Communicating about choices in transplantation (COACH): results of a pilot test using matched controls

Traino, Heather M, West, Stacy M, Nonterah, Camilla W, Russell, Jennifer and Yuen, Eva 2017, Communicating about choices in transplantation (COACH): results of a pilot test using matched controls, Progress in transplantation, vol. 27, no. 1, pp. 31-38, doi: 10.1177/1526924816679844.

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Title Communicating about choices in transplantation (COACH): results of a pilot test using matched controls
Author(s) Traino, Heather M
West, Stacy M
Nonterah, Camilla W
Russell, Jennifer
Yuen, Eva
Journal name Progress in transplantation
Volume number 27
Issue number 1
Start page 31
End page 38
Total pages 8
Publisher SAGE Publications
Place of publication London, Eng.
Publication date 2017-03-01
ISSN 1526-9248
Keyword(s) Science & Technology
Life Sciences & Biomedicine
behavior and behavior mechanisms
health-care quality
and evaluation
kidney transplant
communication skills training
program evaluation
Summary Previous research highlights the difficulties patients with end-stage renal disease awaiting kidney transplant experience while attempting to manage both the logistical and the content-related aspects of discussions about transplantation. This article presents pilot results of the behavioral communication intervention program, Communicating about Choices in Transplantation (COACH), designed to improve transplant candidates’ communication about transplantation. Research Questions: As compared to matched controls, increases in knowledge of deceased and living donor transplantation, communication self-efficacy, intentions to hold conversations about transplantation, and self-reported discussion were expected for pilot participants from pre- and postassessment; decreases in conversational difficulties were also posited. Design: Using a nonrandomized quasi-experimental design, we compared transplant knowledge and communication between patients completing a 2-hour COACH session (pilot sample) to a sample of matched controls (n = 10). Data were collected via semi-structured telephone interviews upon enrollment and 1 month after enrollment or attendance at a COACH program session. Results: The results revealed significant differences in knowledge from pre- to postassessment between the pilot and control samples ( P = .02). Although no other statistically significant between-group differences were found, paired-sample t tests revealed significant pre–post increases in transplant knowledge (7.6 [standard deviation, SD = 2.0] to 9.5 [SD =1.8]; P = .05) and communication self-efficacy (1255.8 [SD = 239.7] to 1513.8 [SD = 114.3]; P = .009) for pilot participants. Decreases in perceived conversational difficulties were also observed ( P = .53). Discussion: Results provide preliminary support for the program’s impact. Moreover, participant evaluations of the COACH were overwhelmingly positive. A more definitive program evaluation with a larger, more diverse sample is currently underway.
Language eng
DOI 10.1177/1526924816679844
Indigenous content off
Field of Research 1110 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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