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A distance-based living donor kidney education program for Black wait-list candidates: A feasibility randomized trial.
Sieverdes, John C; Mueller, Martina; Nemeth, Lynne S; Patel, Sachin; Baliga, Prabhakar K; Treiber, Frank A.
Afiliação
  • Sieverdes JC; Department of Health and Human Performance, College of Charleston, Charleston, South Carolina, USA.
  • Mueller M; College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Nemeth LS; College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Patel S; College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Baliga PK; College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Treiber FA; College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
Clin Transplant ; 35(9): e14426, 2021 09.
Article em En | MEDLINE | ID: mdl-34269480
Addressing racial disparities in living donor kidney transplants (LDKT) among Black patients warrants innovative programs to improve living donation rates. The Living Organ Video Educated Donors (LOVED) program is a 2-arm, culturally-tailored, distance-based, randomized controlled feasibility trial. The group-based, 8-week program used peer-navigator led video chat sessions and web-app video education for Black kidney waitlisted patients from United States southeastern state. Primary feasibility results for LOVED (n = 24) and usual care (n = 24) arms included LOVED program tolerability (i.e., 95.8% retention), program fidelity (i.e., 78.9% video education adherence and 72.1% video chat adherence). LDKT attitudinal and knowledge results favored the LOVED group where a statistically significant effect was reported over 6-months for willingness to approach strangers (estimate ± SE: -1.0 ± .55, F(1, 45.3) = 7.5, P = .009) and self-efficacy to advocate for a LDKT -.81 ± .31, F(1, 45.9) = 15.2, P < .001. Estimates were improved but not statistically significant for willingness to approach family and friends, LDKT knowledge and concerns for living donors (all P's > .088). Secondary measures at 6 months showed an increase in calls for LOVED compared to usual care (P = .008) though no differences were found for transplant center evaluations or LDKTs. Findings imply that LOVED increased screening calls and attitudes to approach potential donors but feasibility outcomes found program materials require modification to increase adherence.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Listas de Espera / Doadores Vivos Tipo de estudo: Clinical_trials Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Clin Transplant Assunto da revista: TRANSPLANTE Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Listas de Espera / Doadores Vivos Tipo de estudo: Clinical_trials Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Clin Transplant Assunto da revista: TRANSPLANTE Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos