Implementation of the kidney team at home intervention: Evaluating generalizability, implementation process, and effects. (21st September 2021)

• Record Type: Journal Article
• Authors: Redeker, Steef; Massey, Emma K.; Boonstra, Charlotte; van Busschbach, Jan J.; Timman, Reinier; Brulez, Harald F. H.; Hollander, Daan A. A. M. J.; Hilbrands, Luuk B.; Bemelman, Frederike; Berger, Stefan P.; van de Wetering, Jacqueline; van den Dorpel, René M. A.; Dekker‐Jansen, Margriet; Weimar, Willem; Ismail, Sohal Y.
• Other Names: Bemelman J investigator.; van der Pant K.A.M.I. investigator.; Zwiers N. investigator.; Fleur W. investigator.; Espineira‐Ramirez R.Y. investigator.; Van Milgen‐Adriaens M. investigator.; van de Wetering J. investigator.; Weimar W. investigator.; Massey E.K. investigator.; Ismail S.Y. investigator.; van Noord‐Haubrich M.A.A. investigator.; Busschbach J.J. investigator.; Redeker S. investigator.; Jansen D.L. investigator.; Wageveld‐Sanderson J.C. investigator.; van Berkel I. investigator.; Clarisse I. investigator.; Hollander D. investigator.; van de Linde P. investigator.; van Dijk C investigator.; de Rooij A. investigator.; van den Dorpel M.A. investigator.; Versluijs‐Rovers E.E. investigator.; van Dongen‐Segeren G.C.A. investigator.; Schelfhout R. investigator.; van Kooij A.C. investigator.; van Krieken A.S. investigator.; Koevermans M.M. investigator.; van der Marel T. investigator.; Brulez H. investigator.; Zwiers‐Visser L. investigator.; Wisse E.M. investigator.; Brouns N.C.J. investigator.; Dubbelman P.S. investigator.; Holling B. investigator.; Smulders R.M. investigator.; Dooper I. investigator.; Hilbrands L.B. investigator.; Lobeek M. investigator.; Hopman S.P.F. investigator.; Sanders J.S.F. investigator.; Berger S.P. investigator.; Crop M.J. investigator.; Brugman C.A. investigator.; Scholten‐Greben H.G.K. investigator.; Waijer J. investigator.; Kisteman M.J. investigator.; Van der Laan J. investigator.; Mahangoe M. investigator.; Poorterman‐Stokvis I. investigator.; Dekker‐Janssen M.A. investigator.; Hutten I.A.M. investigator.; Potgieter J.H. investigator.; Brok S.J. investigator.; Kettelerij H. investigator.; Boonstra A.C. investigator.;
• Is Part Of: Transplant international. Volume 34:Number 11(2021)
• Page Start: 2317
• Page End: 2328
• Publication Date: 2021-09-21
• Subjects: family communication -- home‐based educational program -- implementation -- living kidney donation -- patient education; Transplantation of organs, tissues, etc -- Periodicals; 617.95405
• DOI: 10.1111/tri.14011
• Languages: English
• ISSNs: 0934-0874

Abstract

Summary: 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. Abstract : The results of this extensive implementation study showed that home‐based educational interventions for patients with end‐stage kidney disease led to implementation in standard‐care in the Netherlands, and gives great benefits to patients.