A Hospital-Based Educational Approach to Increase Live Donor Kidney Transplantation among Blacks and Hispanics
Ixel Cervera, Mencia Gomez DeVargas, Carlos M. Cortes, Sayeeda Ahsanuddin, Monica Defeo, Patricia McDonough, Carmen Velez, Jiyoung Kim, Paula Marcus, Liise Kayler
(Department of Surgery, Lincoln Medical and Mental Health Center, Bronx, NY, USA)
Med Sci Tech 2015; 56:43-52
Little research is available on interventions to reduce racial/ethnic disparities in living donor kidney transplantation (LDKT).
MATERIAL AND METHODS: Active kidney candidates and a guest at 1 center in New York were invited to attend 2 different hospital-based educational approaches including: (1) a pre-transplant support group (SG) providing nonspecific transplant education (n=34) and (2) a didactic educational class specifically aimed at LDKT education (LDE) (n=75). The LDE intervention was culturally sensitive for Hispanics, including using a Spanish-speaking minority health educator. Follow-up was 10 months.
RESULTS: The LDE group had significantly more candidates that: had a married/domestic partner (61.3% vs. 23.5%), attended with a guest (54.1% vs. 27.3%), knew their list status (active vs. inactive; (53.3% vs. 26.5%), were in a higher stage of readiness for LDKT (stage 4 or 5=33.9% vs. 13.7%), and were somewhat more likely to be Hispanic (41.3% vs. 32.3%) compared to controls. LDE resulted in somewhat more potential donors contacting our center (14.7% vs. 2.9%, p=0.0994), presenting for evaluation (6.7% vs. 0%, p=0.3220), and proceeding with donation (2.6% vs. 0%, p=1.0). The LDE live donor inquiry rate was 22.6% for Hispanics and 15.4% for blacks.
CONCLUSIONS... read more
Keywords: Education, Kidney Transplantation, Minority Groups