Validation of the Chinese version of the kidney transplant understanding tool in Chinese patients.

The sample came from two hospitals in Hunan Province, China, so it may not apply to other regions or groups. Participants with mental illness, cognitive impairment or multiple kidney transplants were excluded, so the tool was not tested in those patients. The tool's scores were not compared with another established transplant knowledge measure, and construct validity was not tested. Item deletion differed between candidates and recipients, so the final questionnaire may not be the same across the two groups. The authors note that higher knowledge scores do not necessarily mean better patient behaviour or outcomes. The translation was not done by native English speakers, so some wording may be inaccurate.

Do not read the reliability and validity results as proof that the questionnaire improves patient education or transplant outcomes. The study measured knowledge scores only, and the authors state that improved knowledge does not necessarily change behaviour.