Organ Transplant Recipients' Experiences of Physical Activity: Health, Self-Care, and Transliminality

Overview

Journal Qual Health Res

Publisher Sage Publications

Specialty Health Services

Date 2020 Oct 30

PMID 33124516

Citations 5

Authors

Gareth Wiltshire

Nicola J Clarke

Cassandra Phoenix

Carl Bescoby

Affiliations

Soon will be listed here.

Abstract

Physical activity (PA) is an important lifestyle component of long-term health management for organ transplant recipients, yet little is known about recipients' experiences of PA. The purpose of this study was to shed light on this experience and to investigate the possible implications of PA in the context of what is a complex patient journey. Phenomenological analysis was used to examine interviews with 13 organ transplant recipients who had taken part in sporting opportunities posttransplantation. Findings illuminate how participants' experiences of PA were commonly shaped by the transliminal nature of being an organ transplant recipient as well as a sense of duty to enact health, self-care, and donor-directed gratitude. This analysis underlines the potential role of PA in supporting organ transplant recipients' attempts to live well following transplantation and makes novel connections between PA and our existing knowledge about challenges related to identity, survivorship, obligation, and patient empowerment.

Citing Articles

The impact of high intensity training and sports on recipients of solid organ transplants: a narrative review.

Kayeye A, Triantafyllou I, Mathur S, Janaudis-Ferreira T Front Sports Act Living. 2024; 6:1439399.

PMID: 39381258 PMC: 11458452. DOI: 10.3389/fspor.2024.1439399.

What is said about #donateliver or #liverdonor? Reflexive thematic analysis of Twitter (X) posts from 2012 to 2022.

Ng Q, Lim Y, Xin X, Ong C, Ng W, Thumboo J BMC Public Health. 2024; 24(1):1904.

PMID: 39014341 PMC: 11250948. DOI: 10.1186/s12889-024-19381-1.

Assessing health literacy in transplant patients to better tailor the content of their therapeutic education: an observational study.

Lebret C, Le Dare B, Laval F, Vigneau C, Bacle A Eur J Hosp Pharm. 2023; 31(6):537-542.

PMID: 37142387 DOI: 10.1136/ejhpharm-2022-003553.

A New Normality Illuminated by Past and Present! A Qualitative Study: Experiences and Challenges of Everyday Life in Patients With Advanced Heart or Lung Failure.

Graarup J, Hojskov I Glob Qual Nurs Res. 2022; 9:23333936221140374.

PMID: 36467861 PMC: 9716626. DOI: 10.1177/23333936221140374.

Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis.

Abtahi H, Safdari R, Gholamzadeh M BMC Prim Care. 2022; 23(1):166.

PMID: 35773642 PMC: 9247970. DOI: 10.1186/s12875-022-01766-z.

References

Hames A, Matcham F, Joshi D, Heneghan M, Dhawan A, Heaton N . Liver transplantation and adolescence: The role of mental health. Liver Transpl. 2016; 22(11):1544-1553. DOI: 10.1002/lt.24629. View

Aujoulat I, Janssen M, Libion F, Charles A, Struyf C, Smets F . Internalizing motivation to self-care: a multifaceted challenge for young liver transplant recipients. Qual Health Res. 2014; 24(3):357-65. DOI: 10.1177/1049732314523505. View

Svenaeus F . Organ transplantation and personal identity: how does loss and change of organs affect the self?. J Med Philos. 2012; 37(2):139-58. DOI: 10.1093/jmp/jhs011. View

Didsbury M, McGee R, Tong A, Craig J, Chapman J, Chadban S . Exercise training in solid organ transplant recipients: a systematic review and meta-analysis. Transplantation. 2013; 95(5):679-87. DOI: 10.1097/TP.0b013e31827a3d3e. View

Shildrick M, Carnie A, Wright A, Mckeever P, Jan E, De Luca E . Messy entanglements: research assemblages in heart transplantation discourses and practices. Med Humanit. 2017; 44(1):46-54. PMC: 5869462. DOI: 10.1136/medhum-2017-011212. View

