Renal transplant is the gold standard therapy for end stage renal disease. At a large, academic medical center, a multidisciplinary approach is used to optimize care, including pharmacists specialized in solid organ transplant pharmacotherapy. Pharmacists provide thorough counseling on medication indications, administration, and potential adverse events prior to transplant, when applicable, and throughout admission. The extensive counseling prepares patients to manage medications post-discharge.

Guidelines recommend providing education and strategies to minimize nonadherence, as deviation can result in rejection and allograft loss. While face-to-face counseling is essential, video education may serve as a supplemental resource and increase efficiency. Small studies regarding video education in various fields offer promising results in comprehension and satisfaction.

The primary aim of this process improvement study is to determine the average amount of pharmacist time saved with initial audio-visual counseling. Secondary endpoints include patient satisfaction and patient-perceived readiness to manage medications. Patients are randomized to receive usual care, consisting of initial and review counseling with a pharmacist, or to receive interventional care consisting of initial counseling via video followed by review with a pharmacist. After the review, a brief survey is administered to assess satisfaction and perceived readiness. The duration of counseling is recorded electronically and descriptive statistics will be analyzed.

Data collection is ongoing. Preliminary data for 17 patients demonstrated an average age of 55 years in the control group (N=8) and 59 years in the intervention group (N=9). The average pharmacist time to complete initial education in the control group and intervention group was 26.1 minutes and 4.3 minutes, respectively. The average pharmacist time to complete review education in the control and intervention groups was 20.3 minutes and 25.8 minutes, respectively. Twenty-five percent of patients in the control group (N=2) and 56% (N=5) of patients in the intervention group reported understanding medications “very well”. No difference was seen in patient-perceived readiness to manage medications.

Preliminary results demonstrate an average time savings of 16.3 minutes per patient with the use of initial audio-visual counseling. Results and conclusions will be completed prior to presentation.

CITATION INFORMATION: Mitchell Y., Volpendesta J., Vongspanich-Dray J. Evaluation of Efficiency and Patient Perception of Solid Organ Transplant Medication Education after Pharmacist-Created Video Education Am J Transplant. 2017;17 (suppl 3).

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