Increasing live donor kidney transplantation: A randomized controlled trial of a home-based educational intervention

J. R. Rodrigue, D. L. Cornell, J. K. Lin, B. Kaplan, R. J. Howard

Research output: Contribution to journalArticlepeer-review

154 Scopus citations

Abstract

With the shortage of deceased donor kidneys and the superior clinical outcomes possible with live donor kidney transplantation (LDKT), more patients should seriously consider LDKT. However, little is known about how best to educate patients and their family members about LDKT. We evaluated the effectiveness of a home-based (HB) educational program in increasing LDKT. Patients were randomized to clinic-based (CB) education alone (CB, n = 69) or CB plus HB education (CB+HB, n = 63). Compared to CB, more patients in the CB+HB group had living donor inquiries (63.8% vs. 82.5%, p = 0.019) and evaluations (34.8% vs. 60.3%, p = 0.005) and LDKTs (30.4% vs. 52.4%, p = 0.013). Assignment to the CB+HB group, White race, more LDKT knowledge, higher willingness to discuss LDKT with others, and fewer LDKT concerns were predictors of having LDKT (p-values < 0.05). Both groups demonstrated an increase in LDKT knowledge after the CB education, but CB+HB led to an additional increase in LDKT knowledge (p < 0.0001) and in willingness to discuss LDKT with others (p < 0.0001), and a decrease in LDKT concerns (p < 0.0001). Results indicate that an HB outreach program is more effective in increasing LDKT rates than CB education alone.

Original languageEnglish (US)
Pages (from-to)394-401
Number of pages8
JournalAmerican Journal of Transplantation
Volume7
Issue number2
DOIs
StatePublished - Feb 2007
Externally publishedYes

Keywords

  • Clinical trial
  • Donor education
  • Kidney transplantation
  • Living donation

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation
  • Pharmacology (medical)

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