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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...

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Autores principales: Leek, Rachael B., Park, Jeong M., Koerschner, Claire, Mawby, Jennifer, Sonnenday, Christopher J., Wright Nunes, Julie A., Sharma, Pratima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
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.
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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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