The alternatives of 'traditional' full egg donation,6 surrogacy with egg donation, or adoption, were rarely discussed, let alone given detailed or informed consideration.
On the contrary, what we need is deeply informed consideration about how the business of culture, which is essential to its survival, can best be carried out.
Studies assessing the effectiveness of culturally sensitive approaches to improve patients' early shared, and informed consideration of LKT are needed.
In Phase 2, we are currently conducting a randomized controlled trial to assess the effectiveness of interventions to improve patients' shared and informed consideration of LKT.
Although efforts to improve early consideration of LKT are advocated [ 28], effective strategies for engaging ethnic/racial minority and non-minority patients and their families in early, shared and informed consideration of LKT have not been studied.
In summary, the TALK study has rigorously developed and is currently testing the effectiveness of culturally sensitive educational and behavioral interventions to improve patients' and families' early and informed consideration of LKT.
We report the protocol of the Talking About Live Kidney Donation (TALK) Study, a two-phase study utilizing qualitative and quantitative research methods to design and test culturally sensitive interventions to improve patients' shared and informed consideration of LKT.
Study Phase 1 involved the evidence-based development of culturally sensitive written and audiovisual educational materials as well as a social worker intervention to encourage patients' engagement in shared and informed consideration of LKT.
The TALK study has rigorously developed and is currently testing the effectiveness of novel strategies to improve ethnic/racial minority and non-minority patients' and families' early, shared and informed consideration of LKT as treatment option.
We are currently conducting a randomized controlled trial to assess the incremental effectiveness of educational materials and the social worker intervention on improving patients' and families' engagement in shared and informed consideration of LKT.
