Your Path to Transplant: A Randomized Control Trial of A Tailored Computer Education Intervention for Living Donor Kidney Transplant

Completed · Not applicable

Conditions studied: End Stage Renal Disease

In brief

Because of the deceased donor organ shortage, more kidney patients are considering whether to receive kidneys from family and friends, a process called living donor kidney transplantation (LDKT). Although Blacks are 3.4 times more likely to develop end stage renal disease, they are less likely to receive LDKTs. To address this disparity, this randomized controlled trial will assess whether Black and White transplant patients' knowledge and receipt of LDKTs can be increased when they receive access to the Your Path to Transplant computerized Expert System (YPT). This trial will also examine how other known patient, family, and healthcare system barriers to LDKT impact YPT's effectiveness. Nine hundred (900) Black,White and Hispanic ESRD patients presenting for transplant medical evaluation at University of California-Los Angeles Kidney and Pancreas Transplant Program (UCLA-KPTP) in Los Angeles, California will be stratified by race and randomly assigned to one of two education conditions (YPT vs. Usual Care Education). As they undergo transplant evaluation, patients in the YPT condition will receive individually-tailored feedback reports, coaching, and socioeconomic resource guidance associated with reducing barriers to access to LDKT. Control patients will receive usual care transplant education provided by UCLA-KPTP. Changes in knowledge, readiness to pursue LDKT, pros/cons to LDKT, and self-efficacy will be assessed at four time points: prior to presenting at the transplant center (baseline), during transplant evaluation (approximately 2 months post-baseline), and 4- and 8-months post-baseline. Completion of transplant evaluation and receipt of LDKTs will be assessed 18-months post-baseline. At the conclusion of the study, we will have developed an innovative and cost-effective YPT Computerized Expert System that could be utilized to tailor LDKT discussion and education in different medical settings based on the needs of individual patients of different races.

Key facts

Study ID

NCT02181114

Run by

The Methodist Hospital Research Institute

People needed

815

Starts

2014-05-01

Expected to finish

2017-12-01

Last updated by the study team

2023-12-28

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Self-identify as Black, White, or Hispanic
• Must not have been deemed kidney transplant ineligible by UCLA Kidney and Pancreas Transplant Program
• Cannot be listed at another transplant center
• Can read English

You may not qualify if…

• Does not self-identify as Black, White, or Hispanic
• Deemed ineligible to receive a kidney transplant by UCLA Kidney and Transplant Program
• Listed at another transplant center
• Cannot read English

Where it is running

• UCLA Division of Nephrology — Los Angeles, California, United States
• University of Rhode Island — Kingston, Rhode Island, United States

Full record on ClinicalTrials.gov

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