Dataset Information

Correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.

ABSTRACT:

Aim

This study aimed to explore the correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.

Methods

A convenient sample of kidney transplant recipients in a general hospital in Guangzhou was recruited from November 2016 to January 2017. Self-reported survey data were provided by the kidney transplant recipients using long-term medication behaviour self-efficacy scale (LTMBSES), perceived social support scale (PSSS) and scale for patient-perceived medication knowledge in medication usage. Descriptive statistics and Spearman's correlation analysis were used for data analysis.

Results

A total of 195 kidney transplant recipients (132 men and 63 women) were recruited for this study. The mean scores of all LTMBSES dimensions, namely personal attitudes, environmental and task-related and behavioural factors, were 32.49?±?4.34, 60.90?±?7.56 and 32.32?±?4.40, respectively. The mean scores of three PSSS dimensions, namely, family, friends and significant others, were 24.91?±?3.42, 22.71?±?4.66 and 22.15?±?4.26, correspondingly. The mean scores of two five-item knowledge subscale dimensions, namely, general and interaction knowledge, were 9.56?±?1.07 and 13.02?±?2.67, respectively. Spearman's correlation analysis showed that social support (r _s ?=?0.232, P?r _s ?=?0.352, P?ConclusionThe levels of long-term medication self-efficacy, perceived social support and medication knowledge of the kidney transplant recipients were high. Social support and medication knowledge were correlated with self-efficacy.

SUBMITTER: Du C

PROVIDER: S-EPMC6626269 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Publications

Correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.

Du Chunyan C Wu Sisi S Liu Hongxia H Hu Yue Y Li Jiaqi J

International journal of nursing sciences 20180921 4

<h4>Aim</h4>This study aimed to explore the correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.<h4>Methods</h4>A convenient sample of kidney transplant recipients in a general hospital in Guangzhou was recruited from November 2016 to January 2017. Self-reported survey data were provided by the kidney transplant recipients using long-term medication behaviour self-efficacy scale (LTMBSES), perceived social suppo ...[more]

PMID: 31406847

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Project description:BACKGROUND:Optimal immunosuppressive medication adherence is essential to graft survival. Transplant-TAVIE is a Web-based tailored intervention developed to promote this adherence. OBJECTIVE:The objective of our study was to evaluate the Transplant-TAVIE intervention's acceptability, feasibility, and preliminary efficacy. METHODS:In a pilot, parallel-group, randomized controlled trial, we randomly assigned a convenience sample of 70 kidney transplant patients on immunosuppressive medication either to an experimental group (Transplant-TAVIE) or to a control group (existing websites). Kidney transplant recipients had to be older than 18 years, be taking immunosuppressant medication, and have access to the internet to participate in this study. Transplant-TAVIE was composed of three interactive Web-based sessions hosted by a virtual nurse. We documented user appreciation of and exposure to the intervention. Furthermore, we assessed medication adherence, medication self-efficacy, intake-related skills, and medication side effects at baseline and 3 and 6 months later. Analyses of variance were used to assess intergroup differences over time. RESULTS:After baseline questionnaire completion, participants were randomly assigned either to Transplant-TAVIE (n=35) or to the websites (n=35) group. All participants had received their kidney graft <1 year to 32 years earlier (mean 6.8 years). Of the experimental group, 54% (19/35) completed the sessions of Transplant-TAVIE. Users found the intervention to be acceptable-33% were extremely satisfied (6/18), 39% were very satisfied (7/18), and 28% were satisfied (5/18). At baseline and over time, both experimental and control groups reported high medication adherence, high medication self-efficacy, and frequent use of skills related to medication intake. No intergroup differences emerged over time. CONCLUSIONS:The results of this study support the feasibility and acceptability of Transplant-TAVIE. It could constitute an accessible adjunct in support of existing specialized services.

Project description:BackgroundTo support effective self-management after kidney transplantation, a holistic nurse-led self-management support intervention was developed using the Intervention Mapping approach. The primary aim was to evaluate the feasibility, acceptability and fidelity of the intervention for kidney transplant recipients and professionals. The secondary aim was to explore preliminary effects on outcomes.MethodsA pilot study was conducted in 2015-2017 to evaluate the intervention. Nurse Practitioners (NP) guided recipients in assessing 14 life areas using the Self-Management Web. Participants were supported in developing self-regulation skills which can be applied to self-management of the illness. Strategies included goal setting, action planning, and promotion of motivation and self-efficacy. Adult recipients from an outpatient clinic of a Dutch University Hospital who underwent their transplant at least 1 month ago, were invited to participate. NPs, nephrologists and recipients were interviewed to assess feasibility, fidelity and implementation experience. Consultations were videoed and analysed to assess fidelity. To assess the preliminary effects, the intervention group completed baseline (T0) and follow-up (T1) questionnaires on self-management behavior, self-efficacy, quality of life and quality of care. A historical control group of kidney transplant recipients completed the same questionnaires at T1.ResultsTwenty-seven recipients agreed to participate in the intervention group, of which 24 completed the intervention and 16 completed baseline and follow-up surveys. The control group consisted of 33 recipients. Professionals and recipients appraised the open, holistic focus of the intervention as a welcome addition to standard care and felt that this helped to build a relationship of trust. Recipients also felt they became more competent in problem-solving skills. The within-group analysis showed no significant increase in patients' self-management skills. The between-groups analysis showed significantly higher medication adherence among the intervention group (P = 0.03; G = 0.81). The within-groups analysis showed a significantly higher perceived quality of care (P = 0.02) in the intervention group.ConclusionThis holistic nurse-led self-management support intervention was found to be feasible and acceptable by professionals and recipients alike. This pilot had a small sample therefore further research is needed into the potential effects on self-management behavior and well-being of transplant recipients. ISRCTN Trial Registry: ISRCTN15057632 (registered retrospectively on 20-07-2018).

Dataset Information

Correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.

Aim

Methods

Results

Publications

Correlation of long-term medication behaviour self-efficacy with social support and medication knowledge of kidney transplant recipients.

Similar Datasets

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