TitleProtocol of a randomized controlled trial of culturally sensitive interventions to improve African Americans' and non-African Americans' early, shared, and informed consideration of live kidney transplantation: the Talking About Live Kidney Donation (TALK
Publication TypeJournal Article
Year of Publication2011
AuthorsL Boulware, E, Hill-Briggs, F, Kraus, ES, J Melancon, K, McGuire, R, Bonhage, B, Senga, M, Ephraim, P, Evans, KE, Falcone, B, Troll, MU, DePasquale, N, Powe, NR
JournalBMC Nephrol
Volume12
Pagination34
Date Published2011 Jul 08
ISSN1471-2369
KeywordsAfrican Americans, Clinical Protocols, Cross-Cultural Comparison, Female, Follow-Up Studies, Health Knowledge, Attitudes, Practice, Humans, Informed Consent, Kidney Transplantation, Living Donors, Male, Patient Education as Topic
Abstract

<p><b>BACKGROUND: </b>Live kidney transplantation (LKT) is underutilized, particularly among ethnic/racial minorities. The effectiveness of culturally sensitive educational and behavioral interventions to encourage patients' early, shared (with family and health care providers) and informed consideration of LKT and ameliorate disparities in consideration of LKT is unknown.</p><p><b>METHODS/DESIGN: </b>We report the protocol of the Talking About Live Kidney Donation (TALK) Study, a two-phase study utilizing qualitative and quantitative research methods to design and test culturally sensitive interventions to improve patients' shared and informed consideration of LKT. Study Phase 1 involved the evidence-based development of culturally sensitive written and audiovisual educational materials as well as a social worker intervention to encourage patients' engagement in shared and informed consideration of LKT. In Study Phase 2, we are currently conducting a randomized controlled trial in which participants with progressing chronic kidney disease receive: 1) usual care by their nephrologists, 2) usual care plus the educational materials, or 3) usual care plus the educational materials and the social worker intervention. The primary outcome of the randomized controlled trial will include patients' self-reported rates of consideration of LKT (including family discussions of LKT, patient-physician discussions of LKT, and identification of an LKT donor). We will also assess differences in rates of consideration of LKT among African Americans and non-African Americans.</p><p><b>DISCUSSION: </b>The TALK Study rigorously developed and is currently testing the effectiveness of culturally sensitive interventions to improve patients' and families' consideration of LKT. Results from TALK will provide needed evidence on ways to enhance consideration of this optimal treatment for patients with end stage renal disease.</p><p><b>TRIAL REGISTRATION: </b>ClinicalTrials.gov number, NCT00932334.</p>

DOI10.1186/1471-2369-12-34
Alternate JournalBMC Nephrol
PubMed ID21736762
PubMed Central IDPMC3150247
Grant ListK01HL076644 / HL / NHLBI NIH HHS / United States
K23DK070757 / DK / NIDDK NIH HHS / United States
K240502643 / / PHS HHS / United States
R39OT07537 / / PHS HHS / United States