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| ID | Type | Description | Link |
|---|---|---|---|
| LTF-2024C2-39695 | Other Grant/Funding Number | PCORI |
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| Name | Class |
|---|---|
| Geisinger Clinic | OTHER |
| University of Mississippi Medical Center | OTHER |
| Duke Health | OTHER |
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STEPS-LT is an extension of the System Interventions to Achieve Early and Equitable Transplants (STEPS) study. STEPS-LT will follow participants that previously completed the STEPS study to evaluate sustained behavioral activation and transplant-related milestones among participants.
STEPS-LT extends the original STEPS study for long-term follow-up. Participants will be followed for an additional 36 months to evaluate sustained behavioral activation and transplant-related milestones among participants originally enrolled in STEPS. STEPS-LT maintains the original STEPS study cohort and will collect additional outcomes data through questionnaires, electronic health records, and the Scientific Registry of Transplant Recipients. This extended follow-up will assess participants' engagement in transplant readiness behaviors and transplant barriers they encounter over time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| STEPS Health Systems Surveillance and Outreach Intervention | |||
| Usual Kidney care |
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| Measure | Description | Time Frame |
|---|---|---|
| Patient Reported Physician Discussions | number of times patient talked to physician regarding kidney transplant measured by patient report in questionnaire | month 6, months 12, months 18, month 24, month 30, month 36 |
| Patient Reported Family Discussions | number of times patient talked to family regarding kidney transplant measured by patient reported in questionnaire | month 6, months 12, months 18, month 24, month 30, month 36 |
| Patient Reported Initiation of Transplant Evaluation | number of patients that said "yes" to the initiation of transplant evaluation measured by patient report in questionnaire | month 6, months 12, months 18, month 24, month 30, month 36 |
| Patient Reported Identification of a Living Donor | Number of patients that said "yes" to the identification of a living donor measured by patient report in questionnaire | month 6, months 12, months 18, month 24, month 30, month 36 |
| Patient Reported Completion of Transplant Evaluation | Number of patients that said "yes" to the completion of transplant evaluation measured by patient report in questionnaire | month 6, months 12, months 18, month 24, month 30, month 36 |
| Measure | Description | Time Frame |
|---|---|---|
| Health System Reported Live Donor Inquires to Transplant Center | the number of participants that made an inquiry to the transplant center related to donors as reported in health system electronic health record or questionnaires | month 6, months 12, months 18, month 24, month 30, month 36 |
| Health System Reported Receipt of Live Donor Kidney Transplant |
| Measure | Description | Time Frame |
|---|---|---|
| Patients that reported behavioral activation and subsequently received transplant | Number of patients who displayed treatment readiness behaviors and subsequently received transplant | Up to year 3 |
Inclusion Criteria:
- STEPS study participants who did not withdraw consent during the study or have not died.
Exclusion Criteria:
- Not previously enrolled in STEPS study
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Participants previously enrolled in STEPS study will participate in this extension study (STEPS-LT).
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| Name | Affiliation | Role |
|---|---|---|
| Ebony Boulware, M.D. | Wake Forest University Health Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wake Forest University Health Sciences | Winston-Salem | North Carolina | 27101 | United States |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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The number of participants that completed their live kidney donor transplant as reported by the electronic health record or questionnaire |
| month 6, months 12, months 18, month 24, month 30, month 36 |
| Health System Reported Receipt of Deceased Donor Kidney Transplant | The number of participants that completed their deceased kidney donor transplant as reported by the electronic health record or questionnaire | month 6, months 12, months 18, month 24, month 30, month 36 |
| Health System Reported Placement on Deceased Kidney Donor Waitlist | The number of participants that have been placed on the deceased kidney donor waitlist as reported in the electronic health record or United Network of Organ Sharing | month 6, months 12, months 18, month 24, month 30, month 36 |
| Health System Reported Completion of Transplant Evaluation | Number of participants that said "yes" to completion of transplant evaluation as reported in health system electronic health record and administrative reports | month 6, months 12, months 18, month 24, month 30, month 36 |
| Health System Reported Initiation of Transplant Evaluation | Number of patients that said "yes" to the initiation of transplant evaluation as reported in health system electronic health record and administrative reports | month 6, months 12, months 18, month 24, month 30, month 36 |
| Patient Reported Kidney Transplant Knowledge | Number of questions patients correctly answer measured by patient report in questionnaire | month 6, months 12, months 18, month 24, month 30, month 36 |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |