Information-Assisted Intervention for Potential Living Kidney Donors
The Effectiveness of an Information-Assisted Intervention for Potential Living Kidney Donors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The purpose of this study is to examine the effectiveness of an information-assisted intervention in improving knowledge, decision self-efficacy, and decisional conflict among potential living kidney donors.
A one-group pretest-posttest design will be adopted. During the study period, participants will be recruited through convenience sampling from the urology and kidney transplant outpatient clinics of two hospitals in northern Taiwan. Eligible potential donors who have completed medical examinations and return for follow-up visits to review tissue matching and laboratory test results will be invited to participate in the study (experimental group). After providing informed consent, participants will complete a baseline questionnaire (T0) in a private setting.
Participants will then receive the information-assisted intervention, followed by the first posttest (T1) at 4 weeks and the second posttest (T2) at 8 weeks after T0. In addition to routine care, the experimental group will receive a four-week information-assisted intervention.
Data will be collected using structured questionnaires, including the Decisional Conflict Scale, Decision Self-Efficacy Scale, Knowledge Test on Living Kidney Donation, Demographic and Clinical Characteristics Questionnaire, Positive Thinking Scale, Evaluation Form for the Information-Assisted Program, and the Family Resilience Scale.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ching-Hui Chien, PhD
- Phone Number: 3103 +886-2-28227101
- Email: chinghui@ntunhs.edu.tw
Study Locations
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-
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Taoyuan District, Taiwan, 333
- Recruiting
- Chang Gung Memorial Hospital
-
Contact:
- Kuanlin Liu
- Phone Number: +886-2-24313131
- Email: kuanlin@cgmh.org.tw
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Willing to undergo evaluation for living kidney donation
- Owns a smartphone or tablet with internet access
- Able and willing to participate in the study and provide written informed consent
Exclusion Criteria:
- Deemed unsuitable for kidney donation after evaluation by a transplant specialist
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Information-Assisted group
|
The intervention content was formulated based on previous Delphi study results and a comprehensive literature review.
To facilitate comprehension, the educational materials were presented using illustrations, mind maps, tables, and concise text in an educational manual.
Participants may record questions arising during their learning process, which will be discussed and clarified during consultation sessions by members of the transplant team, including physicians, social workers, and transplant coordinators.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Decision Self-Efficacy Scale
Time Frame: Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
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The Chinese version of the Decision Self-Efficacy Scale from the Ottawa Hospital Research Institute will be used.
This 11-item scale measures individuals' confidence in making informed decisions.
Each item is scored from 0-4, with total scores converted to a range of 0-100.
Higher scores reflect stronger decision self-efficacy.
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Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
|
|
Decisional Conflict Scale
Time Frame: Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
|
The study will employ the Chinese version of the Decisional Conflict Scale developed by the Ottawa Hospital Research Institute.
The 16-item scale uses a 0-4 rating system (0 = yes, 4 = no).
Total scores are calculated as (sum of items ÷ number of items) × 25, yielding a range of 0-100.
Higher scores indicate greater decisional conflict.
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Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
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Knowledge Test on Living Kidney Donation
Time Frame: Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
|
A 31-item self-developed test will assess participants' knowledge regarding living kidney donation, including anatomy, legal regulations, donor eligibility, medical coverage, surgical risks, postoperative complications, and post-surgical care.
Each question has three options: True, False, and Unclear.
Correct answers receive 1 point, while incorrect or unclear answers receive 0 points.
Higher total scores indicate better knowledge.
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Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Positive Thinking Scale
Time Frame: Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
|
The Chinese version of the Positive Thinking Scale will be employed to assess participants' optimism and goal orientation.
The 18-item instrument has a total score range of 18-80, where higher scores indicate greater personal satisfaction and goal pursuit.
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Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Family Resilience Scale
Time Frame: Baseline (T0, prior to intervention)
|
The Short Form of the Chinese Family Resilience Assessment Scale (FRAS) will be used to measure family resilience among potential donors.
