Tone K. Vidnes, Astrid K. Wahl, Marie H. Larsen, Käthe B. Meyer, Åsmund Hermansen, Marit H. Andersen
{"title":"肾移植受者服药依从性和健康素养交流干预的两年随访——一项随机对照研究","authors":"Tone K. Vidnes, Astrid K. Wahl, Marie H. Larsen, Käthe B. Meyer, Åsmund Hermansen, Marit H. Andersen","doi":"10.1111/jorc.70010","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Patients with chronic conditions, including kidney transplanted recipients, are required to actively participate in their continuous care and maintain motivation to adhere consistently to treatment.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Our study aimed to test long-term effectiveness of a new health communication intervention designed to improve on medication adherence and health literacy in kidney transplant recipients 2 years following transplantation.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A randomised controlled non-blinded study was conducted between March 2020 and August 2023.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>One hundred and ninety-five kidney transplant recipients were included.</p>\n </section>\n \n <section>\n \n <h3> Measurements</h3>\n \n <p>Primary outcomes were self-reported medication adherence, measured by the BAASIS questionnaire, and health literacy, measured by the Health Literacy Questionnaire. The response rate was 87% (170 of 195 patients).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>This study showed a significant difference between groups in favour of the intervention group for medication adherence (<i>p</i> < 0.02) and two essential Health Literacy Questionnaire domains—‘navigating the health care system’ (<i>p</i> < 0.02) and ‘having social support for health’ (<i>p</i> > 0.03)—2 years after transplantation. Regarding health literacy, three Health Literacy Questionnaire domains showed a significant correlation with adherence: ‘having sufficient information to manage health’ (<i>p</i> < 0.04), ‘having social support for health’ (<i>p</i> < 0.04), and ‘ability to understand health information well enough to know what to do’ (<i>p</i> < 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The findings in the study highlight the pivotal role of health communication in enhancing medication adherence and supporting important health literacy aspects for kidney transplant recipients.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 1","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70010","citationCount":"0","resultStr":"{\"title\":\"Two-Year Follow-Up of a Communication Intervention on Medication Adherence and Health Literacy in Kidney Transplanted Recipients—A Randomised Controlled Study\",\"authors\":\"Tone K. 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Andersen\",\"doi\":\"10.1111/jorc.70010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Patients with chronic conditions, including kidney transplanted recipients, are required to actively participate in their continuous care and maintain motivation to adhere consistently to treatment.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>Our study aimed to test long-term effectiveness of a new health communication intervention designed to improve on medication adherence and health literacy in kidney transplant recipients 2 years following transplantation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A randomised controlled non-blinded study was conducted between March 2020 and August 2023.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>One hundred and ninety-five kidney transplant recipients were included.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Measurements</h3>\\n \\n <p>Primary outcomes were self-reported medication adherence, measured by the BAASIS questionnaire, and health literacy, measured by the Health Literacy Questionnaire. 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Two-Year Follow-Up of a Communication Intervention on Medication Adherence and Health Literacy in Kidney Transplanted Recipients—A Randomised Controlled Study
Background
Patients with chronic conditions, including kidney transplanted recipients, are required to actively participate in their continuous care and maintain motivation to adhere consistently to treatment.
Objectives
Our study aimed to test long-term effectiveness of a new health communication intervention designed to improve on medication adherence and health literacy in kidney transplant recipients 2 years following transplantation.
Design
A randomised controlled non-blinded study was conducted between March 2020 and August 2023.
Participants
One hundred and ninety-five kidney transplant recipients were included.
Measurements
Primary outcomes were self-reported medication adherence, measured by the BAASIS questionnaire, and health literacy, measured by the Health Literacy Questionnaire. The response rate was 87% (170 of 195 patients).
Results
This study showed a significant difference between groups in favour of the intervention group for medication adherence (p < 0.02) and two essential Health Literacy Questionnaire domains—‘navigating the health care system’ (p < 0.02) and ‘having social support for health’ (p > 0.03)—2 years after transplantation. Regarding health literacy, three Health Literacy Questionnaire domains showed a significant correlation with adherence: ‘having sufficient information to manage health’ (p < 0.04), ‘having social support for health’ (p < 0.04), and ‘ability to understand health information well enough to know what to do’ (p < 0.05).
Conclusion
The findings in the study highlight the pivotal role of health communication in enhancing medication adherence and supporting important health literacy aspects for kidney transplant recipients.
期刊介绍：
The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA).
The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given.
The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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