A Snapshot of Renal Transplant Patients Using Medical Web Browsing

Hanif, Faisal; Read, Janet C.; Clancy, Marc

doi:10.6002/ect.2011.0154

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Our results showed that Internet is a popular source used by the majority of RTR (79.9%). This was in accordance with a survey from Scotland which showed that 87% of kidney-transplanted patients had access to the Internet [ 19 ]. Moreover, nearly 30% of our patients connected to social networks.…”

Section: Discussionsupporting

confidence: 91%

“…Patients which needed an informative support had the most access to the Internet. This result was in accordance with the Scottish survey: among the 87% of RTR having access to the Internet, 70% used it for seeking health information and 90% looked up information on transplantation [ 19 ]. It is possible that Internet may allow those patients to easily seek information about their transplant and to be involved in their own health care.…”

Section: Discussionsupporting

confidence: 87%

“…In accordance with literature [ 19 , 23 , 24 ], younger age, male gender, having no children, employment status and high monthly incomes in the household, were associated with Internet access and social network use. However, a recent study found that females use Internet the most [ 25 ].…”

Section: Discussionsupporting

confidence: 87%

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Internet and social network users’ profiles in Renal Transplant Recipients in France

et al. 2017

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Background: The use of the Internet for searching and sharing health information and for health care interactions may have a great potential for Renal Transplant Recipients (RTR). This study aims to determine the characteristics associated with Internet and social network use in a representative sample of RTR at the time of their inclusion in the study. Methods: Data of this cross-sectional design is retrieved from a longitudinal study conducted in five French kidney transplant centers in 2011, and included Renal Transplant Recipients aged 18 years with a functioning graft for at least 1 year. Measures include demographic characteristics (age, gender, level of education, employment status, living arrangement, having children, invalidity and monthly incomes in the household), psycho-social characteristics measured by the perceived social support questionnaire, and medical characteristics (previous dialysis treatment, duration since transplantation, graft rejection episodes, chronic graft dysfunction, health status and comorbidities: neoplasia for the current transplant, hypertension, diabetes mellitus, smoking status, BMI > 30 kg/m 2 and Charlson Comorbidity Index (CCI)). Polytomous linear regression analysis was performed to describe the Internet and social network users' profiles, using lack of Internet access as the comparison category. Results: Among the 1416 RTR participating in the study, 20.1% had no Internet access in the household, 29.4% connected to social networks and 50.5% were not connected to social networks. Patients who connected the most to the Internet and social networks were younger, male, without children, employed, with high monthly incomes in the household, without hypertension and having felt a need for an informative or an esteem support. Conclusion: In our study, the majority of RTR were actively using Internet and social networks. Renal transplant units should develop flexible and Web-based sources related to transplant information, which will allow a rapid adaptation to changes in prevalent practice, improve the health of the patients and reflect their preferences.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

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Internet and social network users’ profiles in Renal Transplant Recipients in France

et al. 2017

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“…As reported by Hanif et al. , 70% of patients surveyed desire for donor‐related information to be present on websites, and 85% want their transplant teams to create these portals for their use. When transplant teams create these hospital websites and populate them with information they know to be accurate and user‐friendly, it lessens the guesswork by patients, donor candidates, and families and enhances the informed consent process.…”

Section: Discussionmentioning

confidence: 90%

The silence of Good Samaritan kidney donation in Australia: a survey of hospital websites

Bramstedt

Dave

2013

Clinical Transplantation

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It is common for living donor candidates to use the Internet as a tool to enhance their decision-making process. Specifically, the websites of transplant hospitals can potentially be a vital source of information for those contemplating living donation. In an effort to explore the low incidence of Good Samaritan kidney donation (donations to strangers) in Australia, two raters conducted a nine-attribute website content analysis for all hospitals which participate in these transplants (n = 15). Overall, the concept of living donation is relatively silent on Australian hospital websites. Only four hospitals mention their living donor program, and only one mentions their Good Samaritan program. No site linked directly to Australia's AKX Paired Kidney Exchange Program - the only program which facilitates pair and chain transplants in Australia. Further, information about deceased donation is nearly absent as well. An individual with the altruistic desire to donate will generally find scant or absent information about donation at the website of their local transplant hospital, although this information could easily be present as an educational tool which supports the consent process. Using a hospital website to educate the public about a clinical service should not be viewed as ethically problematic (solicitation), but rather an ethical essential.

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“…In solid organ transplantation, efforts have been made to use the Internet for integration of care, 6 patient education, 7 - 10 and to aid in screening potential donors and recipients 11 , 12 ; however, little work has been done to understand potential facilitators and barriers to Internet use. Our previous work characterizing device ownership trends and attitudes related to ICT in prekidney and postkidney transplant patients represented a narrow window into the many nuances of technology use in this chronically ill population.…”

mentioning

confidence: 99%

Frequency of In-Home Internet Use Among Prekidney and Postkidney Transplant Patients—Facilitators and Barriers to Use and Trends Over Time

Lockwood

Dunn-Lopez

Burke

et al. 2017

Transplantation Direct

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BackgroundAs health-related communications become digitized, strategies to increase adoption of these Web-based platforms are needed. The purpose of this study was to assess facilitators and barriers to in-home Internet use among prekidney and postkidney transplant patients.MethodsA single center, cross-sectional survey of 240 consecutive patients of all levels of technological proficiency who presented to an urban transplant center in the United States. The Patient Information and Technology Assessment consists of 6 demographic questions, 3 disease-related questions, and 8 technology-related questions.ResultsMuch of the sample was African American, male with a mean age of 51 years, and median income of $53 800/year. Logistic regression analysis was undertaken, and after adjusting for covariates, we found Smartphone ownership (odds ratio [OR], 4.94; 95% confidence interval [CI], 2.32-10.52), a higher number of Internet users in the home (OR, 2.00; 95% CI, 1.11-3.62), and having college education and beyond (OR, 4.88; 95% CI, 2.03-11.74) increased the likelihood of being a frequent Internet user. African American or Hispanic/Latino patients were less likely to be frequent Internet users compared with white patients (OR, 0.26 and 0.24, respectively, compared with whites, all P < 0.05). As the total number of people in the household increased, frequent Internet use decreased (OR, 0.52; 95% CI, 0.29-0.92). As age increased, reports of frequent Internet use decreased.ConclusionsLower rates of Internet use among African Americans and Hispanic/Latinos in urban areas in the United States remains a problem despite a significant increase in access to the Internet and Smartphone ownership. The finding that Internet use increases as the number of Internet users in the household increases indicates that leveraging the patient’s social support network and/or the development of patient information champion programs may aid with patient’s adoption of health technology and patient engagement in self-care.

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A Snapshot of Renal Transplant Patients Using Medical Web Browsing

Cited by 9 publications

References 17 publications

Internet and social network users’ profiles in Renal Transplant Recipients in France

Internet and social network users’ profiles in Renal Transplant Recipients in France

The silence of Good Samaritan kidney donation in Australia: a survey of hospital websites

Frequency of In-Home Internet Use Among Prekidney and Postkidney Transplant Patients—Facilitators and Barriers to Use and Trends Over Time

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