Evidence map›Paper›PMID 31029107›Full record

ArticleBMC nephrology2019

Evaluating the feasibility of a nurse-led self-management support intervention for kidney transplant recipients: a pilot study.

Janet M J Been-Dahmen, Denise K Beck, Mariëlle A C Peeters, Heleen van der Stege, Mirjam Tielen, Marleen C van Buren, Erwin Ista, AnneLoes van Staa, Emma K Massey

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In one paragraph

Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Nurse-Led Self-Management Support After Organ Transplantation - A Multicenter, Stepped-Wedge Randomized Controlled Trial.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Mediating role of inner strength in the relationship between medication literacy and medication adherence among kidney transplant patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Symptom Occurrence and Distress after Heart Transplantation-A Nationwide Cross-Sectional Cohort Study.International journal of environmental research and public health · 2020
    Article
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  17. Article
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

9 authors.

Janet M J Been-DahmenResearch Center Innovations in Care, Rotterdam University of Applied Sciences, P.O. Box 25035, 3001, Rotterdam, HA, the Netherlands.
Denise K BeckDepartment of Internal Medicine - Section Nephrology & Transplantation, Erasmus MC University Medical Center, P.O. Box 2040, 3000, Rotterdam, CA, the Netherlands.
Mariëlle A C PeetersResearch Center Innovations in Care, Rotterdam University of Applied Sciences, P.O. Box 25035, 3001, Rotterdam, HA, the Netherlands.
Heleen van der StegeResearch Center Innovations in Care, Rotterdam University of Applied Sciences, P.O. Box 25035, 3001, Rotterdam, HA, the Netherlands.
Mirjam TielenDepartment of Internal Medicine - Section Nephrology & Transplantation, Erasmus MC University Medical Center, P.O. Box 2040, 3000, Rotterdam, CA, the Netherlands.
Marleen C van BurenDepartment of Internal Medicine - Section Nephrology & Transplantation, Erasmus MC University Medical Center, P.O. Box 2040, 3000, Rotterdam, CA, the Netherlands.
Erwin IstaDepartment of Internal Medicine - Section Nursing Science, Erasmus MC University Medical Center, P.O. Box 2040, 3000, Rotterdam, CA, the Netherlands.
AnneLoes van StaaResearch Center Innovations in Care, Rotterdam University of Applied Sciences, P.O. Box 25035, 3001, Rotterdam, HA, the Netherlands.
Emma K MasseyDepartment of Internal Medicine - Section Nephrology & Transplantation, Erasmus MC University Medical Center, P.O. Box 2040, 3000, Rotterdam, CA, the Netherlands. e.massey@erasmusmc.nl.ORCID 0000-0002-9017-1924

Funding

ZonMw 520001004
6 · The paper itself

Abstract

backgroundTo support effective self-management after kidney transplantation, a holistic nurse-led self-management support intervention was developed using the Intervention Mapping approach. The primary aim was to evaluate the feasibility, acceptability and fidelity of the intervention for kidney transplant recipients and professionals. The secondary aim was to explore preliminary effects on outcomes.

methodsA pilot study was conducted in 2015-2017 to evaluate the intervention. Nurse Practitioners (NP) guided recipients in assessing 14 life areas using the Self-Management Web. Participants were supported in developing self-regulation skills which can be applied to self-management of the illness. Strategies included goal setting, action planning, and promotion of motivation and self-efficacy. Adult recipients from an outpatient clinic of a Dutch University Hospital who underwent their transplant at least 1 month ago, were invited to participate. NPs, nephrologists and recipients were interviewed to assess feasibility, fidelity and implementation experience. Consultations were videoed and analysed to assess fidelity. To assess the preliminary effects, the intervention group completed baseline (T0) and follow-up (T1) questionnaires on self-management behavior, self-efficacy, quality of life and quality of care. A historical control group of kidney transplant recipients completed the same questionnaires at T1.

resultsTwenty-seven recipients agreed to participate in the intervention group, of which 24 completed the intervention and 16 completed baseline and follow-up surveys. The control group consisted of 33 recipients. Professionals and recipients appraised the open, holistic focus of the intervention as a welcome addition to standard care and felt that this helped to build a relationship of trust. Recipients also felt they became more competent in problem-solving skills. The within-group analysis showed no significant increase in patients' self-management skills. The between-groups analysis showed significantly higher medication adherence among the intervention group (P = 0.03; G = 0.81). The within-groups analysis showed a significantly higher perceived quality of care (P = 0.02) in the intervention group.

conclusionThis holistic nurse-led self-management support intervention was found to be feasible and acceptable by professionals and recipients alike. This pilot had a small sample therefore further research is needed into the potential effects on self-management behavior and well-being of transplant recipients. ISRCTN Trial Registry: ISRCTN15057632 (registered retrospectively on 20-07-2018).

Indexed as

Holistic NursingInternet-Based InterventionQuality of LifeTransplant RecipientsAdultFeasibility StudiesFemaleHumansKidney TransplantationMaleMiddle AgedNetherlandsOutcome Assessment, Health CarePilot ProjectsProblem SolvingQuality of Health CareEnd-stage-renal diseaseIntervention evaluationNurse practitionerNursingOrgan transplantationPilot studySelf-careSelf-management support

Identifiers

PMID31029107
PMCPMC6486974

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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.