A N Cabacungan1, C J Diamantidis2, J St Clair Russell1, T S Strigo1, I Pounds1, A Alkon1, J A Riley1, M Falkovic1, J F Pendergast3, C A Davenport3, M J Ellis4, D L Sudan5, F Hill-Briggs6, T Browne7, P L Ephraim8, L E Boulware9. 1. Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA. 2. Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA; Division of Nephrology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA. 3. Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA. 4. Division of Nephrology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA. 5. Department of Surgery, Duke University Medical Center, Durham, USA. 6. Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA; Welch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA. 7. College of Social Work, University of South Carolina, Columbia, SC, USA. 8. Welch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 9. Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA. Electronic address: ebony.boulware@duke.edu.
Abstract
BACKGROUND: Live donor kidney transplantation (LDKT) is underutilized by patients with end-stage kidney disease due to knowledge, communication, and logistical barriers. MATERIAL AND METHODS: The Talking About Live Kidney Donation Social Worker Intervention (TALK-SWI) is a previously validated intervention demonstrated to improve patients' access to and pursuit of LDKT through in-person delivery of education and social support. To help overcome logistical barriers to LDKT, we adapted TALK-SWI into a telehealth intervention employing digital (ie, tablet, smartphone) and telephone technologies. We studied the usability and acceptability of both the mobile device and telephone counseling portions of the intervention among people with kidney disease. For the digital portion, we assessed critical (ie, inability to complete a task) and non-critical (ie, ability to complete a task utilizing an alternative method) errors participants encountered when using the program and their preferences regarding digital materials. Simultaneously, we assessed participants' satisfaction with telephone-adapted counseling compared to the original, in-person counseling. RESULTS: The 15 participants testing the digital technology made 25 critical errors and 29 non-critical errors, while they easily completed 156 tasks (out of 210). A majority of participants (73%) preferred the tablet/smart phone education application over traditional materials, and most (80%) indicated they would be more likely to utilize the mobile platform over traditional materials. Participants testing the telephone-adapted (n = 45) and in-person (n = 125) social worker counseling all reported high satisfaction with the intervention. CONCLUSION: We successfully adapted a validated educational and behavioral intervention to improve access to LDKT into a usable and acceptable telehealth intervention.
BACKGROUND: Live donor kidney transplantation (LDKT) is underutilized by patients with end-stage kidney disease due to knowledge, communication, and logistical barriers. MATERIAL AND METHODS: The Talking About Live Kidney Donation Social Worker Intervention (TALK-SWI) is a previously validated intervention demonstrated to improve patients' access to and pursuit of LDKT through in-person delivery of education and social support. To help overcome logistical barriers to LDKT, we adapted TALK-SWI into a telehealth intervention employing digital (ie, tablet, smartphone) and telephone technologies. We studied the usability and acceptability of both the mobile device and telephone counseling portions of the intervention among people with kidney disease. For the digital portion, we assessed critical (ie, inability to complete a task) and non-critical (ie, ability to complete a task utilizing an alternative method) errors participants encountered when using the program and their preferences regarding digital materials. Simultaneously, we assessed participants' satisfaction with telephone-adapted counseling compared to the original, in-person counseling. RESULTS: The 15 participants testing the digital technology made 25 critical errors and 29 non-critical errors, while they easily completed 156 tasks (out of 210). A majority of participants (73%) preferred the tablet/smart phone education application over traditional materials, and most (80%) indicated they would be more likely to utilize the mobile platform over traditional materials. Participants testing the telephone-adapted (n = 45) and in-person (n = 125) social worker counseling all reported high satisfaction with the intervention. CONCLUSION: We successfully adapted a validated educational and behavioral intervention to improve access to LDKT into a usable and acceptable telehealth intervention.
Authors: Abraham A Brody; Tina Sadarangani; Tessa M Jones; Kimberly Convery; Lisa Groom; Alycia A Bristol; Daniel David Journal: J Gerontol Nurs Date: 2020-09-01 Impact factor: 1.254
Authors: Cassandra Bowman; Joseph Lunyera; Aviel Alkon; L Ebony Boulware; Jennifer St Clair Russell; Jennie Riley; Jeffrey C Fink; Clarissa Diamantidis Journal: JMIR Form Res Date: 2020-05-28