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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Vydáno v:American journal of transplantation Ročník 18; číslo 8; s. 1954 - 1965
Hlavní autoři: 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:angličtina
Vydáno: United States Elsevier Limited 01.08.2018
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ISSN:1600-6135, 1600-6143, 1600-6143
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Abstract 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.
AbstractList 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 post-evaluation. 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. (https://Clinicaltrials.gov NCT02235571)
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)
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).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).
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).
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.
Author McPherson, Laura
Wolf, Michael
Larsen, Christian P.
Pearson, Thomas
Chiles, Mariana
Russell, Allison
Friedewald, John J.
Basu, Mohua
Patzer, Rachel E.
Ladner, Daniela
Gander, Jennifer C.
Mohan, Sumit
Pastan, Stephen
AuthorAffiliation 2 Division of Nephrology, Department of Medicine, Columbia University Medical Center, New York, NY, USA
3 Northwestern University Comprehensive Transplant Center, Chicago, IL, USA
4 Renal Division, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA
1 Division of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA
AuthorAffiliation_xml – name: 3 Northwestern University Comprehensive Transplant Center, Chicago, IL, USA
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– name: 4 Renal Division, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA
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Issue 8
Keywords dialysis
education
patient survival
clinical research/practice
kidney transplantation/nephrology
patient education
kidney disease
health services and outcomes research
Language English
License 2018 The American Society of Transplantation and the American Society of Transplant Surgeons.
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wiley_primary_10_1111_ajt_14693_AJT14693
PublicationCentury 2000
PublicationDate August 2018
PublicationDateYYYYMMDD 2018-08-01
PublicationDate_xml – month: 08
  year: 2018
  text: August 2018
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: Malden
PublicationTitle American journal of transplantation
PublicationTitleAlternate Am J Transplant
PublicationYear 2018
Publisher Elsevier Limited
Publisher_xml – name: Elsevier Limited
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SSID ssj0017282
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Snippet We previously developed a mobile‐ and web‐based decision aid (iChoose Kidney) that displays individualized risk estimates of survival and mortality, for the...
We previously developed a mobile- and web-based decision aid (iChoose Kidney) that displays individualized risk estimates of survival and mortality, for the...
We previously developed a mobile- and web-based decision aid (iChoose Kidney) that displays individualized risk estimates of survival and mortality for the...
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crossref
wiley
SourceType Open Access Repository
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Index Database
Enrichment Source
Publisher
StartPage 1954
SubjectTerms 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
Title Effect of the iChoose Kidney decision aid in improving knowledge about treatment options among transplant candidates: A randomized controlled trial
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fajt.14693
https://www.ncbi.nlm.nih.gov/pubmed/29446209
https://www.proquest.com/docview/2078620164
https://www.proquest.com/docview/2002481554
https://pubmed.ncbi.nlm.nih.gov/PMC6510396
Volume 18
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