Care Technologies to Improve Treatment Adherence in Patients Undergoing Organ Transplant: A Scoping Review

Silva, A M da; Knihs, N S; Sens, Suyan; Dietrich, Maria Augusta; Mello,, Thiago Henrique Gonçalves; Wachholz, Laísa Fischer; Schuantes-Paim, S M; Rodrigues, M C; Pessoa, Jle; Bittencourt, Ivonei; Martins, Maristela Santini

doi:10.1016/j.transproceed.2022.01.017

Cited by 4 publications

(7 citation statements)

References 27 publications

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“…Educational game production was not identified in the mapped materials. The most prominent educational strategies were educational videos and applications 12 .…”

Section: Resultsmentioning

confidence: 99%

“…The study is part of a macro project entitled "Cuidado da equipe multiprofissional no transplante hepático: um olhar para o viver saudável". In this project, other studies have already been developed [11][12][13] . These support the creation and development of this technology.…”

Section: Methodsmentioning

confidence: 99%

“…Studies developed in the macroproject were also used, which point out home care needs [11][12][13] thirty-three minutes and conducted by two researchers. Then, the data collected in the interviews were analyzed using content analysis proposed by Bardin 15 .…”

Section: User-centered Design Step Developmentmentioning

confidence: 99%

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Mobile Game: Educational Technology for Home Care of Patients Undergoing Liver Transplantation

Knihs,

Silva,

Grespi

et al. 2024

Texto contexto - enferm.

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Objective: to develop and validate an educational game capable of supporting health education actions for patients undergoing liver transplantation. Method: this is a study of a technological product, based on the User-Centered Design framework, carried out in a reference hospital for liver transplantation. Participants were patients undergoing liver transplantation, nurses and information technology professionals. Data collection took place through semi-structured interviews and a questionnaire, using Brazilian standards for usability assessment. Data analysis occurred through content analysis, based on the calculation model for the System Usability Scale. Results: seventeen patients participated, including seven nurses and four information technology professionals. The game is made up of five paths with the main care to be carried out at home. Each path presents steps to be followed with its rules. As for validation, the overall mean was 1.38. Usability assessment by patients had a mean of 80 points, while by professionals it was above 75%. Conclusion: it is considered that the aforementioned tool is capable of being used in practice by users. Furthermore, this was adjusted to meet the needs of patients undergoing liver transplantation to support and manage home care.

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“…Educational game production was not identified in the mapped materials. The most prominent educational strategies were educational videos and applications 12 .…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Mobile Game: Educational Technology for Home Care of Patients Undergoing Liver Transplantation

Knihs,

Silva,

Grespi

et al. 2024

Texto contexto - enferm.

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“…O estudo faz parte de um macroprojeto intitulado: "Cuidado da equipe multiprofissional no transplante hepático: um olhar para o viver saudável". Neste projeto já foram desenvolvidos outros estudos [11][12][13] . Estes sustentam a criação e desenvolvimento desta tecnologia.…”

Section: Métodounclassified

Mobile Game: Tecnologia Educacional Para Cuidados Domiciliares Do Paciente Submetido Ao Transplante Hepático

Knihs,

Silva,

Grespi

et al. 2024

Texto contexto - enferm.

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RESUMO Objetivo: desenvolver e validar jogo educativo capaz de subsidiar ações de educação em saúde ao paciente submetido ao transplante hepático. Método: estudo de produto tecnológico, sustentado no referencial doDesign Centrado no Usuário, realizado em hospital de referência em transplante hepático. Participantes foram pacientes submetidos ao transplante hepático, enfermeiros e profissionais da tecnologia da informação. A coleta de dados ocorreu por meio de entrevista semiestruturada e questionário, utilizando as normas brasileiras para avaliação da usabilidade. A análise dos dados ocorreu por meio de análise de conteúdo, com base no modelo de cálculo para a escala de System Usability Scale. Resultados: participaram 17 pacientes, dos quais, sete enfermeiros e quatro profissionais da tecnologia da informação. O jogo é formado por cinco caminhos com os principais cuidados a serem desenvolvidos em domicílio. Cada caminho apresenta etapas a serem seguidas com suas regras. Quanto à validação, a média geral foi de 1,38. A avaliação da usabilidade pelos pacientes teve média de 80 pontos, já pelos profissionais foi acima de 75%. Conclusão: considera-se que a referida ferramenta está apta para ser usada na prática pelos usuários. Ainda, essa foi ajustada para atender às necessidades dos pacientes submetidos ao transplante hepático para apoiar e gerenciar os cuidados em domicílio.

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“…A 2021 reviewed 15 studies over the last 5 years that used care technologies to improve adherence in transplant patients. Results determined that most technologies were aimed at improving medication adherence [14 ▪ ], and the reviewers noted the importance of using technology for monitoring other important markers like vital signs, fluid intake, and blood sugars. A review conducted in 2021 included 18 studies of technologies used for kidney transplant patients; again, a high number of studies discussed technologies aimed at increasing adherence [15 ▪ ].…”

Section: Telemedicinementioning

confidence: 99%

Adherence in transplantation

Kuntz

Engel

2022

Current Opinion in Organ Transplantation

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Purpose of reviewAdequately managing a complex medical regimen is paramount to the success of organ transplants. When patients stray from their prescribed medical regimen posttransplant, graft rejection, and death can occur. Predictors of adherence have been studied for many years, and various factors have been identified as contributing to adequate or poor adherence. Both demographic and personal characteristics have been associated with adherence behavior. However, recent developments, such as the COVID-19 pandemic, increased use of mobile health interventions, and use of medical biomarkers have affected the way adherence is measured and applied.Recent findingsThe COVID-19 pandemic affected patients’ comfort with accessing outpatient care and created a wider use of telehealth services. Measurement of adherence through serum lab levels continues to be reviewed as a potential objective assessment of adherence. Psychosocial factors continue to be identified as major contributors to nonadherence.SummaryAdherence to antirejection medication, lab work, appointments, and exercise and dietary instructions remains critical to the health of the transplant patient. It is critical that providers involved in the selection process and posttransplant treatment of these patients remain well informed of potential new factors affecting adherence.

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Care Technologies to Improve Treatment Adherence in Patients Undergoing Organ Transplant: A Scoping Review

Cited by 4 publications

References 27 publications

Mobile Game: Educational Technology for Home Care of Patients Undergoing Liver Transplantation

Mobile Game: Educational Technology for Home Care of Patients Undergoing Liver Transplantation

Mobile Game: Tecnologia Educacional Para Cuidados Domiciliares Do Paciente Submetido Ao Transplante Hepático

Adherence in transplantation

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