scholarly journals A Nurse-Led Self-Management Support Intervention (ZENN) for Kidney Transplant Recipients Using Intervention Mapping: Protocol for a Mixed-Methods Feasibility Study

10.2196/11856 ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. e11856 ◽  
Author(s):  
Denise Beck ◽  
Janet Been-Dahmen ◽  
Mariëlle Peeters ◽  
Jan Willem Grijpma ◽  
Heleen van der Stege ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Kidney Transplant ◽  
Feasibility Study ◽  
Intervention Mapping ◽  
Self Management ◽  
Management Support ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Support Intervention ◽  
Intervention Mapping Protocol

scholarly journals A Nurse-Led Self-Management Support Intervention (ZENN) for Kidney Transplant Recipients Using Intervention Mapping: Protocol for a Mixed-Methods Feasibility Study (Preprint)

2018 ◽  
Author(s):  
Denise Beck ◽  
Janet Been-Dahmen ◽  
Mariëlle Peeters ◽  
Jan Willem Grijpma ◽  
Heleen van der Stege ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Kidney Transplant ◽  
Intervention Mapping ◽  
Self Management ◽  
Evidence Based ◽  
Management Support ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Support Intervention ◽  
Intervention Mapping Protocol

BACKGROUND Optimal self-management in kidney transplant recipients is essential for patient and graft survival, reducing comorbidity and health care costs while improving the quality of life. However, there are few effective interventions aimed at providing self-management support after kidney transplantation. OBJECTIVE This study aims to systematically develop a nurse-led, self-management (support) intervention for kidney transplant recipients. METHODS The Intervention Mapping protocol was used to develop an intervention that incorporates kidney transplant recipients’ and nurses’ needs, and theories as well as evidence-based methods. The needs of recipients and nurses were assessed by reviewing the literature, conducting focus groups, individual interviews, and observations (step 1). Based on the needs assessment, Self-Regulation Theory, and the “5A’s” model, change objectives were formulated (step 2). Evidence-based methods to achieve these objectives were selected and subsequently translated into practical implementation strategies (step 3). Then, program materials and protocols were developed accordingly (step 4). The implementation to test the feasibility and acceptability was scheduled for 2015-2017 (step 5). The last step of Intervention Mapping, evaluation of the intervention, falls outside the scope of this paper (step 6). RESULTS The intervention was developed to optimize self-management (support) after kidney transplantation and targeted both kidney transplant recipients and nurse practitioners who delivered the intervention. The intervention was clustered into four 15-minute sessions that were combined with regular appointments at the outpatient clinic. Nurses received a training syllabus and were trained in communication techniques based on the principles of Solution-Focused Brief Therapy and Motivational Interviewing; this entailed guiding the patients to generate their own goals and solutions and focus on strengths and successes. Kidney transplant recipients were encouraged to assess self-management challenges using the Self-Management Web and subsequently develop specific goals, action plans, and pursuit skills to solve these challenges. CONCLUSIONS The Intervention Mapping protocol provided a rigorous framework to systematically develop a self-management intervention in which nurses and kidney transplant recipients’ needs, evidence-based methods, and theories were integrated. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11856

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

2019 ◽  
Vol 20 (1) ◽  
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

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

2018 ◽  
Vol 28 (4) ◽  
pp. 368-375 ◽  
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.

scholarly journals SP802MEDICATION ADHERENCE AND SELF MANAGEMENT IN KIDNEY TRANSPLANT RECIPIENTS

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

scholarly journals Effect of an interactive voice response system on self-management in kidney transplant recipients

Medicine ◽  
2019 ◽  
Vol 98 (6) ◽  
pp. e14291 ◽  
Author(s):  
Raheleh Ganjali ◽  
Zhila Taherzadeh ◽  
Mahin Ghorban Sabbagh ◽  
Fatemeh Nazemiyan ◽  
Fereshteh Mamdouhi ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Interactive Voice Response ◽  
Interactive Voice Response System ◽  
Self Management ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Response System ◽  
Voice Response

Mixed‐methods evaluation of a transition and young adult clinic for kidney transplant recipients

2019 ◽  
Vol 23 (4) ◽  
pp. e13450 ◽  
Author(s):  
Vanessa Michaud ◽  
Marie Achille ◽  
Fanie Chainey ◽  
Véronique Phan ◽  
Catherine Girardin ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Young Adult ◽  
Kidney Transplant ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Mixed Methods Evaluation

Motivations, Challenges, and Attitudes to Self-management in Kidney Transplant Recipients: A Systematic Review of Qualitative Studies

2016 ◽  
Vol 67 (3) ◽  
pp. 461-478 ◽  
Author(s):  
Nathan J. Jamieson ◽  
Camilla S. Hanson ◽  
Michelle A. Josephson ◽  
Elisa J. Gordon ◽  
Jonathan C. Craig ◽  
...  
Keyword(s):  
Systematic Review ◽  
Kidney Transplant ◽  
Qualitative Studies ◽  
Self Management ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients

scholarly journals Development of Self-Management Scale for Kidney Transplant Recipients, Including Management of Post-Transplantation Chronic Kidney Disease

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Shiho Kosaka ◽  
Makoto Tanaka ◽  
Tomoko Sakai ◽  
Shinji Tomikawa ◽  
Kazunari Yoshida ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Kidney Transplantation ◽  
Kidney Transplant ◽  
Intraclass Correlation ◽  
Clinical Importance ◽  
Self Management ◽  
Transplant Recipients ◽  
Validity And Reliability ◽  
Kidney Transplant Recipients ◽  
Post Transplantation

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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