The Multidisciplinary Support To Access living donor Kidney Transplant (MuST AKT) intervention: A Pilot Randomized...

Area of Science:

• Nephrology
• Transplant Surgery
• Health Services Research

Background:

• Living donor kidney transplantation (LDKT) is crucial for addressing the organ shortage.
• Barriers within social networks often hinder LDKT access.
• The Multidisciplinary Support To Access living donor Kidney Transplant (MuST AKT) intervention was developed to overcome these barriers.

Purpose of the Study:

• To evaluate the feasibility and acceptability of the MuST AKT intervention.
• To assess the intervention's impact on transplant candidates' confidence in discussing LDKT.

Main Methods:

• Pilot randomized controlled trial comparing standard care to the MuST AKT intervention.
• MuST AKT involved transplant candidates and their social networks in four sessions addressing LDKT barriers.
• Feasibility assessed via recruitment, retention, and adherence; acceptability via questionnaires and interviews.

Main Results:

• Recruitment rate was 61% with 38 participants randomized.
• Intervention adherence was high, with 56% completing all four sessions.
• Participants reported increased confidence in communicating about LDKT and found the intervention acceptable.

Conclusions:

• The MuST AKT intervention is feasible with minor modifications.
• The intervention is acceptable to transplant candidates and their social networks.
• MuST AKT shows promise for increasing LDKT rates by addressing psychosocial barriers.