Home-based family intervention increases knowledge, communication and living donation rates: a randomized controlled trial

Am J Transplant. 2014 Aug;14(8):1862-9. doi: 10.1111/ajt.12751. Epub 2014 Jun 16.


Our aim was to develop and test an educational program to support well-informed decision making among patients and their social network regarding living donor kidney transplantation (LDKT). One hundred sixty-three patients who were unable to find a living donor were randomized to standard care or standard care plus home-based education. In the education condition, patients and members of their social network participated in home-based educational meetings and discussed renal replacement therapy options. Patients and invitees completed pre-post self-report questionnaires measuring knowledge, risk perception, communication, self-efficacy and subjective norm. LDKT activities were observed for 6 months postintervention. Patients in the experimental group showed significantly more improvements in knowledge (p < 0.001) and communication (p = 0.012) compared with the control group. The invitees showed pre-post increases in knowledge (p < 0.001), attitude toward discussing renal replacement therapies (p = 0.020), attitude toward donating a kidney (p = 0.023) and willingness to donate a kidney (p = 0.039) and a decrease in risk perception (p = 0.003). Finally, there were significantly more inquiries (29/39 vs. 13/41, p < 0.001), evaluations (25/39 vs. 7/41, p < 0.001) and actual LDKTs (17/39 vs. 4/41, p = 0.003) in the experimental group compared with the control group. Home-based family education supports well-informed decision making and promotes access to LDKT.

Keywords: Counseling; ethnicity; family communication; living kidney donation; patient support program.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Communication
  • Cultural Characteristics
  • Decision Making*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Kidney Transplantation / psychology*
  • Living Donors*
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Renal Dialysis
  • Renal Insufficiency / psychology*
  • Renal Insufficiency / surgery
  • Risk
  • Surveys and Questionnaires
  • Treatment Outcome