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The providing resources to enhance African American patients' readiness to make decisions about kidney disease (PREPARED) study: protocol of a randomized controlled trial.

Publication ,  Journal Article
Ephraim, PL; Powe, NR; Rabb, H; Ameling, J; Auguste, P; Lewis-Boyer, L; Greer, RC; Crews, DC; Purnell, TS; Jaar, BG; DePasquale, N; Boulware, LE
Published in: BMC Nephrol
October 12, 2012

BACKGROUND: Living related kidney transplantation (LRT) is underutilized, particularly among African Americans. The effectiveness of informational and financial interventions to enhance informed decision-making among African Americans with end stage renal disease (ESRD) and improve rates of LRT is unknown. METHODS/DESIGN: We report the protocol of the Providing Resources to Enhance African American Patients' Readiness to Make Decisions about Kidney Disease (PREPARED) Study, a two-phase study utilizing qualitative and quantitative research methods to design and test the effectiveness of informational (focused on shared decision-making) and financial interventions to overcome barriers to pursuit of LRT among African American patients and their families. Study Phase I involved the evidence-based development of informational materials as well as a financial intervention to enhance African American patients' and families' proficiency in shared decision-making regarding LRT. In Study Phase 2, we are currently conducting a randomized controlled trial in which patients with new-onset ESRD receive 1) usual dialysis care by their nephrologists, 2) the informational intervention (educational video and handbook), or 3) the informational intervention in addition to the option of participating in a live kidney donor financial assistance program. The primary outcome of the randomized controlled trial will include patients' self-reported rates of consideration of LRT (including family discussions of LRT, patient-physician discussions of LRT, and identification of a LRT donor). DISCUSSION: Results from the PREPARED study will provide needed evidence on ways to enhance the decision to pursue LRT among African American patients with ESRD.

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Published In

BMC Nephrol

DOI

EISSN

1471-2369

Publication Date

October 12, 2012

Volume

13

Start / End Page

135

Location

England

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Research Design
  • Patient Participation
  • Patient Education as Topic
  • Living Donors
  • Kidney Transplantation
  • Informed Consent
  • Humans
  • Health Care Rationing
 

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Ephraim, P. L., Powe, N. R., Rabb, H., Ameling, J., Auguste, P., Lewis-Boyer, L., … Boulware, L. E. (2012). The providing resources to enhance African American patients' readiness to make decisions about kidney disease (PREPARED) study: protocol of a randomized controlled trial. BMC Nephrol, 13, 135. https://doi.org/10.1186/1471-2369-13-135
Ephraim, Patti L., Neil R. Powe, Hamid Rabb, Jessica Ameling, Priscilla Auguste, LaPricia Lewis-Boyer, Raquel C. Greer, et al. “The providing resources to enhance African American patients' readiness to make decisions about kidney disease (PREPARED) study: protocol of a randomized controlled trial.BMC Nephrol 13 (October 12, 2012): 135. https://doi.org/10.1186/1471-2369-13-135.
Ephraim PL, Powe NR, Rabb H, Ameling J, Auguste P, Lewis-Boyer L, Greer RC, Crews DC, Purnell TS, Jaar BG, DePasquale N, Boulware LE. The providing resources to enhance African American patients' readiness to make decisions about kidney disease (PREPARED) study: protocol of a randomized controlled trial. BMC Nephrol. 2012 Oct 12;13:135.
Journal cover image

Published In

BMC Nephrol

DOI

EISSN

1471-2369

Publication Date

October 12, 2012

Volume

13

Start / End Page

135

Location

England

Related Subject Headings

  • Urology & Nephrology
  • United States
  • Research Design
  • Patient Participation
  • Patient Education as Topic
  • Living Donors
  • Kidney Transplantation
  • Informed Consent
  • Humans
  • Health Care Rationing