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A Video Education Intervention to Improve Kidney Transplant Knowledge and Willingness to Complete Transplant Evaluation in Dialysis Patients

D. A. DuBay1, T. A. Morinelli1, Z. Sutton1, M. Chastain1, T. Thompkins Tindal1, Z. Su2, E. Weeda3, P. Mauldin4, M. Casey1, J. Bian2, D. Taber1, P. K. Baliga1

1Surgery, Division of Transplant Surgery, Medical University of South Carolina`, Charleston, SC, 2General Internal Medicine, Medical University of South Carolina`, Charleston, SC, 3Clinical Pharmacy-Outcomes Sciences, Medical University of South Carolina`, Charleston, SC, 4General Internal Medicine, Medical University of South Carolina, Charleston, SC

Meeting: 2020 American Transplant Congress

Abstract number: C-093

Keywords: Efficacy, Kidney transplantation, Patient education, Quality of life

Session Information

Session Name: Poster Session C: Kidney Psychosocial

Session Type: Poster Session

Date: Saturday, May 30, 2020

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

*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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To cite this abstract in AMA style:

DuBay DA, Morinelli TA, Sutton Z, Chastain M, Tindal TThompkins, Su Z, Weeda E, Mauldin P, Casey M, Bian J, Taber D, Baliga PK. A Video Education Intervention to Improve Kidney Transplant Knowledge and Willingness to Complete Transplant Evaluation in Dialysis Patients [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/a-video-education-intervention-to-improve-kidney-transplant-knowledge-and-willingness-to-complete-transplant-evaluation-in-dialysis-patients/. Accessed May 9, 2025.

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