TY - JOUR
T1 - Implementation of the kidney team at home intervention
T2 - Evaluating generalizability, implementation process, and effects
AU - the Kidney Team at Home consortium
AU - Redeker, S.
AU - Massey, Emma K.
AU - Boonstra, Charlotte
AU - van Busschbach, Jan J.
AU - Timman, Reinier
AU - Brulez, H.
AU - Hollander, Daan A.A.M.J.
AU - Hilbrands, Luuk B.
AU - Bemelman, J.
AU - Berger, Stefan P.
AU - van de Wetering, Jacqueline
AU - van den Dorpel, René M.A.
AU - Dekker-Jansen, Margriet
AU - Weimar, Willem
AU - Ismail, S. Y.
AU - Bemelman, J.
AU - van der Pant, K. A.M.I.
AU - Zwiers, N.
AU - Fleur, W.
AU - Espineira-Ramirez, R. Y.
AU - Van Milgen-Adriaens, M.
AU - van de Wetering, J.
AU - Weimar, W.
AU - Massey, E. K.
AU - Ismail, S. Y.
AU - van Noord-Haubrich, M. A.A.
AU - Busschbach, J. J.
AU - Redeker, S.
AU - Jansen, D. L.
AU - Wageveld-Sanderson, J. C.
AU - van Berkel, I.
AU - Clarisse, I.
AU - Hollander, D.
AU - van de Linde, P.
AU - van Dijk, C.
AU - de Rooij, A.
AU - van den Dorpel, M. A.
AU - Versluijs-Rovers, E. E.
AU - van Dongen-Segeren, G. C.A.
AU - Schelfhout, R.
AU - van Kooij, A. C.
AU - van Krieken, A. S.
AU - Koevermans, M. M.
AU - Sanders, J.S.F.
AU - Crop, M. J.
AU - Waijer, J.
AU - Van der Laan, J.
AU - Brok, S. J.
AU - Boonstra, A. C.
N1 - Funding Information:
The implementation project was supported by Zorgverzekeraars Nederland.
Publisher Copyright:
© 2021 The Authors. Transplant International published by John Wiley & Sons Ltd on behalf of Steunstichting ESOT
PY - 2021/11
Y1 - 2021/11
N2 - Research has shown that a home-based educational intervention for patients with chronic kidney disease results in better knowledge and communication, and more living donor kidney transplantations (LDKT). Implementation research in the field of renal care is almost nonexistent. The aims of this study were (1) to demonstrate generalizability, (2) evaluate the implementation process, and (3) to assess the relationship of intervention effects on LDKT-activity. Eight hospitals participated in the project. Patients eligible for all kidney replacement therapies (KRT) were invited to participate. Effect outcomes were KRT-knowledge and KRT-communication, and treatment choice. Feasibility, fidelity, and intervention costs were assessed as part of the process evaluation. Three hundred and thirty-two patients completed the intervention. There was a significant increase in KRT-knowledge and KRT-communication among participants. One hundred and twenty-nine out of 332 patients (39%) had LDKT-activity, which was in line with the results of the clinical trials. Protocol adherence, knowledge, and age were correlated with LDKT-activity. This unique implementation study shows that the results in practice are comparable to the previous trials, and show that the intervention can be implemented, while maintaining quality. Results from the project resulted in the uptake of the intervention in standard care. We urge other countries to investigate the uptake of the intervention.
AB - Research has shown that a home-based educational intervention for patients with chronic kidney disease results in better knowledge and communication, and more living donor kidney transplantations (LDKT). Implementation research in the field of renal care is almost nonexistent. The aims of this study were (1) to demonstrate generalizability, (2) evaluate the implementation process, and (3) to assess the relationship of intervention effects on LDKT-activity. Eight hospitals participated in the project. Patients eligible for all kidney replacement therapies (KRT) were invited to participate. Effect outcomes were KRT-knowledge and KRT-communication, and treatment choice. Feasibility, fidelity, and intervention costs were assessed as part of the process evaluation. Three hundred and thirty-two patients completed the intervention. There was a significant increase in KRT-knowledge and KRT-communication among participants. One hundred and twenty-nine out of 332 patients (39%) had LDKT-activity, which was in line with the results of the clinical trials. Protocol adherence, knowledge, and age were correlated with LDKT-activity. This unique implementation study shows that the results in practice are comparable to the previous trials, and show that the intervention can be implemented, while maintaining quality. Results from the project resulted in the uptake of the intervention in standard care. We urge other countries to investigate the uptake of the intervention.
KW - family communication
KW - home-based educational program
KW - implementation
KW - living kidney donation
KW - patient education
U2 - 10.1111/tri.14011
DO - 10.1111/tri.14011
M3 - Article
C2 - 34390041
AN - SCOPUS:85115629252
SN - 0934-0874
VL - 34
SP - 2317
EP - 2328
JO - Transplant International
JF - Transplant International
IS - 11
ER -