Elisa J. Gordon|Min?Woong Sohn|Chih Hung Chang|Gwen McNatt|Karina Vera|N. Beauvais|Emily Warren|Roslyn B. Mannon|Michael G. Ison
Effect of a Mobile Web App on Kidney Transplant Candidates' Knowledge About Increased Risk Donor Kidneys
Cal Humanities|Northwestern University|University of Virginia|Northwestern University|Shirley Ryan AbilityLab|Northwestern Memorial Hospital|Northwestern University|Northwestern Memorial Hospital|University of Minnesota Medical Center|Miami Transplant Institute|University of Alabama at Birmingham|Northwestern University
brief background kidney transplant candidates ktcs must provide informed consent accept kidneys increased risk donors ird poorly understand conducted multisite randomized controlled trial evaluate efficacy mobile web application inform increasing knowledge irds methods kidney transplant candidates undergoing transplant evaluation 2 transplant centers randomized use inform routine transplant education intervention routine transplant education alone control computer adaptive learning method reinforced learning embedding educational material initial test 1 additional test questions test 2 chapter knowledge primary outcome assessed person education tests 1 2 1 week later telephone test 3 controls receive test 2 willingness accept ird kidney secondary outcome assessed tests 1 3 linear regression test 1 knowledge scores used test significance inform exposure controlling covariates multiple imputation used intentiontotreat analysis results two hundred eightyeight ktcs participated intervention participants higher test 1 knowledge scores mean difference 661 95 confidence interval 95 ci 537786 control participants representing 44 higher score control participants scores intervention participants knowledge scores increased educational reinforcement test 2 compared control arm test 1 scores mean difference 950 95 ci 8271073 1 week intervention participants knowledge remained greater controls knowledge mean difference 363 95 ci 249478 test 3 willingness accept ird kidney differ study arms tests 1 3 conclusions inform use associated greater ktc knowledge ird kidneys routine transplant education alone randomized controlled trial conducted 2 transplant centers suggests use mobile web application increases knowledge acquisition retention regarding increased risk donors compared routine transplant education alone influence acceptance remains determined