The Explore Transplant Program in GA: Is Historical Access to Transplantation Associated With Kidney Transplant Knowledge and Preparedness to Educate ERSD Patients?
1Emory University, Atlanta
2University of California, Los Angeles.
Meeting: 2015 American Transplant Congress
Abstract number: D239
Keywords: Kidney transplantation, Quality of life
Session Information
Session Name: Poster Session D: Regulatory Issues in Transplant Administration
Session Type: Poster Session
Date: Tuesday, May 5, 2015
Session Time: 5:30pm-6:30pm
Presentation Time: 5:30pm-6:30pm
Location: Exhibit Hall E
Introduction
Dialysis facilities play a key role in educating end stage renal disease patients on kidney transplantation (KTx). We aimed to investigate the association between historical access to KTx and improvement in KTx knowledge and preparedness to educate among dialysis facility staff who attended a transplant education training session in Georgia (GA).
Methods
Four Explore Transplant (ETx) trainings were completed in GA in 2014. Surveys were completed by staff before and after each ETx session; the outcomes were improvement in KTx knowledge (pre-post difference score) and preparedness to educate. Survey data were linked with 2008-2011 Dialysis Facility Report data. Linear and logistic regression examined the change in KTx knowledge and preparedness by facility historical KTx performance (% of patients <70 years waitlisted).
Results
Among 331 GA dialysis facilities, 147 dialysis facilities (44.4%) attended an ETx training. KTx knowledge improved an average of 4 points and ∼40% of facilities improved their preparedness to educate. Only 27 (18.3%) facilities in attendance were historically high performing (% waitlisting above national 2011 median of 21.7%). Adjusted regression analysis showed a 5% (β=-0.05; 95% CI -0.095, -0.008 p-value=0.02) lower historical KTx performance was associated with a one point decrease in KTx knowledge improvement post-class; however, facilities with low (vs. high) historical KTx performance had improved preparedness to educate. For example, staff from low waitlisting facilities were ∼4 times more likely (OR=3.75; 95% CI 1.11, 12.71) to feel prepared to educate based on the availability of materials in their facility.
Conclusions-Facility staff from facilities with low historical waitlisting were less likely to improve their KTx knowledge but more likely to leave the training perceiving that they were better prepared to educate. More research is needed to determine why historically low performing facilities may have a more difficult time learning.
To cite this abstract in AMA style:
Gander J, Isenhour C, McPherson L, Basu M, Tao B, Smtih K, Pastan S, Waterman A, Patzer R. The Explore Transplant Program in GA: Is Historical Access to Transplantation Associated With Kidney Transplant Knowledge and Preparedness to Educate ERSD Patients? [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/the-explore-transplant-program-in-ga-is-historical-access-to-transplantation-associated-with-kidney-transplant-knowledge-and-preparedness-to-educate-ersd-patients/. Accessed May 9, 2025.« Back to 2015 American Transplant Congress