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ID
Source
Brief title
Health condition
Living kidney transplantation rates have been increasing and now even exceed those of deceased donor kidney transplantation in the Netherlands (Roodnat, et al., 2009). However, there is inequality in access to the living kidney donation program between European and the non-European patients. In our center we have 44% non-European patients with terminal kidney failure who are on the waiting list for a deceased donor kidney. However, these patients represent only 17% of the patients in the living kidney program (period: 2000-2010).
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary parameters of the intervention are derived from the ASE-Model. This model is based on the theory of Theory of Planned Behaviour (TPB) of Fishbein and Ajzen (19) and is supplemented by elements from the Social Cognitive Theory (SCT) of Bandura (20). The ASE-Model has a wide scientific acceptance and represents a theoretical framework for explaining behaviour by connecting attitude, social influence, self-efficacy, knowledge, skills (communication), and barriers and resources (risk perception) to intention and behaviour.
Secondary outcome
Secondary outcomes are the number applications for donor evaluation, the number of evaluations for living donation and the number of live kidney transplants among patients who participated in the study.
Background summary
We found nearly all patients to be in favour of LDKT (96%). However, multiple prohibiting and interrelated factors played a role in considering LDKT. We propose a model which addresses these factors as barriers to LDKT in our non-European patients. These barriers are:
1. A perceived gap in information;
2. Cognitions and emotions;
3. Social interference;
4. Non-communication with family and friends.
Additionally, we found that our patients held a welcoming attitude towards tailored education program, for instance a home-based education.
Study objective
Primary outcomes with respect to living donation are: Knowledge, risk perception, subjective norm, communication and intention to engage in a certain behavior (choosing living donation). These concepts will be measured among the patient as well as their family and friends. We expect that they will show increased scores on the post-measurements compared to the pre-measurements. Secondary outcomes are the number applications for donor evaluation, the number of evaluations for living donation and the number of live kidney transplants among patients who participated in the study. Three months after the intervention we will compare the groups on these measures.
Study design
At start, 4 weeks later and 3 months later.
Intervention
Patients will receive the study information after their second consultation with the nephrologist at the outpatient pre-transplantation clinic. The intervention consists primarily of two sessions at the patient's home. The first session (familiarization session) will be planned after patients have given their consent to participate. This interview is held with the patient alone. During this first session, a sociogram of the social environment will be constructed in order to determine which family members and/or friends (invitees) will be invited to the educational session. The second session (educational session) consists a meeting at the patient's home. This time it is intended that the invitees are present at the patient's home. In this session topics about kidney disease and possible forms of treatment will be discussed. We grant our patients that this discussion will be held in a save ambiance. In order to realize a save communication environment we will work with the therapeutic framework of systemic therapy.
Inclusion criteria
The participants consist of kidney patients from the Rotterdam region who are new to the outpatient pre-transplantation clinic (incidence cases) or who are already on the EuroTransplant waiting list (prevalence cases).
Exclusion criteria
We will only include patients without a living donor and patients and family/friends who are 18 years or over.
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL2602 |
| NTR-old | NTR2730 |
| CCMO | NL34535.078.10 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
| OMON | NL-OMON36497 |