Process Evaluation Alongside a Cluster-Randomized Trial of a Multicomponent Intervention Designed to Improve Patient Access to Kidney Transplantation.

ABSTRACT:

Background

In a cluster-randomized trial, we learned that a novel multicomponent intervention designed to improve access to kidney transplantation did not significantly increase the rate of completed steps toward receiving a kidney transplant. Alongside the trial, we conducted a process evaluation to help interpret our findings.

Objective

To determine whether the intervention addressed targeted barriers to transplant and whether the implementation occurred as planned.

Design

Mixed-methods process evaluation informed by implementation science theories.

Setting

Chronic kidney disease (CKD) programs in Ontario, Canada. These programs, providing care to patients with advanced CKD, participated in the trial from November 1, 2017 to December 31, 2021 (either in the i

SUBMITTER: Yohanna S 

PROVIDER: S-EPMC11915279 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature