Development and preliminary evaluation of ilearnKAS: An animated video about kidney allocation to support transplant decision-making

Background: We aimed to develop and feasibility test an educational video culturally targeted to African American (AA) patients regarding kidney allocation. Methods: We iteratively refined an animated video for AAs with multiple stakeholder input and conducted a one-group, pre–post study with 50 kidney transplant candidates to assess video feasibility and acceptability. A mixed population was chosen to obtain race-specific acceptability data and efficacy estimates for a larger study. Results: Median participant age was 56 years, and 50% were AA. Comparing pre–post video scores, large knowledge effect sizes were found for the cohort (r = 0.7) and in the context of AA race (r = 0.8), low health literacy (r = 0.6), low educational achievement (r = 0.7), age >55 years (r = 0.6), dialysis vintage ≥1 year (r = 0.8), low income (r = 0.7) and low technology access (r = 0.8). Over 87% of participants provided positive ratings on each of the seven acceptability items. The frequency of positive responses increased pre–post video for kidney allocation understanding (78% vs 94%, P = 0.008), decisional self-efficacy (64% vs 88%, P < 0.001) and belief in fairness (76% vs 90%, P = 0.02). Conclusions: In collaboration with key stakeholders, a culturally targeted educational video was developed that was well received. Results are promising to impact kidney allocation knowledge among AA and non-AA kidney transplant candidates.