Arriola Kimberly Jacob, Barrett D'Jata, Pastan Stephen, Perryman Jennie, DuBay Derek, Tresslar Courtney, De Abreu Sara Useche, Di Mengyu, Teunis Larissa, Montoya Miranda, Mangurenje Tatenda, Patzer Rachel E
Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Prog Transplant. 2025 Mar;35(1):5-12. doi: 10.1177/15269248241304794. Epub 2024 Dec 19.
Eliminating racial inequities in access to kidney transplantation requires multilevel interventions that target both patients and health systems.
The aim of this study was to determine whether adding culturally sensitive, web-based patient education to a transplant center-level intervention was associated with increased knowledge, motivation to pursue living donor kidney transplant, and confidence in the behavioral skills to discuss living donation among Black/African American patients with end-stage kidney disease.
A total of 411 transplant candidates were randomized to intervention (N = 222) or control groups (N = 189) and completed measures at baseline and immediate follow-up during the transplant evaluation visit.
Results indicated no significant change in knowledge across time or study condition. At immediate follow-up, participants of both study conditions exhibited a significantly higher motivation to pursue living donation (t = 3.066, < .01) versus at baseline. Both study conditions demonstrated increased confidence in the behavioral skills to discuss living donation over time (t = 3.580, < .001). Process evaluation findings demonstrated limited engagement with the online video content across both conditions.
Results suggest that the intervention did not perform better than control but raised important considerations for the delivery of transplant education targeting Black/African American patients in a busy clinical setting.
消除肾移植获取方面的种族不平等需要针对患者和卫生系统的多层次干预措施。
本研究的目的是确定在移植中心层面的干预措施中增加具有文化敏感性的网络患者教育，是否与晚期肾病的黑人/非裔美国患者在获取活体供肾移植的知识、动机以及讨论活体捐赠行为技能的信心方面的增加有关。
总共411名移植候选人被随机分为干预组（N = 222）或对照组（N = 189），并在移植评估访视期间的基线和即时随访时完成测量。
结果表明，随着时间推移或研究条件的变化，知识水平没有显著变化。在即时随访时，与基线相比，两种研究条件下的参与者在寻求活体捐赠方面的动机均显著更高（t = 3.066，P <.01）。随着时间的推移，两种研究条件下的参与者在讨论活体捐赠行为技能方面的信心均有所增加（t = 3.580，P <.001）。过程评估结果表明，两种情况下对在线视频内容的参与度都有限。
结果表明，该干预措施并不比对照组表现更好，但为在繁忙临床环境中针对黑人/非裔美国患者开展移植教育提出了重要的考虑因素。
