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D'Cunha H, Partin M, Kurschner S, et al. Journey to Transplant: Developing a social support network counselling intervention to improve kidney transplantation. Health Expect. 2021;doi: 10.1111/hex.13412.
D'Cunha, H., Partin, M., Kurschner, S., Chu, S., Bruin, M., McKinney, W., & Hart, A. (2021). Journey to Transplant: Developing a social support network counselling intervention to improve kidney transplantation. Health expectations : an international journal of public participation in health care and health policy, . https://doi.org/10.1111/hex.13412
D'Cunha, Hannah, et al. "Journey to Transplant: Developing a social support network counselling intervention to improve kidney transplantation." Health expectations : an international journal of public participation in health care and health policy vol. (2021). doi: https://doi.org/10.1111/hex.13412
D'Cunha H, Partin M, Kurschner S, Chu S, Bruin M, McKinney W, Hart A. Journey to Transplant: Developing a social support network counselling intervention to improve kidney transplantation. Health Expect. 2021 Dec 23; doi: 10.1111/hex.13412. Epub 2021 Dec 23. PMID: 34951091.
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Health Expect. 2021 Dec 23; doi: 10.1111/hex.13412. Epub 2021 Dec 23.

Journey to Transplant: Developing a social support network counselling intervention to improve kidney transplantation.

Health expectations : an international journal of public participation in health care and health policy

Hannah D'Cunha, Melissa Partin, Sophie Kurschner, Sauman Chu, Marilyn Bruin, Warren McKinney, Allyson Hart

Affiliations

  1. Chronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota, USA.
  2. Des Moines University College of Osteopathic Medicine, Des Moines, Iowa, USA.
  3. Department of Medicine, Medical School, University of Minnesota (UMN), Minneapolis, Minnesota, USA.
  4. College of Design, University of Minnesota (UMN), Minneapolis, Minnesota, USA.
  5. Division of Nephrology, Department of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.

PMID: 34951091 DOI: 10.1111/hex.13412

Abstract

CONTEXT: Kidney transplant is superior to dialysis for the treatment of end-stage kidney disease, but accessing transplant requires high patient engagement to overcome barriers. We sought to develop an educational counselling intervention for patients along with their social support networks to help patients access the waiting list.

METHODS: Utilizing an Intervention Mapping approach, we established a conceptual framework to develop a behavioural intervention that can be reproduced across kidney transplant centres. The approach includes needs assessment, identifying behavioural determinants and process objectives and integrating targeted behavioural change theory.

RESULTS: The Intervention Mapping process resulted in the development of a group counselling session, titled Journey to Transplant (JtT). This intervention was designed for kidney transplant candidates along with members of their social support networks and guided by a transplant healthcare professional. The session begins with standardized educational information to improve knowledge and normalize emotional barriers to transplant. This education is followed by a tailored counselling intervention, including the presentation of the individual patient's calculated likely outcomes on the kidney transplant waiting list. Finally, JtT incorporates patient and support network goal setting to address the specific barriers for that patient in accessing kidney transplantation.

CONCLUSION: A systematic Intervention Mapping approach to develop the JtT intervention helps ensure the intervention is efficacious, acceptable and feasible for transplant centres to implement. JtT engages the patient's social support network, targeting known barriers to transplant and utilizing established behaviour change theory to motivate concrete actions to improve the likelihood of kidney transplantation.

PATIENT OR PUBLIC CONTRIBUTION: This study includes a patient and family advisory committee comprised of kidney transplant candidates and their family members to guide the final language and content of the intervention guide, and the conduct of the implementation and pilot testing of the intervention. However, patients and family members were not involved in the intervention mapping development process itself described in this manuscript, which was informed by focus group data from patient and family study participants.

© 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.

