Increasing Equity in Live Donor Kidney Transplant through Effective Patient-Provider Communication (EPPCom)

通过有效的医患沟通提高活体肾移植的公平性 (EPPCom)

基本信息

  • 批准号:
    10567329
  • 负责人:
  • 金额:
    $ 67.78万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2023
  • 资助国家:
    美国
  • 起止时间:
    2023-06-05 至 2027-05-31
  • 项目状态:
    未结题

项目摘要

PROJECT SUMMARY Live donor kidney transplant (LDKT) is the preferred treatment modality for patients with chronic and end-stage kidney disease. LDKT is less expensive than prolonged dialysis and offers improved mortality and morbidity over either dialysis or deceased donor kidney transplants (DDKT). However, ethnic minorities have significantly less access to LDKT than their White counterparts. Collectively, Blacks, Asians, and Hispanics represent 64.3% of the kidney transplant wait list, yet received only 36% of all LDKTs in 2019. Further, rates of LDKTs have decreased for Black patients over the last decade. Decades of research point to patient-provider communication as a contributing factor to observed disparities in health and healthcare outcomes. To date, however, no attempt has been made to gauge the impact of the communication occurring during transplant evaluation consultations on LDKT outcomes. The long-term goal of the proposed study entitled, Increasing Equity in Live Donor Kidney Transplant through Effective Patient-Provider Communication, is to increase parity in access to LDKT for Black patients. We propose a community-engaged, mixed-methods study employing a concurrent triangulation design to identify the specific communicative behaviors that result in live donor inquiries and evaluations, and actual LDKTs for Caucasian and Black patients, providing critical information to the design of an intervention to improve patient-provider communication about LDKT. Specifically, we will simultaneously quantitatively assess patient and provider factors with established and hypothesized associations with receipt of LDKTs, and qualitatively assess discrete elements of patient-provider communication occurring during transplant evaluation consultations for Caucasian and Black patients (Aim 1). Brief quantitative surveys administered before and after medical consultations held as part of the evaluation for transplant candidacy will capture providers’ (N=52) confidence and comfort discussing LDKT and patients’ satisfaction with the consultation, medical mistrust, health literacy, and LDKT knowledge, attitudes and readiness. We will also audiorecord transplant evaluation consultations for 60 Caucasian and 60 Black patients (N=120) across the two study sites – Saint Barnabas Medical Center (NJ) and Temple University Hospital (PA), and qualitatively assess the communication occurring during the consultations. We will use the findings to inform development of the content and format of a communication skills training for transplant providers and evaluate the direct and indirect effects of the training on patient-reported and LDKT process outcomes (Aims 2 & 3). Intervening at the provider level is both practical, given that all transplant candidates already must undergo this consultation, and efficient, given that a single transplant physician can evaluate >100 transplant candidates per year. Thus, the results of this innovative study have the potential to increase access to LDKT for Black patients currently awaiting kidney transplant. Improving communication during the transplant consultation may prove to be an effective and efficient means of alleviating ethnic disparities in LDKT.
项目总结

项目成果

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Heather Marie Gardiner其他文献

Heather Marie Gardiner的其他文献

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{{ truncateString('Heather Marie Gardiner', 18)}}的其他基金

Symposium on Obesity and Transplantation: Comparing Medical Nutrition Therapy, Pharmacotherapy, and Bariatric Surgery
肥胖与移植研讨会:医学营养疗法、药物疗法和减肥手术的比较
  • 批准号:
    10828092
  • 财政年份:
    2023
  • 资助金额:
    $ 67.78万
  • 项目类别:
Symposium on Obesity and Kidney Transplantation
肥胖与肾脏移植研讨会
  • 批准号:
    10228360
  • 财政年份:
    2021
  • 资助金额:
    $ 67.78万
  • 项目类别:
Genetic Testing (APOL1) Decisional Support for Potential Living Kidney Donors
为潜在活体肾脏捐赠者提供基因检测 (APOL1) 决策支持
  • 批准号:
    10623335
  • 财政年份:
    2021
  • 资助金额:
    $ 67.78万
  • 项目类别:
Genetic Testing (APOL1) Decisional Support for Potential Living Kidney Donors
为潜在活体肾脏捐赠者提供基因检测 (APOL1) 决策支持
  • 批准号:
    10494134
  • 财政年份:
    2021
  • 资助金额:
    $ 67.78万
  • 项目类别:
Genetic Testing (APOL1) Decisional Support for Potential Living Kidney Donors
为潜在活体肾脏捐赠者提供基因检测 (APOL1) 决策支持
  • 批准号:
    10341558
  • 财政年份:
    2021
  • 资助金额:
    $ 67.78万
  • 项目类别:
Communicating about Choices in Transplantation: An Educational Intervention
交流移植的选择:教育干预
  • 批准号:
    8420186
  • 财政年份:
    2012
  • 资助金额:
    $ 67.78万
  • 项目类别:
Communicating about Choices in Transplantation: An Educational Intervention
交流移植的选择:教育干预
  • 批准号:
    8282151
  • 财政年份:
    2012
  • 资助金额:
    $ 67.78万
  • 项目类别:
Increasing Communication about Live Donor Kidney Transplant: A Proof of Concept
加强关于活体肾移植的交流:概念证明
  • 批准号:
    7895224
  • 财政年份:
    2010
  • 资助金额:
    $ 67.78万
  • 项目类别:
Increasing Communication about Live Donor Kidney Transplant: A Proof of Concept
加强关于活体肾移植的交流:概念证明
  • 批准号:
    8420185
  • 财政年份:
    2010
  • 资助金额:
    $ 67.78万
  • 项目类别:
Increasing Communication about Live Donor Kidney Transplant: A Proof of Concept
加强关于活体肾移植的交流:概念证明
  • 批准号:
    8044871
  • 财政年份:
    2010
  • 资助金额:
    $ 67.78万
  • 项目类别:

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