title: Evaluation of a telenovela designed to improve knowledge and behavioral intentions among Hispanic patients with end-stage renal disease in Southern California.
abstract: OBJECTIVE
  Culturally relevant education is needed to improve rates of successful kidney transplantation among Hispanic patients with end-stage renal disease (ESRD). This study examined whether patients' knowledge about kidney disease, postoperative care, and proactive health practices improved after watching a telenovela series about ESRD.
  
  
  METHODS
  334 ESRD patients and 94 family members/caregivers were assigned to watch a telenovela ('Fixing Paco,' a bilingual health education film) or receive standard of care at a transplant center or at a dialysis clinic. Outcomes for pre-transplant patients assigned to standard of care at dialysis centers or at a transplant center were compared to pre-transplant patients in the treatment condition (standard of care + telenovela).
  
  
  RESULTS
  Knowledge and behavioral intention scores at baseline across conditions and locations were similar, suggesting that assignment resulted in comparable groups at baseline. Using linear regression, this study found statistically significant improvements in knowledge scores among the telenovela group as compared to the standard of care groups. The telenovela group also had greater improvements in behavioral intention scores compared to the standard of care groups. Family members assigned to the telenovela group had significant improvements in knowledge scores as compared to the standard of care groups.
  
  
  CONCLUSIONS
  Being well informed about ESRD and adopting proactive health behaviors are important mechanisms in improving transplantation outcomes. These findings suggest that knowledge about kidney disease, postoperative care, and proactive health practices could be improved by viewing a telenovela. Implications, limitations, and directions for future research are discussed.
authors: a Department of Preventive Medicine , Keck School of Medicine of USC , Los Angeles , CA , USA.
authors: Myriam
authors: M
authors: Forster
authors: a Department of Preventive Medicine , Keck School of Medicine of USC , Los Angeles , CA , USA.
authors: Jon-Patrick
authors: JP
authors: Allem
authors: b Mendez National Institute of Transplantation , Los Angeles , CA , USA.
authors: Nicole
authors: N
authors: Mendez
authors: c Kidney Pancreas Transplant Center, Keck Medical Center of USC , Los Angeles , CA , USA.
authors: Yasir
authors: Y
authors: Qazi
authors: a Department of Preventive Medicine , Keck School of Medicine of USC , Los Angeles , CA , USA.
authors: Jennifer B
authors: JB
authors: Unger
mesh_terms: D000328:Adult; D002140:California; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D033182:Intention; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D013690:Television; D014741:Video Recording
keywords: Hispanic; end-stage renal disease; entertainment-education; health education intervention; kidney transplant; telenovela
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