Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational Study

Introduction: The feasibility of enrolling and retaining diverse kidney transplant (KT) seekers in remote studies is sparsely reported. Aims: This study examined the use of a mobile communication strategy to enroll and retain participants within a clinical trial of an automated digital intervention...

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Main Authors: Rhys Mendel, Jing Nie, Maria Keller, Yasmin Aly, Harneet Sandhu, Matthew Handmacher, Liise Kayler
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Kidney and Dialysis
Subjects:
Online Access:https://www.mdpi.com/2673-8236/5/2/19
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author Rhys Mendel
Jing Nie
Maria Keller
Yasmin Aly
Harneet Sandhu
Matthew Handmacher
Liise Kayler
author_facet Rhys Mendel
Jing Nie
Maria Keller
Yasmin Aly
Harneet Sandhu
Matthew Handmacher
Liise Kayler
author_sort Rhys Mendel
collection DOAJ
description Introduction: The feasibility of enrolling and retaining diverse kidney transplant (KT) seekers in remote studies is sparsely reported. Aims: This study examined the use of a mobile communication strategy to enroll and retain participants within a clinical trial of an automated digital intervention to promote self-learning for kidney transplant access. Materials and Methods: Adult KT-seekers were identified from an administrative database at a transplant center and recruited by email or text supplemented by verbal prompts. Multivariable logistic regression was used to explore participant- and study-level characteristics associated with enrollment and response rates. Results: Between April 2022 and June 2023, 743 patients were invited to participate, and 422 were enrolled. Enrollers were more likely to be younger (aOR 1.02; <i>p</i> < 0.001). Early enrollment was associated with text message invitation (OR 2.69, <i>p</i> ≤ 0.014). Survey completion at 1 month was similar across patient sociodemographic, clinical, and study characteristics; however, participants self-reporting Black race were underrepresented at month 6 (OR 0.55, <i>p</i> = 0.015) and month 12 (aOR 0.37, <i>p</i> = 0008), and males were underrepresented at month 12 (aOR 0.45, <i>p</i> = 0.028). Conclusion: Mobile communication methods are viable for enrolling diverse KT-seeking patients and collecting survey data remotely. More work is needed to learn how to best recruit older people and retain diverse groups long-term.
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spelling doaj-art-4e296a94f0cd46ba83ee37f80f763ebd2025-08-20T03:27:29ZengMDPI AGKidney and Dialysis2673-82362025-05-01521910.3390/kidneydial5020019Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational StudyRhys Mendel0Jing Nie1Maria Keller2Yasmin Aly3Harneet Sandhu4Matthew Handmacher5Liise Kayler6Department of Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, State University of New York, Buffalo, NY 14203, USADepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions at the University at Buffalo, State University of New York, Buffalo, NY 14203, USADepartment of Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, State University of New York, Buffalo, NY 14203, USADepartment of Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, State University of New York, Buffalo, NY 14203, USADepartment of Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, State University of New York, Buffalo, NY 14203, USADepartment of Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, State University of New York, Buffalo, NY 14203, USADepartment of Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, State University of New York, Buffalo, NY 14203, USAIntroduction: The feasibility of enrolling and retaining diverse kidney transplant (KT) seekers in remote studies is sparsely reported. Aims: This study examined the use of a mobile communication strategy to enroll and retain participants within a clinical trial of an automated digital intervention to promote self-learning for kidney transplant access. Materials and Methods: Adult KT-seekers were identified from an administrative database at a transplant center and recruited by email or text supplemented by verbal prompts. Multivariable logistic regression was used to explore participant- and study-level characteristics associated with enrollment and response rates. Results: Between April 2022 and June 2023, 743 patients were invited to participate, and 422 were enrolled. Enrollers were more likely to be younger (aOR 1.02; <i>p</i> < 0.001). Early enrollment was associated with text message invitation (OR 2.69, <i>p</i> ≤ 0.014). Survey completion at 1 month was similar across patient sociodemographic, clinical, and study characteristics; however, participants self-reporting Black race were underrepresented at month 6 (OR 0.55, <i>p</i> = 0.015) and month 12 (aOR 0.37, <i>p</i> = 0008), and males were underrepresented at month 12 (aOR 0.45, <i>p</i> = 0.028). Conclusion: Mobile communication methods are viable for enrolling diverse KT-seeking patients and collecting survey data remotely. More work is needed to learn how to best recruit older people and retain diverse groups long-term.https://www.mdpi.com/2673-8236/5/2/19educationkidney transplantationkidney donationhealth services and outcomes researchdigital interventionmobile health
spellingShingle Rhys Mendel
Jing Nie
Maria Keller
Yasmin Aly
Harneet Sandhu
Matthew Handmacher
Liise Kayler
Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational Study
Kidney and Dialysis
education
kidney transplantation
kidney donation
health services and outcomes research
digital intervention
mobile health
title Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational Study
title_full Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational Study
title_fullStr Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational Study
title_full_unstemmed Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational Study
title_short Digital Enrollment and Survey Response of Diverse Kidney Transplant Seekers in a Remote Trial (KidneyTIME): An Observational Study
title_sort digital enrollment and survey response of diverse kidney transplant seekers in a remote trial kidneytime an observational study
topic education
kidney transplantation
kidney donation
health services and outcomes research
digital intervention
mobile health
url https://www.mdpi.com/2673-8236/5/2/19
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