Post-transplant Education for Kidney Recipients and Their Caregivers

Overview

Journal Pediatr Nephrol

Specialties Nephrology
Pediatrics

Date 2022 Oct 13

PMID 36227432

Authors

Pamela Singer

Affiliations

Soon will be listed here.

Abstract

Successful outcomes in pediatric kidney transplantation require the involvement of the transplant team as well as recipients and their caregivers. Enhancing patient and family understanding of the disease and of post-transplant care can result in improved adherence and outcomes. Educational strategies should aim to be broad, understandable, innovative, and inclusive while maintaining a tailored approach to individualized care. Teaching should not be viewed as a one-time event but rather as an ongoing conversation throughout the duration of care, emphasizing different aspects throughout the patient's various developmental stages. The following review article discusses the content and methods of post-transplant education.

References

Brosig C, Pai A, Fairey E, Krempien J, McBride M, Lefkowitz D . Child and family adjustment following pediatric solid organ transplantation: factors to consider during the early years post-transplant. Pediatr Transplant. 2014; 18(6):559-67. DOI: 10.1111/petr.12286. View

Steinberg E, Moss M, Buchanan C, Goebel J . Adherence in pediatric kidney transplant recipients: solutions for the system. Pediatr Nephrol. 2017; 33(3):361-372. DOI: 10.1007/s00467-017-3637-0. View

Delucchi A, Gutierrez H, Arrellano P, Slater C, Meneses M, Lopez I . Factors that influence nonadherence in immunosuppressant treatment in pediatric transplant recipients: a proposal for an educational strategy. Transplant Proc. 2008; 40(9):3241-3. DOI: 10.1016/j.transproceed.2008.03.125. View

Rianthavorn P, Ettenger R . Medication non-adherence in the adolescent renal transplant recipient: a clinician's viewpoint. Pediatr Transplant. 2005; 9(3):398-407. DOI: 10.1111/j.1399-3046.2005.00358.x. View

Dobbels F, Ruppar T, De Geest S, Decorte A, Van Damme-Lombaerts R, Fine R . Adherence to the immunosuppressive regimen in pediatric kidney transplant recipients: a systematic review. Pediatr Transplant. 2010; 14(5):603-13. DOI: 10.1111/j.1399-3046.2010.01299.x. View

Foster B, Dahhou M, Zhang X, Platt R, Samuel S, Hanley J . Association between age and graft failure rates in young kidney transplant recipients. Transplantation. 2011; 92(11):1237-43. DOI: 10.1097/TP.0b013e31823411d7. View

Low J, Williams A, Manias E, Crawford K . Interventions to improve medication adherence in adult kidney transplant recipients: a systematic review. Nephrol Dial Transplant. 2014; 30(5):752-61. DOI: 10.1093/ndt/gfu204. View

Bell L, Sawyer S . Transition of care to adult services for pediatric solid-organ transplant recipients. Pediatr Clin North Am. 2010; 57(2):593-610, table of contents. DOI: 10.1016/j.pcl.2010.01.007. View

Boucquemont J, Pai A, Dharnidharka V, Hebert D, Zelikovsky N, Amaral S . Association between day of the week and medication adherence among adolescent and young adult kidney transplant recipients. Am J Transplant. 2019; 20(1):274-281. PMC: 6940530. DOI: 10.1111/ajt.15590. View

10.

Patzer R, Serper M, Reese P, Przytula K, Koval R, Ladner D . Medication understanding, non-adherence, and clinical outcomes among adult kidney transplant recipients. Clin Transplant. 2016; 30(10):1294-1305. PMC: 5061615. DOI: 10.1111/ctr.12821. View

11.

Skelton S, Waterman A, Davis L, Peipert J, Fish A . Applying best practices to designing patient education for patients with end-stage renal disease pursuing kidney transplant. Prog Transplant. 2015; 25(1):77-84. PMC: 4489708. DOI: 10.7182/pit2015415. View

12.

Fine R, Becker Y, De Geest S, Eisen H, Ettenger R, Evans R . Nonadherence consensus conference summary report. Am J Transplant. 2009; 9(1):35-41. DOI: 10.1111/j.1600-6143.2008.02495.x. View

13.

De Bleser L, Matteson M, Dobbels F, Russell C, de Geest S . Interventions to improve medication-adherence after transplantation: a systematic review. Transpl Int. 2009; 22(8):780-97. DOI: 10.1111/j.1432-2277.2009.00881.x. View

14.

Chisholm M . Enhancing transplant patients' adherence to medication therapy. Clin Transplant. 2002; 16(1):30-8. DOI: 10.1034/j.1399-0012.2002.00104.x. View

15.

Chisholm-Burns M, Pinsky B, Parker G, Johnson P, Arcona S, Buzinec P . Factors related to immunosuppressant medication adherence in renal transplant recipients. Clin Transplant. 2012; 26(5):706-13. DOI: 10.1111/j.1399-0012.2011.01589.x. View

16.

Russell C, Hathaway D, Remy L, Aholt D, Clark D, Miller C . Improving medication adherence and outcomes in adult kidney transplant patients using a personal systems approach: SystemCHANGE™ results of the MAGIC randomized clinical trial. Am J Transplant. 2019; 20(1):125-136. PMC: 7179766. DOI: 10.1111/ajt.15528. View

17.

Chandar J, Ludwig D, Aguirre J, Mattiazzi A, Bielecka M, Defreitas M . Assessing the link between modified 'Teach Back' method and improvement in knowledge of the medical regimen among youth with kidney transplants: The application of digital media. Patient Educ Couns. 2019; 102(5):1035-1039. DOI: 10.1016/j.pec.2018.12.007. View

18.

Waterman A, Robbins M, Paiva A, Peipert J, Kynard-Amerson C, Goalby C . Your Path to Transplant: a randomized controlled trial of a tailored computer education intervention to increase living donor kidney transplant. BMC Nephrol. 2014; 15:166. PMC: 4213461. DOI: 10.1186/1471-2369-15-166. View

19.

Lockwood M, Dunn-Lopez K, Pauls H, Burke L, Shah S, Saunders M . If you build it, they may not come: modifiable barriers to patient portal use among pre- and post-kidney transplant patients. JAMIA Open. 2020; 1(2):255-264. PMC: 6951926. DOI: 10.1093/jamiaopen/ooy024. View

20.

Foster B, Pai A, Zelikovsky N, Amaral S, Bell L, Dharnidharka V . A Randomized Trial of a Multicomponent Intervention to Promote Medication Adherence: The Teen Adherence in Kidney Transplant Effectiveness of Intervention Trial (TAKE-IT). Am J Kidney Dis. 2018; 72(1):30-41. PMC: 6019162. DOI: 10.1053/j.ajkd.2017.12.012. View