Self‐management challenges and support needs among kidney transplant recipients: A qualitative study

2018 ◽  
Vol 74 (10) ◽  
pp. 2393-2405 ◽  
Author(s):  
Janet M. J. Been‐Dahmen ◽  
Jan Willem Grijpma ◽  
Erwin Ista ◽  
Jolanda Dwarswaard ◽  
Louise Maasdam ◽  
...  
2018 ◽  
Vol 28 (4) ◽  
pp. 368-375 ◽  
Author(s):  
Tara O’Brien ◽  
Cynthia L. Russell ◽  
Alai Tan ◽  
Mallory Washington ◽  
Donna Hathaway

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.


2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii413-iii413
Author(s):  
Barbora Vaīova ◽  
Josef Maly ◽  
Katerina Ladova ◽  
Pavel Navratil ◽  
Sylvie Dusilova-Sulkova

Medicine ◽  
2019 ◽  
Vol 98 (6) ◽  
pp. e14291 ◽  
Author(s):  
Raheleh Ganjali ◽  
Zhila Taherzadeh ◽  
Mahin Ghorban Sabbagh ◽  
Fatemeh Nazemiyan ◽  
Fereshteh Mamdouhi ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Janet M. J. Been-Dahmen ◽  
Denise K. Beck ◽  
Mariëlle A. C. Peeters ◽  
Heleen van der Stege ◽  
Mirjam Tielen ◽  
...  

2016 ◽  
Vol 67 (3) ◽  
pp. 461-478 ◽  
Author(s):  
Nathan J. Jamieson ◽  
Camilla S. Hanson ◽  
Michelle A. Josephson ◽  
Elisa J. Gordon ◽  
Jonathan C. Craig ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Shiho Kosaka ◽  
Makoto Tanaka ◽  
Tomoko Sakai ◽  
Shinji Tomikawa ◽  
Kazunari Yoshida ◽  
...  

An evaluation scale is indispensable for the promotion of continuing, effective postkidney transplantation self-management behaviors. We aimed to develop and validate a new self-management scale for kidney transplant recipients to improve their long-term outcomes and prevent the recurrence of CKD complications. Two hundred and thirty-nine Japanese patients who had undergone kidney transplantation were recruited from three hospitals. The scale’s validity and reliability were evaluated using exploratory factor analysis and intraclass correlation coefficients. Scale items were selected by considering the findings of a clinical importance survey of 17 experts. Four subscales were identified by the factor analysis: “Self-monitoring” (six items), “Self-care behavior in daily living” (seven items), “Early detecting and coping with abnormalities after kidney transplantation” (four items), and “Stress management” (three items). Cronbach’s alpha coefficients for the subscales ranged from 0.61 to 0.87. A further four items with high clinical importance were added to the scale. The final scale comprised 24 items within four subscales and four single items. The intraclass correlation ranged from 0.88 to 0.95 in each subscale and the weighted kappa coefficient for the single items ranged from 0.33 to 0.72. The validity and reliability of our new self-management scale were confirmed by a patient-based field survey.


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