessions, patients were provided an iPad-based Tx education video and a pre-, post-video questionnaire, assessing five demographic and six Tx knowledge questions encompassing; 1-survival benefit of Tx, 2-steps to complete Tx evaluation, 3-Tx exclusion criteria, 4-living donation, 5-financial and caregiver requirements, and 6-self-efficacy to initiate Tx work-up.

*Results: 226 dialysis patients (78% African American; AA) from 12 dialysis centers in a Southern state agreed to participate; 193 patients completed both the pre- and post-components. The mean proportion of patients that ‘Agree/Totally Agree’ with each question significantly increased after watching the video (41.9% +/- 4.6% to 90.9% +/- 4.9% p<0.001; Figure 1). The intervention was equally effective in AA and Caucasian patients while abrogating the lower initial Tx knowledge and decreased self-efficacy that was seen in patients with <high school education.

*Conclusions: This QI initiative produced a significant increase in dialysis patients’ Tx self-assessed knowledge and self-efficacy, while also eliminating educational disparity. Future analysis will examine for completed Tx evaluations and waitlist additions.

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