Educational Animations to Inform Transplant Candidates About Deceased Donor Kidney Options: An Efficacy Randomized Trial

Kayler, Liise K.; Dolph, Beth; Cleveland, Chelsea N; Keller, Maria; Feeley, Thomas Hugh

doi:10.1097/txd.0000000000001026

Cited by 17 publications

(56 citation statements)

References 33 publications

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“…Both videos could be paused and replayed an unlimited number of times. After video viewing was complete, participants answered 1 question about whether they watched the videos and the device used, followed by survey questions identical to the pre-tests, with the sociodemographic questions replaced by animation acceptability questions (11 items, 5-point Likert scale), which was developed by the researchers (α=0.92) [ 38 ]. All survey questions were required and posed sequentially without the option of going backward.…”

Section: Methodsmentioning

confidence: 99%

Kidney Transplant Evaluation and Listing: Development and Preliminary Evaluation of Multimedia Education for Patients

et al. 2021

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Background Patient knowledge gaps about the evaluation and waitlisting process for kidney transplantation lead to delayed and incomplete testing, which compromise transplant access. We aimed to develop and evaluate a novel video education approach to empower patients to proceed with the transplant evaluation and listing process and to increase their knowledge and motivation. Material/Methods We developed 2 theory-informed educational animations about the kidney transplantation evaluation and listing process with input from experts in transplantation and communication, 20 candidates/recipients, 5 caregivers, 1 anthropologist, 3 community advocates, and 36 dialysis or transplant providers. We then conducted an online pre-post study with 28 kidney transplantation candidates to measure the acceptability and feasibility of the 2 videos to improve patients’ evaluation and listing knowledge, understanding, and concerns. Results Compared with before intervention, the mean knowledge score increased after intervention by 38% (5.7 to 7.9; P <0.001). Increases in knowledge effect size were large across age group, health literacy, education, technology access, and duration of pretransplant dialysis. The proportion of positive responses increased from before to after animation viewing for understanding the evaluation process (25% to 61%; P =0.002) and waitlist placement (32% to 86%; P <0.001). Concerns about list placement decreased (32% to 7%; P =0.039). After viewing the animations , >90% of responses indicated positive ratings on trusting the information, comfort level with learning, and engagement. Conclusions In partnership with stakeholders, we developed 2 educational animations about kidney transplant evaluation and listing that were positively received by patients and have the potential to improve patient knowledge and understanding and reduce patient concerns.

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Section: Methodsmentioning

confidence: 99%

Kidney Transplant Evaluation and Listing: Development and Preliminary Evaluation of Multimedia Education for Patients

et al. 2021

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“…Of these, 1245 studies did not meet inclusion criteria. Full-text reviews (or review of abstracts retained in order to contact the authors to determine if a full-text manuscript had been published), were conducted on the resulting 101 studies, yielding 12 studies [41][42][43][44][45][46][47][48][49][50][51][52] for the systematic review.…”

Section: Study Selectionmentioning

confidence: 99%

Non‐pharmacological interventions engaging organ transplant caregivers: A systematic review

Jesse

Gartrelle

Bruschwein

et al. 2022

Clinical Transplantation

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Introduction Lay‐caregivers in organ transplantation (to candidates, recipients, and donors) are essential to pre‐ and postoperative care, but report significant caregiving‐related stressors. This review aims to summarize studies testing nonpharmacological interventions aimed at improving organ transplant caregiver‐reported outcomes. Methods In accordance with PRISMA, we conducted a systematic review (searched PubMed, Embase, Cochrane Central, PsycInfo, and CINAHL, no start‐date restriction through 7/1/2021). Quality of comparative studies assessed by ROBS‐2 or ROBINS. Results Twelve studies met inclusion. Study designs, interventions, and outcomes varied. Sample sizes were small across caregivers to adults (nine studies, five with caregiver samples ns≤50) and pediatric patients (three studies, caregiver samples ns≤16). Study designs included seven single‐arm interventions, two prepost with comparison cohorts, and three randomized‐controlled trials. Eight studies included transplant‐specific education as the intervention, an interventional component, or as the comparison group. Outcomes included transplant specific knowledge, mental health, and intervention acceptability. Of the nine prepost caregiver assessments and/or comparison groups, four studies demonstrated no statistically significant intervention effects. Conclusion Few interventions addressing the needs of organ transplant caregivers have been empirically evaluated. Existing interventions were well‐received by caregivers. Given complexities of care in transplantation, research is needed evaluating interventions using rigorous trial methodology with adequate samples.

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“…Each set of videos was always viewed in the same order. Immediately after viewing the designated video set (T1), participants completed the post‐tests containing the same questions as the pretest, followed by a 12‐item Video Acceptability survey (α = .92; 5‐point Likert) that was developed by the researchers 23 . Research staff then showed participants how to navigate the web platform.…”

Section: Study Protocolmentioning

confidence: 99%

“…Immediately after viewing the designated video set (T1), participants completed the post-tests containing the same questions as the pretest, followed by a 12-item Video Acceptability survey (α = .92; 5-point Likert) that was developed by the researchers. 23 Research staff then showed participants how to navigate the web platform. The platform offers users the ability to select which videos they would prefer to watch rather than a set sequential order (Figure 1).…”

Section: Study Protocolmentioning

confidence: 99%

Video education to facilitate patient outreach about living kidney donation: A proof of concept

Kayler

Seibert

Dolph

et al. 2021

Clinical Transplantation

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Background Increasing living‐donor kidney transplantation (LDKT) requires education of transplant candidates and their social network. This pre‐post study tested the feasibility and acceptability of KidneyTIME, an intervention which leverages LDKT video‐based educational content designed for sharing. Methods Adult kidney candidates undergoing transplant evaluation/re‐evaluation and their caregivers at a single transplant center viewed different sets of KidneyTIME videos prior to evaluation. Change in LDKT knowledge, self‐efficacy, and concerns was assessed before and immediately after exposure and 3 weeks later. Also assessed were post‐exposure program feedback, online use, and living donor (LD) inquiry. Results A total of 82 candidates and 79 caregivers participated. Viewers of KidneyTIME demonstrated increases in mean LDKT knowledge by +71% and communication self‐efficacy by +48%, and reductions in concerns by ‐21%. The intervention was received positively, with over 95% of participants agreeing that the videos were understandable, credible, and engaging. By 3 weeks follow‐up, 58% had viewed it again, 63% of family clusters had shared it, and 100% would recommend the program to a friend. Time to LD inquiry was similar to historic controls. Conclusion KidneyTime improved facilitators of LDKT, was rated as highly acceptable, and was highly shared, but did not impact LD inquiry during the COVID‐19 pandemic.

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Educational Animations to Inform Transplant Candidates About Deceased Donor Kidney Options: An Efficacy Randomized Trial

Cited by 17 publications

References 33 publications

Kidney Transplant Evaluation and Listing: Development and Preliminary Evaluation of Multimedia Education for Patients

Kidney Transplant Evaluation and Listing: Development and Preliminary Evaluation of Multimedia Education for Patients

Non‐pharmacological interventions engaging organ transplant caregivers: A systematic review

Video education to facilitate patient outreach about living kidney donation: A proof of concept

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