Feasibility and preliminary effects of a theory-based self-management program for kidney transplant recipients: A pilot study

Self-care activities are important to prevent transplant-related side effects and complications among kidney transplant recipients. Therefore, we developed a theory-based self-management program for kidney transplant recipients hospitalized after surgery. This study aimed to examine the feasibility of the program and to identify its preliminary effects on autonomy, competence, and self-care agency. We assessed feasibility using quantitative data collected based on a single group repeated-measures design, along with qualitative data such as patients’ feedback on satisfaction during patient counseling. The program comprised video education and individual counseling by nurses. Thirty patients completed this program. Outcome variables were measured thrice: before education, immediately following the first week of video education, and after two consecutive weeks of counseling. A repeated measures ANOVA showed a statistically significant increase in autonomy (F = 5.03, p = .038), competence (F = 17.59, p < .001), and self-care agency (F = 24.19, p < .001). Our pilot study provided preliminary evidence supporting the feasibility for implementation of the theory-based self-management program, and suggesting its preliminary effects in improving autonomy, competence, and self-care agency among kidney transplant recipients. Further research is needed to examine the short- and long-term effects of this program in a longitudinal, randomized control study with a larger sample.

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Evaluating the feasibility of a nurse-led self-management support intervention for kidney transplant recipients: a pilot study

BMC Nephrology ◽

10.1186/s12882-019-1300-7 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 6

Author(s):

Janet M. J. Been-Dahmen ◽

Denise K. Beck ◽

Mariëlle A. C. Peeters ◽

Heleen van der Stege ◽

Mirjam Tielen ◽

...

Keyword(s):

Pilot Study ◽

Kidney Transplant ◽

Self Management ◽

Management Support ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Support Intervention

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A randomized clinical trial comparing Nitrofurazone‐coated and uncoated urinary catheters in kidney transplant recipients: Results from a pilot study

Transplant Infectious Disease ◽

10.1111/tid.13031 ◽

2018 ◽

Vol 21 (2) ◽

pp. e13031 ◽

Cited By ~ 3

Author(s):

Fernando Gatti Menezes ◽

Luci Corrêa ◽

Jose Osmar Medina‐Pestana ◽

Wilson Ferreira Aguiar ◽

Luis Fernando Aranha Camargo

Keyword(s):

Clinical Trial ◽

Pilot Study ◽

Randomized Clinical Trial ◽

Kidney Transplant ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Urinary Catheters

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An Exploratory Correlational Study in the Use of Mobile Technology Among Adult Kidney Transplant Recipients

Progress in Transplantation ◽

10.1177/1526924818800051 ◽

2018 ◽

Vol 28 (4) ◽

pp. 368-375 ◽

Cited By ~ 3

Author(s):

Tara O’Brien ◽

Cynthia L. Russell ◽

Alai Tan ◽

Mallory Washington ◽

Donna Hathaway

Keyword(s):

Kidney Transplant ◽

Mobile Technology ◽

Mobile Apps ◽

Self Management ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Cross Sectional ◽

Adult Kidney ◽

Access Patterns ◽

Management Of Care

Introduction: Rapidly growing use of mobile technology provides a platform for self-management of care support for those with chronic conditions. Few studies have explored the characteristics or access patterns of kidney transplant recipients who use mHealth applications (apps) for self-management of care. Research Questions: The primary aim of this study was to describe demographics, use, barriers, and perceptions of mobile apps for self-management of care among adult kidney transplants recipients. The secondary aim was to compare blood urea nitrogen, glomerular filtration rate, and number of hospitalizations among mHealth app users, other app users, and non-app users. Methods: A cross-sectional design was used to administer the Mobile Application Use among Kidney Transplant Recipients Questionnaire. Descriptive statistics, χ2 statistics, and analysis of variance were used for the primary aim and linear regression was used for the secondary aim. Results: The sample included mostly African American males (n = 123, 75.5%) with a mean age of 50 (13.2) years. Knowledge was the greatest barrier reported by the non-app users (mHealth app users 9%, other app users 12%, non-app users, 49%, P < .001). Significantly fewer hospitalizations were found in the mHealth app users compared to other app users (regression coefficient b = −1.2, standard error [SE] = 0.5) and non-app users ( b = −0.9, SE = 0.6), adjusting for patient demographic and clinical characteristics. Discussion: Findings suggest a relationship may exist between mHealth app use and a decrease in the number of hospitalizations following kidney transplantation.

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