Clinical trial NCT06734819: Storytelling to Promote Living Donor Kidney Transplant
Official title: Effectiveness of Digital Storytelling in Increasing Living Kidney Donor Recruitment in Canada
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Living Donor Kidney Transplantation
Health Equity
Patient Education
Narrative Medicine
Keywords: Living Donor Kidney Transplantation
Health Equity
Patient Education
Narrative Medicine
Digital Storytelling
Lead sponsor: University of British Columbia
Sponsor class: OTHER
Collaborators: name: Houston Methodist Transplant & Surgery Center of Excellence
First posted: 2024-12-16
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This study will examine the effectiveness of first-person storytelling in encouraging patients with end-stage renal disease to pursue Living Donor Kidney Transplant (LDKT). The Living Donation Storytelling Library LDSP is a library of videos from donors and recipients sharing their transplant stories, serving as a narrative-based transplant education resource. This study will investigate if exposure to the LDSP changes patient readiness and motivation to pursue LDKT to ultimately increase the number of donor inquiries and donor evaluations. This study will also test if the LDSP serves as a health-literate and culturally safe education approach that can effectively support racialized communities who have a disproportionately higher need for LDKT.

Detailed description: Background: In Canada, racialized communities are 50 to 75 percent less likely to be referred for living donor kidney transplant (LDKT), identify donors, complete evaluation, and receive transplant in comparison to white patients. Several narrative-based transplant education interventions have proven to be effective in increasing LDKT pursuit among Black patients in America. However, these education interventions are labour- and time-intensive and fail to reach the general public outside the location of transplant education. Efficacy of interpersonal education interventions have also yet to be evaluated in Canadian minority populations, predominantly comprised of South Asian, East Asian and Indigenous communities.

Objective: The aim of this study is to examine the effectiveness of a narrative-based LKDT education intervention, the Living Donation Storytelling Library, in increasing transplant knowledge, health literacy, and recruitment of living donors. Secondarily, this study aims to compare hereterogeneity in viewer responses across race and gender to identify potential targeted narrative interventions for LKDT education.

Method: Two-arm randomized control trial with 80 prospective living donor kidney transplant recipients at Vancouver General Hospital in collaboration with Houston Methodist Hospital and Weill Cornell Medical Center.

Eligibility criteria: Inclusion Criteria:

* Waitlisted and newly referred kidney transplant candidates at the Vancouver Kidney Transplant Program
* 18 years of age or older
* Able to provide informed consent
* English literate

Exclusion Criteria:

* Inability to understand English and provide informed consent
* Transplant candidates excluded from transplantation based on clinical criteria or other contraindications for transplant
* Unwilling to disclose information on race or ethnicity

Primary outcomes:
measure: Readiness and Motivation
timeFrame: Baseline + 1 month post-intervention
measure: Transplant Actions
timeFrame: Baseline + 1 month post-intervention
Secondary outcomes:
measure: Donor Inquiries and evaluations
timeFrame: 3 months
Other outcomes:
measure: Health literacy and cultural safety
timeFrame: Immediately post-intervention
measure: Transplant knowledge
timeFrame: Baseline
Locations:
city: Vancouver
country: Canada
facility: Vancouver General Hospital
state: British Columbia
Study officials:
References:
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