The goal of this pilot study is to find out whether educational videos can help patients better understand, and remember, important information regarding the benefits and risks of having a kidney transplant.

The study aims to answer several questions, including:

1. Is the video-based educational intervention acceptable and feasible for kidney transplant patients?
2. Does the intervention improve patient knowledge and satisfaction immediately after viewing?
3. Does the intervention improve patient knowledge retention a week later?
4. What are patients views on the video format as an educational tool?

At the moment, patients learn about kidney transplantation through written documents, and discussions and conversations with their clinicians / doctors. However, the concern here is that not everyone has the same level of understanding when it comes to language literacy, medical jargon and information. This can result in gaps in knowledge, misunderstandings, and / or misinterpretations, including the need for lifelong medication and possible post-transplant complications.

Patients understanding of the benefits and risks of transplantation is extremely important, as there are aspects which patients may not be aware of, including the need for (and importance of) lifelong medication, and also potential disease complications which may follow transplantation. For example, following a kidney transplant, it is not uncommon for patients to develop diabetes.

Participants in the study will:

Watch two short videos (roughly five minutes each) that explain the benefits and risks of kidney transplantation.

Answer some questions before video viewing, immediately after video viewing, and one week after video viewing.

Complete a short interview to give deeper feedback on the videos.

This study will explore whether using video helps patients to feel more informed and also satisfied with the clinical information they receive, and whether they can better retain this information. The investigators aim to support more informed patients, making transplant education clearer, more accessible, and generally easier to understand.

This will be a mixed-methods, repeated-measures, non-randomised pilot study. The design uses both quantitative and qualitative components to explore the feasibility and effectiveness of short (approximately five minutes each) educational videos for improving kidney transplant patient knowledge, knowledge retention, and information satisfaction.

A power analysis was conducted using G-Power to determine the participant sample size necessary for detecting a meaningful within-group effect of the intervention for both patient knowledge and information satisfaction. To detect a medium effect size (f = 0.21) with a power of 0.80 and an alpha level of .05, a total sample size of 60 participants (30 pre-transplant, and 30 post-transplant) is required.

Two subgroups (30 people each) - pre-transplant and post-transplant patients - will receive the same intervention with data collected through questionnaires (assessing knowledge, knowledge retention and satisfaction with the educational information) at three time points: Immediately pre-intervention (T1), immediately post-intervention (T2), and at a one-week follow-up (T3).

A semi-structured interview will take place immediately following the intervention (T2) exploring participants qualitative impressions of the videos and participant's assessment of the video's acceptability and the usefulness of the format.

The study will help to determine whether video-based education is a feasible and acceptable method for delivering kidney transplantation information, and whether it can improve participant understanding and satisfaction over traditional educational formats. The findings can then inform the design of a future larger-scale trial.

Inclusion Criteria:

• Pre-transplant patients are on the kidney transplant wait list
• Post-transplant patients have received a transplant within the last 12 months.
• Participants are 18 years or over.
• Participants can read and understand English.
• Participants are located within the Auckland Metro region.

Exclusion Criteria:

• Any impairments preventing informed consent.

The investigators make available de-identified data available for Māori researchers upon reasonable request. Specifically: The investigators allow Māori organisations to access de-identified study data, for uses that may benefit Māori.

By the time recruitment opens (estimated June 2025), and for no less than a year following publication of results.

Māori researchers on reasonable request to the research team. People will receive a password protected Excel file containing the de-identified data.