title: Living donor transplant education for African American patients with end-stage renal disease.
abstract: BACKGROUND
  Despite numerous benefits of live donor kidney transplant (LDKT), patient-level barriers often prevent African Americans from considering LDKT. Educational interventions designed to address patient-level barriers may increase willingness among African American patients with end-stage renal disease to explore LDKT as a treatment option.
  
  
  OBJECTIVE
  To assess the effectiveness of a culturally sensitive educational intervention called Living ACTS (About Choices in Transplantation and Sharing) that was designed to address patient-level barriers to LDKT among African American patients with end-stage renal disease.
  
  
  METHODS
  Patients were randomized to intervention (n = 136) or control (n = 132) groups. They completed baseline measures and then viewed either the Living ACTS or control video. Both groups then completed an immediate follow-up measure and a 6-month assessment administered via telephone.
  
  
  METHODS
  Self-reported knowledge about LDKT, willingness to talk to the patient's family about LDKT, and perceived benefits of LDKT were measured at 3 time points.
  
  
  RESULTS
  At 6-month follow-up, intervention participants demonstrated a significantly greater increase in knowledge of LDKT than control participants (F2,229=3.08, P= .05). Intervention participants expressed greater willingness to talk to patients' families about LDKT than did control participants from baseline through 6-month follow-up (F1,230 = 7.11, P= .008). Finally, at immediate follow-up, intervention participants reported greater endorsement of the benefits of LDKT than did control participants (F2,223 = 14.27, P< .001); however, this effect had disappeared by the 6-month follow-up.
  
  
  CONCLUSIONS
  Living ACTS is effective at increasing and maintaining knowledge about LDKT among African American patients with end-stage renal disease who are considering transplant.
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Kimberly R Jacob
authors.initials: KR
authors.lastname: Arriola
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: C Lamonte
authors.initials: CL
authors.lastname: Powell
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Nancy J
authors.initials: NJ
authors.lastname: Thompson
authors.affiliation: Emory Transplant Center, Atlanta, Georgia.
authors.forename: Jennie P
authors.initials: JP
authors.lastname: Perryman
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Mohua
authors.initials: M
authors.lastname: Basu
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic