L. Ebony Boulware|Felicia Hill-Briggs|Edward S. Kraus|J. Keith Melancon|Brenda Falcone|Patti L. Ephraim|Bernard G. Jaar|Luis F. Gimenez|Michael Choi|Mikiko Senga|Maria Kolotos|LaPricia Lewis-Boyér|Courtney Cook|Laney S. Light|Nicole DePasquale|Todd Noletto|Neil R. Powe
Effectiveness of Educational and Social Worker Interventions to Activate Patients' Discussion and Pursuit of Preemptive Living Donor Kidney Transplantation: A Randomized Controlled Trial
Johns Hopkins University|Welch Foundation|Welch Foundation|Johns Hopkins University|Johns Hopkins University|Children's National|Georgetown University|National Kidney Foundation|Johns Hopkins University|Johns Hopkins University|Welch Foundation|Nephrology Center of Maryland|Nephrology Center of Maryland|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|University of San Francisco|San Francisco General Hospital
many patients chronic kidney disease ckd difficulty becoming actively engaged pursuit preemptive living donor kidney transplantationthe talking live kidney donation talk study randomized controlled trial effectiveness educational social worker interventions designed encourage early discussions active pursuit preemptive living donor kidney transplantation patients progressive ckdwe recruited participants progressive ckd academically affiliated nephrology practices baltimore mdparticipants randomly received 1 usual care routine care nephrologists 2 talk education intervention video booklet 3 talk social worker intervention video booklet plus patient family social worker visitswe followed participants 6 months assess selfreported achievement behaviors reflecting discussions andor pursuit living donor kidney transplantation discussions family discussions physicians initiating recipient evaluation completing recipient evaluation identifying potential living donorwe assessed outcomes questionnaire 1 3 6months followupparticipants receiving usual care nephrologists n 44 talk education n 43 talk social worker n 43 similar baseline talk study interventions improved participants living donor kidney transplantation discussion pursuit behaviors social worker leading greater patient activation participants predicted probability achieving living donor kidney transplantation discussions evaluations donor identification 6 months probabilities 30 95 ci 2046 42 95 ci 3354 58 95 ci 4183 respectively usual care talk education talk social worker groups p 003our population well educated mostly insured potentially limiting generalizability findingstalk interventions improved discussion active pursuit living donor kidney transplantation patients progressive ckd may improve use preemptive living donor kidney transplantation