Kidney Transplant; Complications, Medication Adherence, Patient Empowerment, Patient Satisfaction
Conditions
Keywords
patient education post-kidney transplant
Brief summary
The purpose of this research study is to determine the effectiveness of educational videos for patients who have just had kidney transplant compared to usual patient education practices. Eligible patients will have the opportunity to enroll in this study after their transplant procedure either before hospital discharge or at their first follow up clinic visit.
Detailed description
Participants will then complete a demographic survey and knowledge assesment to establish their baseline of knowledge regarding post-transplant care, medication adherence and patient satisfaction. Participants will then be randomly selected to receive either the usual patient education care provided for patients following kidney transplant, or to receive the usual care plus access to educational videos designed especially for post- transplant patients. Videos can be viewed on a tablet computer with their transplant team during clinic visits and at home using a smartphone. At 3 months post-transplant, all participants will be asked to repeat the knowledge assessment. Hospital re-admissions and patient satisfaction will be measured at 6 months after transplant.
Interventions
BEHAVIORALSOC + Educational Videos Designed Especially for post-transplant patients
Patient focused videos (3-5 minutes each) with topics that will include: What to Expect After Transplant, What is the Kidney, Understanding your Labs, Transplant Medications, General Medical Care Post-Transplant, When to Call your Coordinator, and Self-Management/Sick Day protocols. Video curriculum will be offered in two ways. First, tablet computers with active links to each video will be available in kidney transplant clinic. At provider/coordinator discretion, study participants may also view videos while waiting for other appointments. In addition, for patients with smartphones who consent to this, a desktop link will be provided to the transplant video curriculum webpage (mobile friendly view).
Sponsors
Haller Foundation
Duke University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized 1:1 to either receive intervention (usual care + videos) or no intervention (usual care only.)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* recent kidney transplant recipients * competent with the capacity to give legal written consent
Exclusion criteria
* Unable to sign informed consent. * Patients with delirium, dementia, or other cognitive impairment that would not allow informed consent to enter the study. * patients with severe vision or auditory impairment who are unable to view or hear electronic videos at close range. * patients who are unable to understand the English language.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient transplant knowledge during intervention as measured by the scores from the Transplant Knowledge block within the Duke Transplant University Assessment | Baseline to 3 months | Change will be measured by comparing the scores from the Transplant Knowledge assessments completed at baseline and 3 months. |
| Change in perceptions of self-efficacy as measured by the scores from the Self-Efficacy and Resiliency assessment within the Duke Transplant University Assessment | Baseline to 3 months | Change will be measured by comparing the scores from the Self-Efficacy and Resiliency assessments completed at baseline and 3 months. |
| Number of medication errors made post-transplant as measured by pillbox errors | 1 month, 2 months and 3 months | The number of medication errors will be measured by counting number of pill box errors identified by pharmacist's review of patient's pillbox during transplant follow up clinic visits conducted at 1 month, 2 months and 3 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients' satisfaction with the transplant experience as measured by satisfaction ratings | Baseline and 6 months | Patients' satisfaction with the transplant experience will be measured by the rating scores from general satisfaction metrics. |
| Number of hospital re-admissions post transplant | Baseline to 6 months | Hospital re-admissions will be collected from patient report and review of electronic medical record |
Countries
United States
Outcome results
None listed