Cost‐effectiveness of post‐transplantation quality of life intervention among kidney recipients

Chang, Cyril F.; Winsett, Rebecca P.; Gaber, A. Osama; Hathaway, Donna

doi:10.1111/j.1399-0012.2004.00181.x

Cited by 27 publications

(23 citation statements)

References 22 publications

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“…At the micro-level, we recommend devising culturally competent educational programs to enhance medication adherence,94 increase organ donation, and increase social support for kidney recipients. At the clinical practice level, we recommend that transplant programs provide patients with assistance in finding employment,95 which has been shown to be cost-effective;96 and enlist clinical pharmacists to provide counseling to patients about medication therapy to enhance adherence 97…”

Section: Interventions To Reduce Disparitiesmentioning

confidence: 99%

Disparities in Kidney Transplant Outcomes: A Review

Gordon

Ladner

Caicedo

et al. 2010

Seminars in Nephrology

124

112

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Sociocultural and socioeconomic disparities in graft survival, graft function, and patient survival in adult kidney transplant recipients are reviewed. Studies consistently document worse outcomes for black patients, patients with low income, and less education, whereas better outcomes are reported in Hispanic and Asian kidney transplant recipients. However, the distinct roles of racial/ethnic versus socioeconomic factors remain unclear. Attention to potential pathways contributing to disparities has been limited to immunological and nonimmunological factors, for which the mechanisms have yet to be fully illuminated. Interventions to reduce disparities have focused on modifying immunosuppressant regimens. Modifying access to care and health care funding policies for immunosuppressive medication coverage are also discussed. The implementation of culturally sensitive approaches to the care of transplant candidates and recipients is promising. Future research is needed to examine the mechanisms contributing to disparities in graft survival and to ultimately intervene effectively.

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Section: Interventions To Reduce Disparitiesmentioning

confidence: 99%

Disparities in Kidney Transplant Outcomes: A Review

Gordon

Ladner

Caicedo

et al. 2010

Seminars in Nephrology

124

112

View full text Add to dashboard Cite

show abstract

“…9.0 Psychological support [32][33][34][35] a. In the pre-transplant assessment, ensure availability of counselling and provision of time for decision making and exploration of adaptation, coping and social support.…”

Section: Monitoring Of Allograft Functionmentioning

confidence: 99%

Guidelines for kidney transplantation in patients with HIV disease^*

Bhagani¹,

Sweny

Brook

2006

HIV Medicine

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“…Self-care refers to the behavior undertaken by individuals to promote or restore their health. Self-care encompasses more than just adherence to medications and also includes how patients follow dietary recommendations, monitor symptoms, maintain physical function, execute medical regimens, and make decisions about seeking care (Chang, Winsett, Gaber, & Hathaway, 2004). Self-care has been shown to improve health function, decrease readmission rates, and promote quality of life (Glasgow, Fisher, Skaff, Mullan, & Toobert, 2007;Weng, Dai, Huang, & Chiang, 2010).…”

Section: Introductionmentioning

confidence: 99%

The Effects of an Empowerment Intervention on Renal Transplant Recipients

Hsiao

Lin

et al. 2016

Journal of Nursing Research

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Background: Renal transplantation is a vital treatment for end-stage renal disease. To help improve quality of life after renal transplant surgery, interventions are needed to strengthen the coping skills and self-care behaviors of patients. However, most research studies on self-care after renal transplantation have addressed related factors. Few studies have examined the effects of interventions on renal transplant recipients. Purpose: This study investigated the effects of an empowerment support group on the empowerment levels and self-care behaviors of renal transplant recipients. Methods: This study was a randomized controlled trial. Eligible participants were individuals who had undergone a renal transplant within the past 20 years, were 18 years old or older, were able to read and write in Chinese, and were willing to participate. We recruited 122 renal transplant recipients from two medical centers in southern Taiwan. The renal transplant outpatients were randomly assigned into empowerment support (n = 56) and comparison (n = 66) groups. The developed measures as well as the content, protocols, and the two groups were assessed for reliability and validity. The intervention involved one 2-hour meeting every 2 weeks for a total of six meetings. The topics included goal setting, problem solving, coping with daily stress, seeking social support, and staying motivated. The sessions consisted of introductions that highlighted the topic, group discussions, identifying areas of difficulty with self-care behaviors after renal transplant, and developing a set of goals and strategies to overcome these problems. Results: The empowerment group reported significant increases both in terms of level of empowerment (F = 5.29, p = .023) based on age and time interaction (F = 9.86, p < .001) and in terms of self-care behaviors (F = 7.15, p = .009). Moreover, these increases were significantly larger than the increases recorded by the comparison group. In addition, these increases were particularly large in the older empowerment-group participants with lower pretest scores for empowerment. Conclusions: Empowerment support may be critical to improve the empowerment and self-care behaviors of renal transplant patients. The results of this study may be applied to improve patient education and empowerment programs for renal transplant patients. Furthermore, these programs may be adjusted to take into consideration the learning preferences or needs of different age groups.

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Cost‐effectiveness of post‐transplantation quality of life intervention among kidney recipients

Abstract: The experimental post-transplant care program is both effective and cost-effective; the superior results are attributed to improved QoL.

Cited by 27 publications

References 22 publications

Disparities in Kidney Transplant Outcomes: A Review

Disparities in Kidney Transplant Outcomes: A Review

Guidelines for kidney transplantation in patients with HIV disease^*

The Effects of an Empowerment Intervention on Renal Transplant Recipients

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Cost‐effectiveness of post‐transplantation quality of life intervention among kidney recipients

Abstract: The experimental post-transplant care program is both effective and cost-effective; the superior results are attributed to improved QoL.

Cited by 27 publications

References 22 publications

Disparities in Kidney Transplant Outcomes: A Review

Disparities in Kidney Transplant Outcomes: A Review

Guidelines for kidney transplantation in patients with HIV disease*

The Effects of an Empowerment Intervention on Renal Transplant Recipients

Contact Info

Product

Resources

About

Guidelines for kidney transplantation in patients with HIV disease^*