Measuring kidney patients' motivation to pursue living donor kidney transplant: Development of Stage of Change, Decisional Balance and Self-Efficacy measures

Amy D. Waterman*, Mark L. Robbins, Andrea L. Paiva, John D. Peipert, La Shara A. Davis, Shelley S. Hyland, Emily A. Schenk, Kari A. Baldwin, Nicole R. Amoyal

*Corresponding author for this work

Research output: Contribution to journalArticle

13 Scopus citations


While educational interventions to increase patient motivation to pursue living donor kidney transplant have shown success in increasing living donor kidney transplant rates, there are no validated, theoretically consistent measures of Stage of Change, a measure of readiness to pursue living donor kidney transplant; Decisional Balance, a weighted assessment of living donor kidney transplant's advantages/disadvantages; and Self-Efficacy, a measure of belief that patients can pursue living donor kidney transplant in difficult circumstances. This study developed and validated measures of these three constructs. In two independent samples of kidney patients (N1 = 279 and N2 = 204), results showed good psychometric properties and support for their use in the assessment of living donor kidney transplant interventions.

Original languageEnglish (US)
Pages (from-to)210-221
Number of pages12
JournalJournal of Health Psychology
Issue number2
StatePublished - Feb 5 2015



  • Health behavior
  • Health education
  • Self-Efficacy
  • Stages of change
  • Validation

ASJC Scopus subject areas

  • Applied Psychology

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