ESRD Network 6 RaDIANT Process Evaluation Questionnaire. 20- item questionnaire designed by the Southeastern Kidney Transplant (SEKTx) Coalition to measure fidelity, reach, sustainability, and context of the RaDIANT intervention (DOCX 25Â kb

Carlos Zayas (4767021)

Erica Hartmann (4767030)

Jenna Krisher (3554087)

Jennifer Gander (3554090)

Kimberly Arriola (4767027)

Laura McPherson (4767015)

Laura Mulloy (4767033)

Laura Plantinga (2837537)

Loren Cobb (4767024)

Rachel Patzer (3551906)

Reem Hamoda (4767018)

Stephen Pastan (3489668)

Teri Browne (3554081)

BMC Nephrology

Reem E. Hamoda

Jennifer C. Gander

Laura J. McPherson

Kimberly J. Arriola

Loren Cobb

Stephen O. Pastan

Laura Plantinga

Teri Browne

Erica Hartmann

Laura Mulloy

Carlos Zayas

Jenna Krisher

Rachel E. Patzer

Crossref

Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation

FigShare

Additional file 1: of Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation

Abstract Background The Reducing Disparities in Access to kidNey Transplantation Community Study (RaDIANT) was an End-Stage Renal Disease (ESRD) Network 6-developed, dialysis facility-level randomized trial testing the effectiveness of a 1-year multicomponent education and quality improvement intervention in increasing referral for kidney transplant evaluation among selected Georgia dialysis facilities. Methods To assess implementation of the RaDIANT intervention, we conducted a process evaluation at the conclusion of the intervention period (January–December 2014). We administered a 20-item survey to the staff involved with transplant education in 67 dialysis facilities randomized to participate in intervention activities. Survey items assessed facility participation in the intervention (fidelity and reach), helpfulness and willingness to continue intervention activities (sustainability), suggestions for improving intervention components (sustainability), and factors that may have influenced participation and study outcomes (context). We defined high fidelity to the intervention as completing 11 or more activities, and high participation in an activity as having at least 75% participation across intervention facilities. Results Staff from 65 of the 67 dialysis facilities completed the questionnaire, and more than half (50.8%) reported high adherence (fidelity) to RaDIANT intervention requirements. Nearly two-thirds (63.1%) of facilities reported that RaDIANT intervention activities were helpful or very helpful, with 90.8% of facilities willing to continue at least one intervention component beyond the study period. Intervention components with high participation emphasized staff and patient-level education, including in-service staff orientations, patient and family education programs, and patient educational materials. Suggested improvements for intervention activities emphasized addressing financial barriers to transplantation, with financial education materials perceived as most helpful among RaDIANT educational materials. Variation in facility-level fidelity of the RADIANT intervention did not significantly influence the mean difference in proportion of patients referred pre- (2013) and post-intervention (2014). Conclusions We found high fidelity to the RaDIANT multicomponent intervention at the majority of intervention facilities, with sustainability of select intervention components at intervention facilities and feasibility for dissemination across ESRD Networks. Future modification of the intervention should emphasize financial education regarding kidney transplantation and amend intervention components that facilities perceive as time-intensive or non-sustainable. Trial registration Clinicaltrials.gov number NCT02092727 . Registered 13 Mar 2014 (retrospectively registered)

Directory of Open Access Journals

BACKGROUND: The Reducing Disparities in Access to kidNey Transplantation Community Study (RaDIANT) was an End-Stage Renal Disease (ESRD) Network 6-developed, dialysis facility-level randomized trial testing the effectiveness of a 1-year multicomponent education and quality improvement intervention in increasing referral for kidney transplant evaluation among selected Georgia dialysis facilities. METHODS: To assess implementation of the RaDIANT intervention, we conducted a process evaluation at the conclusion of the intervention period (January-December 2014). We administered a 20-item survey to the staff involved with transplant education in 67 dialysis facilities randomized to participate in intervention activities. Survey items assessed facility participation in the intervention (fidelity and reach), helpfulness and willingness to continue intervention activities (sustainability), suggestions for improving intervention components (sustainability), and factors that may have influenced participation and study outcomes (context). We defined high fidelity to the intervention as completing 11 or more activities, and high participation in an activity as having at least 75% participation across intervention facilities. RESULTS: Staff from 65 of the 67 dialysis facilities completed the questionnaire, and more than half (50.8%) reported high adherence (fidelity) to RaDIANT intervention requirements. Nearly two-thirds (63.1%) of facilities reported that RaDIANT intervention activities were helpful or very helpful, with 90.8% of facilities willing to continue at least one intervention component beyond the study period. Intervention components with high participation emphasized staff and patient-level education, including in-service staff orientations, patient and family education programs, and patient educational materials. Suggested improvements for intervention activities emphasized addressing financial barriers to transplantation, with financial education materials perceived as most helpful among RaDIANT educational materials. Variation in facility-level fidelity of the RADIANT intervention did not significantly influence the mean difference in proportion of patients referred pre- (2013) and post-intervention (2014). CONCLUSIONS: We found high fidelity to the RaDIANT multicomponent intervention at the majority of intervention facilities, with sustainability of select intervention components at intervention facilities and feasibility for dissemination across ESRD Networks. Future modification of the intervention should emphasize financial education regarding kidney transplantation and amend intervention components that facilities perceive as time-intensive or non-sustainable. TRIAL REGISTRATION: Clinicaltrials.gov number NCT02092727 . Registered 13 Mar 2014 (retrospectively registered)

Hamoda, Reem

Gander, Jennifer

McPherson, Laura

Arriola, Kimberly

Cobb, Loren

Pastan, Stephen

Browne, Teri

Hartmann, Erica

Mulloy, Laura

Zayas, Carlos

Krisher, Jenna

Patzer, Rachel

Plantinga, Laura

eScholarship - University of California

Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation.

https://figshare.com/articles/Additional_file_1_of_Process_evaluation_of_the_RaDIANT_community_study_a_dialysis_facility-level_intervention_to_increase_referral_for_kidney_transplantation/5788656

Additional file 1: of Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation

Abstract

Similar works

Full text

Available Versions

Crossref

FigShare

Directory of Open Access Journals

eScholarship - University of California