Individual versus group chronic kidney disease education

There is little doubt that patient education around options for treatment of chronic kidney disease (CKD) improves patient outcomes. However, different education models are seldomly evaluated head-to-head. This study evaluated self-assessed knowledge, treatment choices and decision-making for patients receiving CKD education delivered in a traditional group lecture setting compared with one-on-one individual sessions. Thirty-nine participants were allocated to either group or individual education and completed surveys before and after each session, as well as receiving a follow-up phone call 2 weeks after the education. The primary outcome was self-assessed level of understanding of kidney replacement therapy (KRT) modalities. Secondary outcomes were the utilisation of written resources and an assessment of the factors that influenced participants' selection on their choice of modality. Thirty participants completed all three surveys. Participants in the individual education had enhanced comprehension across all modalities of KRT, particularly peritoneal dialysis (PD) and transplantation. Utilisation of educational resources was similar between the two groups. In both groups, lifestyle considerations were the most important factor when deciding on a KRT modality. An individual, one-to-one style of interactive education was associated with a trend towards better knowledge and understanding, especially the modalities of PD and transplantation and, as such, is another option for delivering enhanced CKD education. Further research is required to assess which factors might advocate for one education format over another in order to optimise patient satisfaction with their education experience.