MedStar Authors catalog › Details for: Effectiveness of informational decision aids and a live donor financial assistance program on pursuit of live kidney transplants in African American hemodialysis patients.
Effectiveness of informational decision aids and a live donor financial assistance program on pursuit of live kidney transplants in African American hemodialysis patients. Journal: BMC nephrology. Published: 2018 ISSN: 1471-2369. UI/PMID: 29724177. Subject(s): Adult | African Americans/px [Psychology] | *African Americans | Aged | Decision Making | *Decision Support Techniques | Female | *Financial Support | Health Knowledge, Attitudes, Practice | Humans | Kidney Transplantation/ec [Economics] | *Kidney Transplantation/mt [Methods] | Kidney Transplantation/px [Psychology] | Living Donors/px [Psychology] | *Living Donors | Male | Middle Aged | Patient Participation/ec [Economics] | Patient Participation/mt [Methods] | Patient Participation/px [Psychology] | Renal Dialysis/ec [Economics] | *Renal Dialysis/mt [Methods] | Renal Dialysis/px [Psychology] | Tissue and Organ Procurement | Treatment Outcome Institution(s): MedStar Good Samaritan Hospital Activity type: Journal Article. Medline article type(s): Journal Article Digital Object Identifier: https://dx.doi.org/10.1186/s12882-018-0901-x (Click here) Abbreviated citation: BMC Nephrol. 19(1):107, 2018 May 03. Local Holdings: Available online from MWHC library: 2000 - present. Abstract: BACKGROUND: African Americans have persistently poor access to living donor kidney transplants (LDKT). We conducted a small randomized trial to provide preliminary evidence of the effect of informational decision support and donor financial assistance interventions on African American hemodialysis patients' pursuit of LDKT. Abstract: METHODS: Study participants were randomly assigned to receive (1) Usual Care; (2) the Providing Resources to Enhance African American Patients' Readiness to Make Decisions about Kidney Disease (PREPARED); or (3) PREPARED plus a living kidney donor financial assistance program. Our primary outcome was patients' actions to pursue LDKT (discussions with family, friends, or doctor; initiation or completion of the recipient LDKT medical evaluation; or identification of a donor). We also measured participants' attitudes, concerns, and perceptions of interventions' usefulness. Abstract: RESULTS: Of 329 screened, 92 patients were eligible and randomized to Usual Care (n=31), PREPARED (n=30), or PREPARED plus financial assistance (n=31). Most participants reported interventions helped their decision making about renal replacement treatments (62%). However there were no statistically significant improvements in LDKT actions among groups over 6 months. Further, no participants utilized the living donor financial assistance benefit. Abstract: CONCLUSIONS: Findings suggest these interventions may need to be paired with personal support or navigation services to overcome key communication, logistical, and financial barriers to LDKT.
Abstract: TRIAL REGISTRATION: ClinicalTrials.gov [ NCT01439516 ] [August 31, 2011].