Session Time: 4:30pm-5:30pm
Presentation Time: 5:05pm-5:10pm
*Purpose: Early education about chronic kidney disease (CKD) and living donor kidney transplant (LDKT) outside of transplant centers is inconsistent, with patients in CKD 3 and 4 and ethnic/racial minorities even less likely to receive it. Improvements in transplant educational delivery for early-stage CKD patients are needed.
*Methods: We conducted a prospective, parallel arm randomized controlled trial (RCT) with 971 patients varying by CKD Stage [3 (41.2%); 4 (34.4%), and 5 (24.4 spoken at Kaiser Permanente Southern California (KPSC). Patients were stratified by Stage, race/ethnicity, and primary language spoken and randomized to: (1) Explore Transplant@Home (ET), a supplementary video-guided, print and text-based education intervention delivered remotely or (2) standard of care KPSC transplant education (SOC). We fitted multilevel random effect models and compared changes in outcomes by condition 6 months post-baseline. Interactions between treatment condition and each stratifying variable were assessed.
*Results: CKD patients were diverse [White (22.2%), Black (18.4%), Asian (9.6%); English-speaking Hispanics (21.7 %), Spanish-speaking Hispanics: (28.0 %)]. Compared to SOC, patients receiving ET were twice more likely to make informed decisions about pursuing LDKT than those receiving SOC (1.99 [1.35, 2.92] p<.001). Increases in CKD symptom knowledge and transplant knowledge were also observed for the ET group at 6 months (p < 0.001) (Figures). There were heterogeneity of treatment effects for informed decision-making by CKD Stage (p = 0.067) and for DDKT self-efficacy by primary language spoken (p = 0.059).
*Conclusions: With this study showing promise in improving knowledge for earlier stage CKD patients and Spanish-speakers much earlier through ET, interventions to increase preemptive transplantation could utilize these educational methodologies to increase LDKT rates.
To cite this abstract in AMA style:Waterman AD, Kawakita SH, Dub B, Iraheta YA, Murillo AL, Menser T, Mittman B. Early Transplant Education Increases CKD 3-5 Patients’ Knowledge and Informed Decision-Making About Chronic Kidney Disease and Living Donor Kidney Transplant [abstract]. Am J Transplant. 2021; 21 (suppl 3). https://atcmeetingabstracts.com/abstract/early-transplant-education-increases-ckd-3-5-patients-knowledge-and-informed-decision-making-about-chronic-kidney-disease-and-living-donor-kidney-transplant/. Accessed June 13, 2021.
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