A Culturally Sensitive Web-based Intervention to Improve Living Donor Kidney Transplant Among African Americans

Rachel E. Patzer, Laura McPherson, Nakeva Redmond, Derek DuBay, Carlos F Zayas Montalvo, Erica Hartmann, Laura Mulloy, Jennie Perryman, Stephen Pastan, Kimberly Jacob Arriola

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Introduction: There are pervasive racial disparities in access to living donor kidney transplantation, which for most patients with end-stage renal disease (ESRD) represents the optimal treatment. We previously developed a theory-driven, culturally sensitive intervention for African American (AA) patients with kidney disease called Living ACTS (About Choices in Transplantation and Sharing) as a DVD and booklet, and found this intervention was effective in increasing living donor transplant knowledge. However, it is unknown whether modifying this intervention for a Web-based environment is effective at increasing access to living donor transplantation. Methods: We describe the Web-based Living ACTS study, a multicenter, randomized controlled study designed to test the effectiveness of a revised Living ACTS intervention in 4 transplant centers in the southeastern United States. The intervention consists of a Web site with 5 modules: Introduction, Benefits and Risks, The Kidney Transplant Process, Identifying a Potential Kidney Donor, and ACT Now (which encourages communication with friends and family about transplantation). Results: This study will enroll approximately 800 patients from the 4 transplant centers. The primary outcome is the percentage of patients with at least 1 inquiry from a potential living donor among patients who receive Living ACTS as compared with those who receive a control Web site. Conclusion: The results from this study are expected to demonstrate the effectiveness of an intervention designed to increase access to living donor transplantation among AA individuals. If successful, the Web-based intervention could be disseminated across the >250 transplant centers in the United States to improve equity in living donor kidney transplantation.

Original languageEnglish (US)
Pages (from-to)1285-1295
Number of pages11
JournalKidney International Reports
Issue number9
StatePublished - Sep 2019


  • education
  • intervention
  • kidney transplant

ASJC Scopus subject areas

  • Nephrology


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