About this trial
The goal of this feasibility clinical trial is to learn if telemedicine can be used to provide education and evaluation and counseling for people who are considering living kidney donation. The study will also learn how participants improve decision-making about living kidney donation. The main questions to answer are:
* Is telemedicine a practical way to facilitate donor education and evaluation and counseling? * Does telemedicine shared decision making help improve donor candidate decision and engagement during the donor evaluation process?
Researchers will compare standard care with a telemedicine care coordination approach.
Participants will:
\- Receive either standard care or telemedicine video visits to support shared decision making.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
18 years of age or older
Reside in the State of California
Registered living kidney donor candidate at UC Irvine Medical Center
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Standard Care (in control arm)
BehavioralThis Standard Care involves a recorded video education and in-person visit.
Telemedicine Shared Decision-Making
BehavioralThis intervention involves two live telemedicine video visits.
Treatment groups
Trial outcomes
Primary outcomes
Recruitment Rate
Proportion of eligible participants who consent and enroll in the study, calculated as the number enrolled divided by the number of eligible participants approached.
Retention Rate
Proportion of enrolled participants who remain in the study through the 90-day follow-up period, calculated as the number completing final follow-up divided by the number enrolled.
Change in Decisional Conflict Measured by the Decisional Conflict Scale (DCS)
Decision conflict will be measured using the Decisional Conflict Scale (DCS), a 16-item validated instrument. Each item is scored from 0 (no conflict) to 100 (very high conflict), and a total score is calculated by averaging across items. Total scores therefore range from 0 to 100, with higher scores indicating worse decision conflict and greater uncertainty.
Secondary outcomes
Completion of Donor Education and Evaluation and Counseling
Completion of donor education and evaluation and counseling. Time to donor evaluation and counseling completion.
Intervention Acceptability
Participant-reported acceptability of the telemedicine intervention will be measured using the acceptability of intervention measure. This outcome will be assessed only in the Telemedicine Intervention Arm.
Sponsors and contacts
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University of California, Irvine
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator