The Multidisciplinary Support To Access living donor Kidney Transplant (MuST AKT) intervention: A Pilot Randomized Controlled Trial

We evaluated the feasibility and acceptability of the Multidisciplinary Support To Access living donor Kidney Transplant (MuST AKT) intervention, developed to increase living donor kidney transplantation (LDKT). In this pilot randomized controlled trial, we randomly assigned transplant candidates to receive standard care or the MuST AKT intervention, where transplant candidates and their social network addressed barriers to LDKT across four 60-90-minute sessions. Feasibility was assessed by consent/recruitment, retention, study protocol adherence, intervention adherence, and intervention engagement. Acceptability was assessed by questionnaire and post-intervention interviews. The recruitment rate was 61% (43/71), with 38 participants randomized 1:1. Among intervention participants, 1 was excluded for not meeting study criteria prior to start. Among those that started (18), 100% completed 1 session, 94% completed 2 sessions, 83% completed 3 sessions, and 56% completed all 4 sessions. The intervention was delivered in 71 days (mean), shorter than anticipated. The intervention participants reported increased confidence for communicating about LDKT from pre-to post-intervention, and all recommended MuST AKT to their peers. Intervention participants and invitees from their social network described a positive experience and provided recommendations for improvement. The MuST AKT intervention is feasible with minor modifications and acceptable to transplant candidates and their social network.