Effect of the iChoose Kidney decision aid in improving knowledge about treatment options among transplant candidates: A randomized controlled trial

We previously developed a mobile‐ and web‐based decision aid (iChoose Kidney) that displays individualized risk estimates of survival and mortality, for the treatment modalities of dialysis versus kidney transplantation. We examined the effect of iChoose Kidney on change in transplant knowledge and...

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Vydané v:American journal of transplantation Ročník 18; číslo 8; s. 1954 - 1965
Hlavní autori: Patzer, Rachel E., McPherson, Laura, Basu, Mohua, Mohan, Sumit, Wolf, Michael, Chiles, Mariana, Russell, Allison, Gander, Jennifer C., Friedewald, John J., Ladner, Daniela, Larsen, Christian P., Pearson, Thomas, Pastan, Stephen
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Elsevier Limited 01.08.2018
Predmet:
clinical research/practice
Clinical trials
Decision Support Systems, Clinical - instrumentation
Dialysis
education
Evidence-based medicine
Female
Follow-Up Studies
Health Knowledge, Attitudes, Practice
health services and outcomes research
Humans
Intervention
kidney disease
Kidney diseases
Kidney Failure, Chronic - therapy
Kidney transplantation
Kidney Transplantation - mortality
kidney transplantation/nephrology
Kidney transplants
Knowledge
Male
Middle Aged
patient education
Patient Education as Topic
patient survival
Patients
Prognosis
Renal Dialysis - mortality
Risk Assessment
Survival Rate
Tissue Donors
Transplant Recipients - education
Transplants & implants
dialysis
education
patient survival
clinical research/practice
kidney transplantation/nephrology
patient education
kidney disease
health services and outcomes research
ISSN:1600-6135, 1600-6143, 1600-6143
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Popis
Shrnutí:We previously developed a mobile‐ and web‐based decision aid (iChoose Kidney) that displays individualized risk estimates of survival and mortality, for the treatment modalities of dialysis versus kidney transplantation. We examined the effect of iChoose Kidney on change in transplant knowledge and access to transplant in a randomized controlled trial among patients presenting for evaluation in three transplant centers. A total of 470 patients were randomized to standard transplantation education (control) or standard education plus iChoose Kidney (intervention). Change in transplant knowledge (primary outcome) among intervention versus control patients was assessed using nine items in pre‐ and postevaluation surveys. Access to transplant (secondary outcome) was defined as a composite of waitlisting, living donor inquiries, or transplantation. Among 443 patients (n = 226 intervention; n = 216 control), the mean knowledge scores were 5.1 ± 2.1 pre‐ and 5.8 ± 1.9 postevaluation. Change in knowledge was greater among intervention (1.1 ± 2.0) versus control (0.4 ± 1.8) patients (P < .0001). Access to transplantation was similar among intervention (n = 168; 74.3%) versus control patients (n = 153; 70.5%; P = .37). The iChoose Kidney decision aid improved patient knowledge at evaluation, but did not impact transplant access. Future studies should examine whether combining iChoose Kidney with other interventions can increase transplantation. (Clinicaltrials.gov NCT02235571) The use of iChoose Kidney, a shared decision aid, to educate patients about the survival of transplant versus dialysis is associated with improved patient knowledge about transplantation, but not transplant access among a population of end‐stage renal disease patients presenting for kidney transplant evaluation in a multicenter randomized trial.
Bibliografia:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ObjectType-Evidence Based Healthcare-1
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ISSN:1600-6135
1600-6143
1600-6143
DOI:10.1111/ajt.14693