Keywords: Intervention Mapping; counselling intervention; dialysis; end stage kidney disease; kidney transplant; living kidney donation; social support

References

  1. Port FK, Wolfe RA, Mauger EA, Berling DP, Jiang K. Comparison of survival probabilities for dialysis patients vs cadaveric renal transplant recipients. JAMA. 1993;270(11):1339-1343. - PubMed
  2. Laupacis A, Keown P, Pus N, et al. A study of the quality of life and cost-utility of renal transplantation. Kidney Int. 1996;50(1):235-242. - PubMed
  3. Tonelli M, Wiebe N, Knoll G, et al. Systematic review: kidney transplantation compared with dialysis in clinically relevant outcomes. Am J Transplant. 2011;11(10):2093-2109. - PubMed
  4. Gander JC, Gordon EJ, Patzer RE. Decision aids to increase living donor kidney transplantation. Curr Transplant Rep. 2017;4(1):1-12. - PubMed
  5. Hart A, Bruin M, Chu S, Matas A, Partin MR, Israni AK. Decision support needs of kidney transplant candidates regarding the deceased donor waiting list: a qualitative study and conceptual framework. Clin Transplant. 2019;33(5):e13530. - PubMed
  6. Morton RL, Tong A, Howard K, Snelling P, Webster AC. The views of patients and carers in treatment decision making for chronic kidney disease: systematic review and thematic synthesis of qualitative studies. BMJ. 2010;340:c112. - PubMed
  7. Wachterman MW, Marcantonio ER, Davis RB, et al. Relationship between the prognostic expectations of seriously ill patients undergoing hemodialysis and their nephrologists. JAMA Intern Med. 2013;173(13):1206-1214. - PubMed
  8. Patzer RE, McPherson L, Basu M, et al. Effect of the iChoose Kidney decision aid in improving knowledge about treatment options among transplant candidates: a randomized controlled trial. Am J Transplant. 2018;18(8):1954-1965. - PubMed
  9. Rodrigue JR, Cornell DL, Lin JK, Kaplan B, Howard RJ. Increasing live donor kidney transplantation: a randomized controlled trial of a home-based educational intervention. Am J Transplant. 2007;7(2):394-401. - PubMed
  10. Waterman AD, Peipert JD, Cui Y, et al. Your path to transplant: a randomized controlled trial of a tailored expert system intervention to increase knowledge, attitudes, and pursuit of kidney transplant. Am J Transplant. 2021;21(3):1186-1196. - PubMed
  11. Barnieh L, Collister D, Manns B, et al. A scoping review for strategies to increase living kidney donation. Clin J Am Soc Nephrol. 2017;12(9):1518-1527. - PubMed
  12. Boulware LE, Sudan DL, Strigo TS, et al. Transplant social worker and donor financial assistance to increase living donor kidney transplants among African Americans: The TALKS Study, a randomized comparative effectiveness trial. Am J Transplant. 2021;21(6):2175-2187. - PubMed
  13. LaPointe Rudow D, Geatrakas S, Armenti J, et al. Increasing living donation by implementing the Kidney Coach Program. Clin Transplant. 2019;33(2):e13471. - PubMed
  14. Bartholomew Eldredge LK. Planning Health Promotion Programs: An Intervention Mapping Approach. 4th ed. Wiley; 2016. - PubMed
  15. McKinney WT, Bruin MJ, Kurschner S, Partin MR, Hart A. Identifying needs and barriers to engage family members in transplant candidate care. Prog Transplant. 2021;31(2):142-151. - PubMed
  16. Mckinney WT, Hart A, Kurschner S, et al. Decision support needs for African American kidney transplant candidates and social support networks [abstract]. Am J Transplant. 2020;20(suppl 3):559. - PubMed
  17. McKinney WT, Bruin MJ, Kurschner S, Partin MR, Hart A. Identifying needs and barriers to engage family members in transplant candidate care. Prog Transplant. 2021;31(2):142-151. - PubMed
  18. Hart A, Smith JM, Skeans MA, et al. OPTN/SRTR 2018 annual data report: Kidney. Am J Transplant. 2020;20(suppl s1):20-130. - PubMed
  19. Hart A, Bruin M, Chu S, et al. Development of an individualized online shared decision making tool for kidney transplant candidates [Abstract]. Am J Transplant. 2018;18(suppl 3):393. - PubMed

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