{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T03:00:01Z","timestamp":1787626801515,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:00:00Z","timestamp":1582156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Transplant candidates are reluctant to accept kidneys from high Kidney Donor Profile Index (KDPI) donors. Incomplete understanding can lead to transplant delays for older transplant candidates. Patients need access to understandable information to make more informed decisions about KDPI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We developed a KDPI\u2010specific animation with input from six stakeholder groups and conducted a one\u2010group pre\u2010post study with 60 kidney transplant candidates for feasibility and acceptability to improve participant KDPI knowledge, understanding, decisional self\u2010efficacy, and willingness to accept a KDPI\u00a0&gt;\u00a085% kidney. Data were compared using McNemar's test and Wilcoxon signed\u2010rank test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with pre\u2010animation scores, post\u2010animation scores were significantly higher for KDPI knowledge for the entire cohort (4.6 vs 6.1, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) and across different levels of age, educational attainment, health literacy, vintage, and technology access. The frequency of positive responses increased pre\u2010post animation for KDPI understanding (55% vs 83%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) and decisional self\u2010efficacy (47% vs 75%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). However, willingness to accept KDPI\u00a0&gt;\u00a085% kidneys (32% vs 36%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.83) increased by 2%. After viewing <jats:italic>simplifyKDPI,<\/jats:italic> &gt;90% indicated positive ratings on ease of watching, understanding, and engaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In collaboration with stakeholders, an educational animation about KDPI was developed that was well\u2010received and is promising to impact knowledge.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13805","type":"journal-article","created":{"date-parts":[[2020,1,31]],"date-time":"2020-01-31T06:46:31Z","timestamp":1580453191000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Development and preliminary evaluation of an animation (<i>simplifyKDPI<\/i>) to improve kidney transplant candidate understanding of the Kidney Donor Profile Index"],"prefix":"10.1111","volume":"34","author":[{"given":"Liise K.","family":"Kayler","sequence":"first","affiliation":[{"name":"Jacobs School of Medicine and Biomedical 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