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Published on: April 12, 2021
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Implementation of the kidney team at home intervention: Evaluating generalizability, implementation process, and
Steef Redeker1, Emma K Massey2, Charlotte Boonstra3
1Section of Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus Medical Center, Rotterdam, the Netherlands.
Summary
A home-based educational intervention significantly improved chronic kidney disease patients' knowledge and communication, leading to more living donor kidney transplantations (LDKT). This study confirms the intervention
Area of Science:
- Nephrology
- Healthcare Implementation Science
- Patient Education
Background:
- Chronic kidney disease (CKD) management requires effective patient education.
- Home-based interventions show promise for improving CKD patient outcomes.
- Implementation research in renal care is critically needed to bridge trial results with clinical practice.
Purpose of the Study:
- To assess the generalizability of a home-based educational intervention for CKD patients.
- To evaluate the implementation process, including feasibility, fidelity, and costs.
- To determine the relationship between the intervention and living donor kidney transplantation (LDKT) activity.
Main Methods:
- Multi-center implementation study involving eight hospitals.
- Inclusion of patients eligible for all kidney replacement therapies (KRT).
- Assessment of KRT knowledge, KRT communication, treatment choice, feasibility, fidelity, and costs.
Main Results:
- A significant increase in KRT knowledge and communication was observed post-intervention.
- 39% of participants (129/332) engaged in LDKT activity, mirroring clinical trial outcomes.
- Protocol adherence, patient knowledge, and age correlated with LDKT activity.
Conclusions:
- The home-based educational intervention is generalizable and can be implemented in standard renal care settings with maintained quality.
- Study findings support the integration of this intervention into routine care for CKD patients.
- The successful implementation warrants investigation of similar interventions in other countries.
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