Views on Information Resources for Kidney Transplantation Patients

Not Applicable

Not yet recruiting

• Conditions: End-Stage Renal Disease

• Registration Number: NCT07017556
• Lead Sponsor: University of Auckland, New Zealand

Brief Summary

The goal of this pilot study is to find out whether educational videos can help patients better understand, and remember, important information regarding the benefits and risks of having a kidney transplant.

The study aims to answer several questions, including:

1. Is the video-based educational intervention acceptable and feasible for kidney transplant patients?

2. Does the intervention improve patient knowledge and satisfaction immediately after viewing?

3. Does the intervention improve patient knowledge retention a week later?

4. What are patients views on the video format as an educational tool?

At the moment, patients learn about kidney transplantation through written documents, and discussions and conversations with their clinicians / doctors. However, the concern here is that not everyone has the same level of understanding when it comes to language literacy, medical jargon and information. This can result in gaps in knowledge, misunderstandings, and / or misinterpretations, including the need for lifelong medication and possible post-transplant complications.

Patients understanding of the benefits and risks of transplantation is extremely important, as there are aspects which patients may not be aware of, including the need for (and importance of) lifelong medication, and also potential disease complications which may follow transplantation. For example, following a kidney transplant, it is not uncommon for patients to develop diabetes.

Participants in the study will:

Watch two short videos (roughly five minutes each) that explain the benefits and risks of kidney transplantation.

Answer some questions before video viewing, immediately after video viewing, and one week after video viewing.

Complete a short interview to give deeper feedback on the videos.

This study will explore whether using video helps patients to feel more informed and also satisfied with the clinical information they receive, and whether they can better retain this information. The investigators aim to support more informed patients, making transplant education clearer, more accessible, and generally easier to understand.

Detailed Description

This will be a mixed-methods, repeated-measures, non-randomised pilot study. The design uses both quantitative and qualitative components to explore the feasibility and effectiveness of short (approximately five minutes each) educational videos for improving kidney transplant patient knowledge, knowledge retention, and information satisfaction.

A power analysis was conducted using G-Power to determine the participant sample size necessary for detecting a meaningful within-group effect of the intervention for both patient knowledge and information satisfaction. To detect a medium effect size (f = 0.21) with a power of 0.80 and an alpha level of .05, a total sample size of 60 participants (30 pre-transplant, and 30 post-transplant) is required.

Two subgroups (30 people each) - pre-transplant and post-transplant patients - will receive the same intervention with data collected through questionnaires (assessing knowledge, knowledge retention and satisfaction with the educational information) at three time points: Immediately pre-intervention (T1), immediately post-intervention (T2), and at a one-week follow-up (T3).

A semi-structured interview will take place immediately following the intervention (T2) exploring participants qualitative impressions of the videos and participant's assessment of the video's acceptability and the usefulness of the format.

The study will help to determine whether video-based education is a feasible and acceptable method for delivering kidney transplantation information, and whether it can improve participant understanding and satisfaction over traditional educational formats. The findings can then inform the design of a future larger-scale trial.

Study Timeline

• Study First Submitted: 2025-05-26
• Status Verified: 2025-06
• Study Start: 2025-06
• Study First Submitted QC: 2025-06-03
• Last Update Submitted: 2025-06-11
• Study First Posted: 2025-06-12
• Last Update Posted: 2025-06-15
• Primary Completion: 2026-02
• Study Completion: 2026-02

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Pre-transplant patients are on the kidney transplant wait list
• Post-transplant patients have received a transplant within the last 12 months.
• Participants are 18 years or over.
• Participants can read and understand English.
• Participants are located within the Auckland Metro region.

Exclusion Criteria

• Any impairments preventing informed consent.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Patient adherence to their medication	The AAI will be assessed at all three time points. T1 - Day 1 (Immediately pre-viewing), T2 - Day 1 (Immediately post-viewing), T3 - Day 7 (One week follow-up)	The investigators will utilise questions from the Anticipated Adherence Index (AAI) (Wright, 2022) to identify if there is any change across timepoints for the participants views on the medication they are / will be taking, their intention to take their medication, and the importance of this medication to participants' long-term wellbeing.
Patient satisfaction with existing educational information	T1 - Day 1 (Immediately pre-video viewing).	The Satisfaction with Existing Information questionnaire will be used to assess participants' satisfaction with the existing information received from their kidney transplant team. This will be used to help assess participants baseline satisfaction with standard kidney transplant education materials.
Patient Satisfaction with video educational materials	T2 - Day 1 (Immediately post-video viewing), T3 - Day 7 (One week follow-up)	The Satisfaction with Study Materials questionnaire will be used to assess participants' satisfaction with the video educational materials received from the research team. This will be used to assess participant satisfaction and to understand if the materials are coherent to participants, or if changes may be needed to make the materials more accessible, understandable, and effective.
Patient understanding of kidney transplantation benefits and risks - Benefits	Patient understanding will be assessed at all three time points: T1 - Day 1 (Immediately pre-video viewing), T2 - Day 1 (Immediately post-video viewing), T3 - Day 7 (One week follow-up)	One open-ended question will assess patient understanding of the benefits of kidney transplantation. This will be used to assess whether patient understanding of the benefits of transplantation changes from immediately pre-video viewing, to immediately post-viewing, and at one week follow-up.
Patient understanding of kidney transplantation benefits and risks - Risks	Patient understanding will be assessed at all three time points: T1 - Day 1 (Immediately pre-video viewing), T2 - Day 1 (Immediately post-video viewing), T3 - Day 7 (One week follow-up)	One open-ended question will assess patient understanding of the risks of kidney transplantation. This will be used to assess whether patient understanding of the risks of transplantation changes from immediately pre-video viewing, to immediately post-viewing, and at one week follow-up.
Acceptability and usefulness of the study video resources (Qualitative)	T2 - Day 1 (Immediately post-video viewing).	A semi-structured (15-20 minute) qualitative interview will take place at T2. This interview will explore patient thoughts of the materials beyond the questionnaires which they will receive. These interviews will explore participants' experience with the video material, including its perceived impact on benefits and risks understanding, and participant satisfaction with the Video-Based Educational materials - including acceptability, clarity and perceived usefulness. Interviews will explore suggestions for improving the intervention. Interview audio will be recorded and transcribed for thematic analysis.
Patient understanding of their disease	The BIPQ will be used at all three timepoints. T1 - Day 1 (Immediately pre-video viewing), T2 - Day 1 (Immediately post-video viewing), T3 - Day 7 (One week follow-up)	The Brief Illness Perceptions Questionnaire (BIPQ) (Broadbent et al., 2006) will be used to assess participants' cognitive and emotional responses to their kidney transplantation; this will be used to help assess participants emotional response to both the risks and benefits of kidney transplantation.

Trial Locations

Locations (1)

Auckland City Hospital; 🇳🇿 Auckland, New Zealand