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Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study
INTRODUCTION: Liver transplant (LT) recipients have limited understanding of post-transplant chronic kidney disease (CKD) despite an excellent pre-existing framework of transplant care. This pilot study examined the efficacy and feasibility of a tailored educational and goal-setting tool in improvin...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658055/ https://www.ncbi.nlm.nih.gov/pubmed/31344043 http://dx.doi.org/10.1371/journal.pone.0219856 |
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author | Leek, Rachael B. Park, Jeong M. Koerschner, Claire Mawby, Jennifer Sonnenday, Christopher J. Wright Nunes, Julie A. Sharma, Pratima |
author_facet | Leek, Rachael B. Park, Jeong M. Koerschner, Claire Mawby, Jennifer Sonnenday, Christopher J. Wright Nunes, Julie A. Sharma, Pratima |
author_sort | Leek, Rachael B. |
collection | PubMed |
description | INTRODUCTION: Liver transplant (LT) recipients have limited understanding of post-transplant chronic kidney disease (CKD) despite an excellent pre-existing framework of transplant care. This pilot study examined the efficacy and feasibility of a tailored educational and goal-setting tool in improving CKD knowledge among LT recipients with early-stage CKD. METHODS: In this prospective cohort study, we administered the CKD educational and goal-setting tool to 81 LT recipients between 7/1/2016 and 12/31/2017. We excluded patients with simultaneous liver-kidney transplantation, eGFR<30 ml/min, non-English speaking, on hemodialysis or listed for kidney transplantation. The pre- and post-education knowledge scores were compared using a paired t-test. Linear regression was used to assess the independent predictors of change in knowledge score. RESULTS: Mean age was 56.3 years, 69.1% were males, 85.2% were Caucasians and mean eGFR was 61.2 ± 20.0 ml/min. The CKD educational and goal-setting tool improved the CKD knowledge scores among LT recipients (pre: 71.8 ± 16.6%, post: 83.3 ± 10.4%; p<0.001). In an adjusted model (r(2) = 0.75), those with lower pre-education knowledge scores had the most improvement in their post-education knowledge scores (β = -83.2; p<0.001). Two-thirds stated their most important self-management goal and reported motivation to follow this goal. Time spent for the CKD education was approximately 15 minutes. CONCLUSIONS: A simple LT-specific patient educational and goal-setting tool effectively improved CKD knowledge. Implementation of this tailored intervention will improve CKD awareness and may promote goal-setting in the target population. |
format | Online Article Text |
id | pubmed-6658055 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-66580552019-08-07 Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study Leek, Rachael B. Park, Jeong M. Koerschner, Claire Mawby, Jennifer Sonnenday, Christopher J. Wright Nunes, Julie A. Sharma, Pratima PLoS One Research Article INTRODUCTION: Liver transplant (LT) recipients have limited understanding of post-transplant chronic kidney disease (CKD) despite an excellent pre-existing framework of transplant care. This pilot study examined the efficacy and feasibility of a tailored educational and goal-setting tool in improving CKD knowledge among LT recipients with early-stage CKD. METHODS: In this prospective cohort study, we administered the CKD educational and goal-setting tool to 81 LT recipients between 7/1/2016 and 12/31/2017. We excluded patients with simultaneous liver-kidney transplantation, eGFR<30 ml/min, non-English speaking, on hemodialysis or listed for kidney transplantation. The pre- and post-education knowledge scores were compared using a paired t-test. Linear regression was used to assess the independent predictors of change in knowledge score. RESULTS: Mean age was 56.3 years, 69.1% were males, 85.2% were Caucasians and mean eGFR was 61.2 ± 20.0 ml/min. The CKD educational and goal-setting tool improved the CKD knowledge scores among LT recipients (pre: 71.8 ± 16.6%, post: 83.3 ± 10.4%; p<0.001). In an adjusted model (r(2) = 0.75), those with lower pre-education knowledge scores had the most improvement in their post-education knowledge scores (β = -83.2; p<0.001). Two-thirds stated their most important self-management goal and reported motivation to follow this goal. Time spent for the CKD education was approximately 15 minutes. CONCLUSIONS: A simple LT-specific patient educational and goal-setting tool effectively improved CKD knowledge. Implementation of this tailored intervention will improve CKD awareness and may promote goal-setting in the target population. Public Library of Science 2019-07-25 /pmc/articles/PMC6658055/ /pubmed/31344043 http://dx.doi.org/10.1371/journal.pone.0219856 Text en © 2019 Leek et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Leek, Rachael B. Park, Jeong M. Koerschner, Claire Mawby, Jennifer Sonnenday, Christopher J. Wright Nunes, Julie A. Sharma, Pratima Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study |
title | Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study |
title_full | Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study |
title_fullStr | Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study |
title_full_unstemmed | Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study |
title_short | Novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: A pilot study |
title_sort | novel educational and goal-setting tool to improve knowledge of chronic kidney disease among liver transplant recipients: a pilot study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658055/ https://www.ncbi.nlm.nih.gov/pubmed/31344043 http://dx.doi.org/10.1371/journal.pone.0219856 |
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