Trust, in readiness and efficacy News headlines open memory cabinets to recollections of the contamination of what should have been the full supply of vaccines for the anticipated bird-flu and swine-flu viruses.
After the transplant evaluation, we measure knowledge, readiness, self-efficacy, and decisional balance regarding transplant (DDKT and LDKT) (Table 1).
Additional secondary outcomes include readiness, self-efficacy, and decisional balance regarding transplantation and LDKT, assessed one week and 3 months after the evaluation.
We are unable to measure study participants' "baseline" knowledge, readiness, self-efficacy, and decisional balance regarding transplant, prior to starting the evaluation.
Additional secondary outcomes, assessed one week and 3 months after the evaluation, include readiness, self-efficacy, and decisional balance regarding transplant and LDKT, with differences assessed by race.
Other factors are also needed such as skills, problem solving ability, readiness, self-efficacy, and the belief that such behavior changes will make a difference in health outcomes.
Therefore, due to human subjects limitations and practical concerns, we are unable to obtain baseline measures (of knowledge, readiness, self-efficacy, and decisional balance regarding transpland and LDKT) prior to the start of usual or intensive transplant education.
As secondary aims, this study will also determine differences in readiness, self-efficacy, and decisional balance regarding transplant at one week after transplant evaluation, between patients who receive intensive, versus usual, transplant education.
The study will also examine how knowledge, readiness, self-efficacy, and decisional balance change between one week and three months, in patients who receive intensive, versus usual, transplant education.
While these trials have, or promise to, contribute important evidence about how best to reduce racial disparities in LDKT, a common limitation among them is that they are not tailored to patients' individual readiness, self-efficacy, or confidence to pursue LDKT.
Cues for actions that would activate readiness and self-efficacy involve supporting the confidence of the individual to act accordingly.
