Self-management in liver transplantation

Ko, Dami; Bratzke, Lisa C.; Muehrer, Rebecca J.; Brown, Roger

doi:10.1016/j.apnr.2018.11.002

Cited by 11 publications

(18 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The accessible population of the parent study was adult liver transplant recipients who survived more than 6 months posttransplantation and were receiving follow-up care at a major Midwestern university hospital between June and October 2016. 13 The demographic of the accessible population was consistent with the demographic of the target population; the majority of the accessible population was male, white, aged between 50 and 64 years, and received a deceased donor liver transplant.…”

Section: Populationmentioning

confidence: 70%

“…Three levels of self-management were identified: low, medium, and high. 13 The low level refers to the lowest mean scores across all heiQ subscales and the highest proportion of medication nonadherence of the BAASIS. The high level refers to the highest mean scores across the subscales and the lowest proportion of medication nonadherence.…”

Section: Discussionmentioning

confidence: 99%

“…A secondary data analysis was performed with data that were extracted from the parent cross-sectional study, which aimed to understand self-management behaviors and activities among community-dwelling liver transplant recipients. 13 Institutional review board exempted this study from further oversight.…”

Section: Methods Designmentioning

confidence: 99%

“…The 8 scales of the heiQ had Cronbach's alpha ranging from 0.73 to 0.88 in chronic illness populations 18 and 0.73 to 0.90 in the parent study. 13 Medication adherence, one of the self-management behaviors of liver transplant recipients, was measured by the BAASIS. Participants responded "yes" or "no" to the 4 items that asked about regularity, dose change, and persistence of immunosuppressant taking.…”

Section: Methodsmentioning

confidence: 99%

“…Data from 107 recipients were extracted for the analysis. The sample has been previously described, 13 but briefly, the majority of participants were male (n ¼ 64, 60.0%), married (n ¼ 72, 67.3%), and white (n ¼ 102, 95.3%) with a mean age of 61.0 (standard deviation [SD] ¼ 11.9). They had a mean 14 years of education (SD ¼ 3.1), and the mean time elapsed since liver transplant was 7.6 years (SD ¼ 6.5, minimum-maximum: 0.5-28, median: 6, interquartile range: 10).…”

Section: Participant Characteristicsmentioning

confidence: 99%

See 4 more Smart Citations

Cognitive Function in Liver Transplant Recipients Who Survived More Than 6 Months

Bratzke

2020

Prog Transpl

Self Cite

View full text Add to dashboard Cite

Introduction: Current research in the areas of liver transplant and cognitive function has primarily examined cognitive changes from pre- to 1-year posttransplant, resulting in an insufficient understanding of cognitive trajectory beyond early periods of transplant and its impact on self-management. This study aimed (1) to describe global and domain-specific cognitive function in liver transplant recipients who survived more than 6 months after transplant and (2) to describe patient and clinical characteristics of recipients with impaired global and/or domain-specific cognitive function. Further, this study explored the potential relationships between cognitive function and self-management by examining differences in cognitive function by levels of self-management. Design: This secondary data analysis included 107 adult liver transplant recipients, who had a functioning transplant for at least 6 months. Data of cognitive function, demographic and clinical characteristics, and self-management were extracted for this study. T tests, Mann-Whitney tests, and Kruskal-Wallis tests were used to examine differences in cognitive function by variables. Results: More than half of the recipients had global cognitive impairment. Significant differences were found in global and domain-specific cognitive function. Older, male, married, or deceased donor recipients had lower cognitive test scores than younger, female, single, or living donor recipients. There were no significant differences in global and domain-specific cognitive function by time since transplant and levels of self-management. Discussion: Future longitudinal studies should examine the long-term trajectory of cognitive function posttransplant. Other factors such as caregivers’ participation in self-management should be accounted for in future studies when examining the relationship between cognitive function and self-management.

show abstract

Section: Populationmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Methods Designmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Cognitive Function in Liver Transplant Recipients Who Survived More Than 6 Months

Bratzke

2020

Prog Transpl

Self Cite

View full text Add to dashboard Cite

show abstract

Improvements in Disease‐Specific Health‐Related Quality of Life of Pediatric Liver Transplant Recipients During Immunosuppression Withdrawal

et al. 2021

View full text Add to dashboard Cite

Long-term immunosuppression (IS) leads to systemic complications affecting health-related quality of life (HRQOL) in pediatric liver transplantation (LT) recipients. We serially assessed HRQOL using the PedsQL Generic and Multidimensional Fatigue Scales and Family Impact and Transplant Modules as part of a multicenter prospective immunosuppression withdrawal (ISW) trial between 2012 and 2018. Participants received a primary LT ≥4 years before the study and were on stable IS with normal liver tests and without rejection in the prior 2 years. IS was withdrawn in 7 steps over 36 to 48 weeks. HRQOL was assessed at regular intervals. The primary endpoint was change in disease-specific HRQOL measured by the PedsQL Transplant Module. Generic HRQOL was measured by the PedsQL Generic Scale and was compared with an age-matched and sex-matched multicenter cohort. Of the 88 participants, 39 were boys, median age was 11 years (range, 8-13), and time since transplant was 9 years (range, 6-11). For 36 months, disease-specific HRQOL improved for all participants, whereas generic HRQOL was unchanged. Neither generic nor disease-specific HRQOL changed for the 35 participants who developed acute rejection during ISW. In the first use of patient-reported outcome measures during an ISW trial, we found improvements in disease-specific HRQOL in all participants and no lasting detrimental effects in those who experienced rejection.

show abstract

Personal Resources and Expectations and Health Behaviors Among Solid Organ Transplant Recipients—A Multicenter Study

Milaniak,

Dębska,

Dębska-Ślizień

et al. 2024

Transplantation Proceedings

View full text Add to dashboard Cite

Self-management in liver transplantation

Cited by 11 publications

References 49 publications

Cognitive Function in Liver Transplant Recipients Who Survived More Than 6 Months

Cognitive Function in Liver Transplant Recipients Who Survived More Than 6 Months

Improvements in Disease‐Specific Health‐Related Quality of Life of Pediatric Liver Transplant Recipients During Immunosuppression Withdrawal

Personal Resources and Expectations and Health Behaviors Among Solid Organ Transplant Recipients—A Multicenter Study

Contact Info

Product

Resources

About