Improving Post Kidney Transplant Related Outcomes through Video Based Educational Platforms

PURPOSEKidney transplant recipients medical knowledge and comprehension of transplant care are critical to successful long-term outcomes. While transplant centers focus on pre-transplant patient education, post-transplant education receives less emphasis. At Duke University Hospital, an online digital library of short patient-centric videos was created to provide transplant education. The purpose of this study was to evaluate the impact of these videos on improving patient outcomes and patient perceived ability to effectively manage their own care. METHODSThis was a prospective, single center study, evaluating the impact of education via patient-centric videos on medical knowledge, medication adherence, hospital readmissions, and patient satisfaction. Patients were randomized to receive education via online videos versus standard of care (in person and written education). Ten videos were created to cover the entire transplant process. A survey was conducted to assess outcomes. Descriptive statistics were used to compare groups with absolute numbers (%) and means (SD). RESULTSThere were a total of 83 patients enrolled. Response rates to the surveys was 61.4%. Patients who completed the survey were evaluated. Twenty seven patients were included in the video group and there were 24 control patients. The video group expressed extreme satisfaction with the videos. All patients reported that they would recommend the videos to other patients, and 84% stated that they would return to watch the videos to gain additional transplant knowledge. Patients in the video group reported confidence in their ability and the medical teams ability to manage their health. The assessment of transplant knowledge was similar between groups, but limited by video completion rates and timing of survey completion. Readmission rates were no different. CONCLUSIONSTransplant education provided via video based format helped to improve patients confidence in their ability to maintain their own self-care. The videos were well received and helped give patients a method to learn about transplant. These videos are now used institution wide to help improve patient outcomes