What the study found
The study found that the Multidisciplinary Support To Access living donor Kidney Transplant (MuST AKT) intervention was feasible with minor modifications and acceptable to transplant candidates and their social network. Participants also reported increased confidence in communicating about living donor kidney transplantation, which means receiving a kidney from a living donor.
Why the authors say this matters
The authors developed the intervention to increase living donor kidney transplantation, and the study suggests it may help transplant candidates address barriers to that process. The authors conclude that the intervention may be a workable approach for this setting.
What the researchers tested
The researchers conducted a pilot randomized controlled trial, which is a small study that randomly assigns participants to compare an intervention with standard care. Transplant candidates were assigned to standard care or MuST AKT, and the intervention involved four 60- to 90-minute sessions in which candidates and their social network addressed barriers to living donor kidney transplantation.
What worked and what didn't
The recruitment rate was 61% (43 of 71), and 38 participants were randomized equally between groups. Among intervention participants, one was excluded before starting, and of those who started, 100% completed 1 session, 94% completed 2 sessions, 83% completed 3 sessions, and 56% completed all 4 sessions; the intervention was delivered in a mean of 71 days, shorter than anticipated. Intervention participants reported increased confidence in communicating about living donor kidney transplantation, and all recommended MuST AKT to peers.
What to keep in mind
This was a pilot study with a small sample, so the findings are about feasibility and acceptability rather than effectiveness. The abstract also notes that participants and social network invitees gave recommendations for improvement, but it does not provide detailed limitations beyond the need for minor modifications.
- MuST AKT was found to be feasible with minor modifications.
- The intervention was acceptable to transplant candidates and their social network.
- Recruitment reached 61% of eligible candidates, with 38 people randomized.
- Completion declined across the four sessions, from 100% for session 1 to 56% for session 4.
- Participants reported increased confidence in communicating about living donor kidney transplantation.