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BMC Nephrol. 2015 Oct 9;16:160. doi: 10.1186/s12882-015-0153-y.

The TALKS study to improve communication, logistical, and financial barriers to live donor kidney transplantation in African Americans: protocol of a randomized clinical trial.

Author information

1
Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, 27701, USA. tara.strigo@duke.edu.
2
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health and Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA. pephraim@jhu.edu.
3
Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, 27701, USA. iris.pounds@duke.edu.
4
Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institution and Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA. fbriggs3@jhmi.edu.
5
Department of Social Work, Morgan State University, Baltimore, MD, USA. linda.darrell@morgan.edu.
6
Division of Nephrology, Duke University School of Medicine, Durham, NC, USA. matthew.ellis@dm.duke.edu.
7
Division of Transplantation, Duke University School of Medicine, Durham, NC, USA. debra.sudan@dm.duke.edu.
8
Division of Nephrology, Johns Hopkins School of Medicine, Baltimore, MD, USA. hrabb1@jhmi.edu.
9
Division of Transplantation, Johns Hopkins School of Medicine, Baltimore, MD, USA. dorry@jhmi.edu.
10
Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institution and Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA. naeyuh@jhmi.edu.
11
Division of Transplantation, Johns Hopkins School of Medicine, Baltimore, MD, USA. mkaiser@jhmi.edu.
12
Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, 27701, USA. margaret.falkovic@dm.duke.edu.
13
Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, 27701, USA. jlebov@email.unc.edu.
14
Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, 27701, USA. ebony.boulware@duke.edu.

Abstract

BACKGROUND:

Live donor kidney transplantation (LDKT), an optimal therapy for many patients with end-stage kidney disease, is underutilized, particularly by African Americans. Potential recipient difficulties initiating and sustaining conversations about LDKT, identifying willing and medically eligible donors, and potential donors' logistical and financial hurdles have been cited as potential contributors to race disparities in LDKT. Few interventions specifically targeting these factors have been tested.

METHODS/DESIGN:

We report the protocol of the Talking about Living Kidney Donation Support (TALKS) study, a study designed to evaluate the effectiveness of behavioral, educational and financial assistance interventions to improve access to LDKT among African Americans on the deceased donor kidney transplant recipient waiting list. We adapted a previously tested educational and social worker intervention shown to improve consideration and pursuit of LDKT among patients and their family members for its use among patients on the kidney transplant waiting list. We also developed a financial assistance intervention to help potential donors overcome logistical and financial challenges they might face during the pursuit of live kidney donation. We will evaluate the effectiveness of these interventions by conducting a randomized controlled trial in which patients on the deceased donor waiting list receive 1) usual care while on the transplant waiting list, 2) the educational and social worker intervention, or 3) the educational and social worker intervention plus the option of participating in the financial assistance program. The primary outcome of the randomized controlled trial will measure potential recipients' live kidney donor activation (a composite rate of live donor inquiries, completed new live donor evaluations, or live kidney donation) at 1 year.

DISCUSSION:

The TALKS study will rigorously assess the effectiveness of promising interventions to reduce race disparities in LDKT.

TRIAL REGISTRATION:

NCT02369354.

PMID:
26452366
PMCID:
PMC4600221
DOI:
10.1186/s12882-015-0153-y
[Indexed for MEDLINE]
Free PMC Article

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