Graves R, Fine R . Kidney retransplantation in children following rejection and recurrent disease. Pediatr Nephrol. 2016; 31(12):2235-2247. DOI: 10.1007/s00467-016-3346-0. View

van Adrichem E, van de Zande S, Dekker R, Verschuuren E, Dijkstra P, van der Schans C . Perceived Barriers to and Facilitators of Physical Activity in Recipients of Solid Organ Transplantation, a Qualitative Study. PLoS One. 2016; 11(9):e0162725. PMC: 5021267. DOI: 10.1371/journal.pone.0162725. View

Kjaer M, Beyer N, Secher N . Exercise and organ transplantation. Scand J Med Sci Sports. 1999; 9(1):1-14. DOI: 10.1111/j.1600-0838.1999.tb00200.x. View

Anderson L, Nguyen T, Dall C, Burgess L, Bridges C, Taylor R . Exercise-based cardiac rehabilitation in heart transplant recipients. Cochrane Database Syst Rev. 2017; 4:CD012264. PMC: 6478176. DOI: 10.1002/14651858.CD012264.pub2. View

10.

Bogue Kerr S, Souliere M, Bell L . The Transliminal Self: The Ebb and Flow of the Kidney Transplant Experience. Qual Health Res. 2017; 28(4):561-571. DOI: 10.1177/1049732317743937. View

11.

Cicognani E, Mazzoni D, Totti V, Roi G, Mosconi G, Costa A . Health-related quality of life after solid organ transplantation: the role of sport activity. Psychol Health Med. 2014; 20(8):997-1004. DOI: 10.1080/13548506.2014.993404. View

12.

Poole J, Shildrick M, De Luca E, Abbey S, Mauthner O, McKeever P . The obligation to say 'Thank you': heart transplant recipients' experience of writing to the donor family. Am J Transplant. 2011; 11(3):619-22. DOI: 10.1111/j.1600-6143.2010.03419.x. View

13.

Crowley-Matoka M . Desperately seeking "normal": the promise and perils of living with kidney transplantation. Soc Sci Med. 2005; 61(4):821-31. DOI: 10.1016/j.socscimed.2004.08.043. View

14.

Moini M, Schilsky M, Tichy E . Review on immunosuppression in liver transplantation. World J Hepatol. 2015; 7(10):1355-68. PMC: 4450199. DOI: 10.4254/wjh.v7.i10.1355. View

15.

Wray J, Lunnon-Wood T . Psychological benefits for children and adolescents who have undergone transplantation of the heart from participation in the British Transplant Games. Cardiol Young. 2008; 18(2):185-8. DOI: 10.1017/S1047951108002047. View

16.

Dontje M, de Greef M, Krijnen W, Corpeleijn E, Kok T, Bakker S . Longitudinal measurement of physical activity following kidney transplantation. Clin Transplant. 2014; 28(4):394-402. DOI: 10.1111/ctr.12325. View

17.

OBrien T, Hathaway D . An Integrative Literature Review of Physical Activity Recommendations for Adult Renal Transplant Recipients. Prog Transplant. 2016; 26(4):381-385. DOI: 10.1177/1526924816664079. View

18.

Sque M, Payne S . Gift Exchange Theory: a critique in relation to organ transplantation. J Adv Nurs. 1994; 19(1):45-51. DOI: 10.1111/j.1365-2648.1994.tb01049.x. View

19.

Stoumpos S, Jardine A, Mark P . Cardiovascular morbidity and mortality after kidney transplantation. Transpl Int. 2014; 28(1):10-21. DOI: 10.1111/tri.12413. View

20.

Mosconi G, Cuna V, Tonioli M, Totti V, Roi G, Sarto P . Physical activity in solid organ transplant recipients: preliminary results of the Italian project. Kidney Blood Press Res. 2014; 39(2-3):220-7. DOI: 10.1159/000355800. View