Evidence map›Paper›PMID 30684400›Full record

ArticleJMIR formative research2018

Web-Based Tailored Intervention to Support Optimal Medication Adherence Among Kidney Transplant Recipients: Pilot Parallel-Group Randomized Controlled Trial.

José Côté, Marie-Chantal Fortin, Patricia Auger, Geneviève Rouleau, Sylvie Dubois, Nathalie Boudreau, Isabelle Vaillant, Élisabeth Gélinas-Lemay

Abstract read
In one paragraph

Article in JMIR formative research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Trial
  6. Review
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

José CôtéResearch Chair in Innovative Nursing Practices, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-0617-2861
Marie-Chantal FortinResearch Centre of the Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-1283-9319
Patricia AugerResearch Chair in Innovative Nursing Practices, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-7344-1155
Geneviève RouleauResearch Chair in Innovative Nursing Practices, Montreal, QC, Canada.ORCID http://orcid.org/0000-0003-1093-6577
Sylvie DuboisFaculty of Nursing, Université de Montréal, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-6639-4063
Nathalie BoudreauCentre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-5207-7753
Isabelle VaillantCentre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-2498-3211
Élisabeth Gélinas-LemayCentre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-7901-4912

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal immunosuppressive medication adherence is essential to graft survival. Transplant-TAVIE is a Web-based tailored intervention developed to promote this adherence.

objectiveThe objective of our study was to evaluate the Transplant-TAVIE intervention's acceptability, feasibility, and preliminary efficacy.

methodsIn 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.

resultsAfter 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.

conclusionsThe results of this study support the feasibility and acceptability of Transplant-TAVIE. It could constitute an accessible adjunct in support of existing specialized services.

Indexed as

medication adherencenursingrandomized controlled trialself-managementtransplant recipientWeb-based tailored intervention

Identifiers

PMID30684400
PMCPMC6334708

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.