title: A before and after cross-sectional analysis of a public health campaign to increase kidney health awareness in a Canadian province.
abstract: BACKGROUND
  Chronic kidney disease (CKD) has a major impact on patient health and health system resources. The prevalence of kidney disease is increasing, with Manitoba being one of the provinces in Canada with the highest per capita rate of CKD and end stage renal disease (Anonymous, Canadian organ replacement register annual report: treatment of end-stage organ failure in Canada, 2001-2010, 2011). In 2011, a public health campaign to promote kidney health, by increasing awareness of CKD and its risk factors, was created to target high-risk individuals such as First Nations and those with hypertension and diabetes in urban and rural/remote Manitoba. In this study, we aimed to determine the effectiveness of this public health campaign on increasing the awareness of CKD.
  
  
  METHODS
  Our public health campaign ran in March 2011, and employed a multifaceted approach with radio, television, internet, and print advertisements. Campaign awareness and understanding of the public health message were assessed with a telephone omnibus survey of randomly selected individuals with a Manitoba area code during February and April 2011. A before and after cross-sectional analysis was utilized to measure the effect of exposure to the campaign in telephone respondents.
  
  
  RESULTS
  1606 individuals participated in the survey (804 pre and 802 post). Overall awareness of the campaign messaging increased from 7% pre campaign to 25% in the post campaign period. Approximately two-thirds of respondents correctly identified a main theme message of the campaign. Awareness improved across most subgroups surveyed aside from those with lower education and income.
  
  
  CONCLUSIONS
  Our study demonstrates the effective reach of our campaign and its relative effectiveness at raising awareness of chronic kidney disease and its risk factors.
authors.affiliation: Department of Medicine, Section of Nephrology, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. kryz@sbgh.mb.ca.
authors.forename: Krista
authors.initials: K
authors.lastname: Ryz
authors.affiliation: Department of Medicine, Section of Nephrology, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. ntangri@sogh.mb.ca.|University of Manitoba, Seven Oaks General Hospital, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. ntangri@sogh.mb.ca.|Manitoba Renal Program, Winnipeg Regional Health Authority, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. ntangri@sogh.mb.ca.|Department of Community Health Sciences, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. ntangri@sogh.mb.ca.
authors.forename: Navdeep
authors.initials: N
authors.lastname: Tangri
authors.affiliation: Department of Medicine, Section of Nephrology, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. mverrelli@sbgh.mb.ca.|Manitoba Renal Program, Winnipeg Regional Health Authority, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. mverrelli@sbgh.mb.ca.|St. Boniface General Hospital, 409 Taché Ave, Winnipeg, MB, R2H 2A6, Canada. mverrelli@sbgh.mb.ca.
authors.forename: Mauro
authors.initials: M
authors.lastname: Verrelli
authors.affiliation: Manitoba Renal Program, Winnipeg Regional Health Authority, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. jschneider@exchange.hsc.mb.ca.|Health Sciences Centre, 820 Sherbrook St, Winnipeg, MB, R3A 1R9, Canada. jschneider@exchange.hsc.mb.ca.
authors.forename: Jan
authors.initials: J
authors.lastname: Schneider
authors.affiliation: Manitoba Renal Program, Winnipeg Regional Health Authority, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. alesyk@wrha.mb.ca.
authors.forename: Amie
authors.initials: A
authors.lastname: Lesyk
authors.affiliation: Department of Medicine, Section of Nephrology, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. aeng3@wrha.mb.ca.
authors.forename: Amanda
authors.initials: A
authors.lastname: Eng
authors.affiliation: St. Boniface General Hospital, 409 Taché Ave, Winnipeg, MB, R2H 2A6, Canada. bhiebert3@sbgh.mb.ca.
authors.forename: Brett
authors.initials: B
authors.lastname: Hiebert
authors.affiliation: Department of Community Health Sciences, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. rwhitlock@sogh.mb.ca.
authors.forename: Reid H
authors.initials: RH
authors.lastname: Whitlock
authors.affiliation: Department of Medicine, The Ottawa Hospital Research Institute, University of Ottawa, 725 Parkdale Ave, Ottawa, ON, K1Y 4E9, Canada. msood99@gmail.com.
authors.forename: Manish M
authors.initials: MM
authors.lastname: Sood
authors.affiliation: Department of Medicine, Section of Nephrology, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. crigatto@sogh.mb.ca.|University of Manitoba, Seven Oaks General Hospital, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. crigatto@sogh.mb.ca.|Manitoba Renal Program, Winnipeg Regional Health Authority, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. crigatto@sogh.mb.ca.|Department of Community Health Sciences, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. crigatto@sogh.mb.ca.
authors.forename: Claudio
authors.initials: C
authors.lastname: Rigatto
authors.affiliation: Department of Medicine, Section of Nephrology, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. paulkomenda@yahoo.com.|University of Manitoba, Seven Oaks General Hospital, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. paulkomenda@yahoo.com.|Manitoba Renal Program, Winnipeg Regional Health Authority, 2300 Mcphillips St, Winnipeg, MB, R2V 3M3, Canada. paulkomenda@yahoo.com.|Department of Community Health Sciences, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, Canada. paulkomenda@yahoo.com.
authors.forename: Paul
authors.initials: P
authors.lastname: Komenda
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008350:Manitoba; D008875:Middle Aged; D051436:Renal Insufficiency, Chronic; D012307:Risk Factors; D055815:Young Adult