Show simple item record

dc.contributor.authorBoulware, L.E.
dc.contributor.authorEphraim, P.L.
dc.contributor.authorAmeling, J.
dc.date.accessioned2019-06-21T18:46:31Z
dc.date.available2019-06-21T18:46:31Z
dc.date.issued2018
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85046488995&doi=10.1186%2fs12882-018-0901-x&partnerID=40&md5=6531d14c19b28848e2c00f9ac652a783
dc.identifier.urihttp://hdl.handle.net/10713/9747
dc.description.abstractBackground: African Americans have persistently poor access to living donor kidney transplants (LDKT). We conducted a small randomized trial to provide preliminary evidence of the effect of informational decision support and donor financial assistance interventions on African American hemodialysis patients' pursuit of LDKT. Methods: Study participants were randomly assigned to receive (1) Usual Care; (2) the Providing Resources to Enhance African American Patients' Readiness to Make Decisions about Kidney Disease (PREPARED); or (3) PREPARED plus a living kidney donor financial assistance program. Our primary outcome was patients' actions to pursue LDKT (discussions with family, friends, or doctor; initiation or completion of the recipient LDKT medical evaluation; or identification of a donor). We also measured participants' attitudes, concerns, and perceptions of interventions' usefulness. Results: Of 329 screened, 92 patients were eligible and randomized to Usual Care (n = 31), PREPARED (n = 30), or PREPARED plus financial assistance (n = 31). Most participants reported interventions helped their decision making about renal replacement treatments (62%). However there were no statistically significant improvements in LDKT actions among groups over 6 months. Further, no participants utilized the living donor financial assistance benefit. Conclusions: Findings suggest these interventions may need to be paired with personal support or navigation services to overcome key communication, logistical, and financial barriers to LDKT. Copyright 2018 The Author(s).en_US
dc.description.urihttps://dx.doi.org/10.1186/s12882-018-0901-xen_US
dc.language.isoen-USen_US
dc.publisherBioMed Central Ltd.en_US
dc.relation.ispartofBMC Nephrology
dc.subjectDecision aiden_US
dc.subjectEnd stage renal diseaseen_US
dc.subjectFinancial supporten_US
dc.subjectLive donor kidney transplanten_US
dc.subjectRace disparitiesen_US
dc.titleEffectiveness of informational decision aids and a live donor financial assistance program on pursuit of live kidney transplants in African American hemodialysis patientsen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s12882-018-0901-x
dc.identifier.pmid29724177


This item appears in the following Collection(s)

Show simple item record