Session Time: 3:15pm-4:00pm
Presentation Time: 3:30pm-4:00pm
- A Video Education Intervention to Improve Kidney Transplant Knowledge and Self-Efficacy in Dialysis Center End Stage Renal Disease (ESRD) Patients
- Efficacy of At-Home Transplant Education on Transplant Knowledge and Pursuit in Low-Income and Black Dialysis Patients with Varying Educational Characteristics
*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.
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 October 22, 2020.
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