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Only 45% of patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927) had sufficient CKD knowledge at baseline. The median pre-intervention CKD knowledge score was 16 (interquartile range (IQR) 13\u201318) and the post-intervention score was 19 (IQR 17\u201321). Paired\n                      <jats:italic>t<\/jats:italic>\n                      -tests showed significant improvement in the primary outcome, CKD knowledge (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Overall baseline knowledge of kidney failure treatment modalities was low (&lt;\u200930% with some to great knowledge for all modalities), and participants reported a significant increase in knowledge across kidney failure treatment modalities (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05 except\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.17 conservative management). Patient intent to make lifestyle changes was high pre-intervention and did not change significantly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A brief, culturally tailored inpatient intervention successfully increased knowledge of CKD and kidney failure treatment options for African American hospitalized patients. More intensive interventions are needed to sustain knowledge gains and motivation for lifestyle changes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-025-09699-w","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T10:06:09Z","timestamp":1751969169000},"page":"111-118","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Referral and Education Program Prior to Renal Replacement Therapy (PREP-RRT): A Pilot Study"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9276-2066","authenticated-orcid":false,"given":"Milda R.","family":"Saunders","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Zasadzinski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Gaspard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adewumi","family":"Omoniyi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akilah","family":"King","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James P.","family":"Lash","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica E.","family":"Peek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"key":"9699_CR1","unstructured":"United States Renal Data System. 2023 USRDS Annual Data Report: Epidemiology of kidney disease in the United States. 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