Each of the 32 items is rated on a 4-point Likert scale (1 = strongly disagree, 4 = strongly agree), producing total scores from 32 to 128.
Higher scores reflect greater family resilience.
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Baseline (T0, prior to intervention)
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Evaluation of the Information-Assisted Program
Time Frame: 4 weeks (T1) after Baseline
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A five-item self-developed questionnaire will be used to evaluate participants' acceptance and satisfaction with the intervention.
Scores range from 0-100, with higher values indicating stronger satisfaction and agreement that the intervention was beneficial and appropriate for future potential donors.
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4 weeks (T1) after Baseline
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Demographic and Clinical Characteristics-Age
Time Frame: Baseline (T0, prior to intervention)
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Actual age (years)
|
Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Sex
Time Frame: Baseline (T0, prior to intervention)
|
Male / Female
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Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Marital Status
Time Frame: Baseline (T0, prior to intervention)
|
Single, Married, Divorced, Separated, Widowed, Cohabiting
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Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Education
Time Frame: Baseline (T0, prior to intervention)
|
None, Elementary, Junior High, Senior High, College/University, Graduate/Doctorate, Other
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Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Religion
Time Frame: Baseline (T0, prior to intervention)
|
None, Taoism, Buddhism, Catholicism, Christianity, I-Kuan Tao, Other
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Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Occupation
Time Frame: Baseline (T0, prior to intervention)
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None, Physically demanding, Mentally demanding, Both, Neither, Retired, Other
|
Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Relationship to Recipient
Time Frame: Baseline (T0, prior to intervention)
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Spouse, Sibling, Parent-child, Relative, Other
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Baseline (T0, prior to intervention)
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Demographic and Clinical Characteristics-Perceived Health Status
Time Frame: Baseline (T0, prior to intervention)
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One item; Score range 0-100; higher = better health perception
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Baseline (T0, prior to intervention)
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Demographic and Clinical Characteristics-Chronic Diseases
Time Frame: Baseline (T0, prior to intervention)
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None, Diabetes, Hypertension, Heart disease, Asthma, Bronchitis, Other
|
Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Serum Creatinine (mg/dL)
Time Frame: Baseline (T0, prior to intervention)
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Higher values indicate poorer renal function
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Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-24-h Creatinine Clearance (mL/min)
Time Frame: Baseline (T0, prior to intervention)
|
Higher values indicate better renal function
|
Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Estimated GFR (mL/min/1.73m²)
Time Frame: Baseline (T0, prior to intervention)
|
Higher values indicate better renal function
|
Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Urine Protein
Time Frame: Baseline (T0, prior to intervention)
|
None, Present, Other
|
Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Serum Creatinine-Body Weight (kilograms)
Time Frame: Baseline (T0, prior to intervention)
|
Measured in kilograms
|
Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Height (centimeters)
Time Frame: Baseline (T0, prior to intervention)
|
Measured in centimeters
|
Baseline (T0, prior to intervention)
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Demographic and Clinical Characteristics-Information Source
Time Frame: Baseline (T0, prior to intervention)
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None, Physician, Transplant Coordinator, Nurse/NP, Other
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Baseline (T0, prior to intervention)
|
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Demographic and Clinical Characteristics-Decision Status
Time Frame: Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
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No, Considering, Yes
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Baseline (T0, prior to intervention), 4 weeks (T1) and 8 weeks (T2) after Baseline
|
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Demographic and Clinical Characteristics-Family Support
Time Frame: Baseline (T0, prior to intervention)
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Supportive, Neutral, Not supportive
|
Baseline (T0, prior to intervention)
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Recipient-Related Clinical Data-Dialysis Treatment
Time Frame: Baseline (T0, prior to intervention)
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Yes / No (Hemodialysis or Peritoneal Dialysis)
|
Baseline (T0, prior to intervention)
|
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Recipient-Related Clinical Data-Serum Creatinine (mg/dL)
Time Frame: Baseline (T0, prior to intervention)
|
Higher values indicate poorer renal function
|
Baseline (T0, prior to intervention)
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 202102488B0
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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