Kidney transplant Surgery Transplanted kidney
Conditions
Interventions
The intervention was called ZENN, an acronym derived from the Dutch translation of Self-Management After Kidney Transplantation (ZElfmanagement Na Niertransplantatie).
The following ke
open assessment of patients’ needs and preferences using a holistic approach
principles of shared-decision making
and patient empowerment/ in the lead. The overall goal was to enhance recipients’ self-management skills in order to integrate treatment and life goals and subsequently optimize recipients’ quality of
Sponsors
the Netherlands Organization for Health Research and Development (ZonMw) (Grant number 520001004)
Erasmus MC, Unviersity Medical Center Rotterdam
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Kidney transplant patient 2. Aged 18 years or older 3. Functioning graft 4. Underwent kidney transplantation 1 to 8 months ago 5. Visited outpatients post transplant clinic of a Dutch University Hospital
Exclusion criteria
Exclusion criteria: 1. Cognitive limitations 2. Acute psychiatric problems 3. Unable to speak Dutch 4. More than 2 consultations with a Nurse Practitioner after their transplantation 5. Treated in isolation after transplantation 6. Participating in other studies 7. Undergoing dialysis or expecting to start dialysis within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-management knowledge & behaviour, assessed using the 12 item Partners in Health Scale at the baseline (T0) and after completion of the intervention (T1) for the intervention group, and just at T1 for the control group. The following subscales were used: 1. Knowledge and coping 2. Recognition and management of symptoms | — |
Secondary
| Measure | Time frame |
|---|---|
| The following were measured at the baseline (T0) and after completion of the intervention (T1) for the intervention group, and just at T1 for the control group: 1. Quality of life, assessed using: 1.1.Short Form-36 (SF-36) with the following subscales: 1.1.1. Role limitations due to physical health problems 1.1.2. Vitality 1.1.3. Role limitations due to emotional problems 1.1.4. General mental health 1.2. Two questions from the WHO Quality of Life Instrument (WHOQol-Bref), rated on a 5 point Likert scale: 1.2.1. "How would you rate your quality of life?" 1.2.2. "How satisfied are you with your health?" 2. Self-efficacy, assessed using the Self-Efficacy for Managing Chronic Disease 6-item scale (SECD-6) 3. General health, pain and fatigue, assessed using a 10-point Visual Analog Scale (VAS) 4. Experience of transplantation, assessed using the Transplant Effects Questionnaire (TxEQ), with the following subscales: 4.1. Worries about the transplant 4.2. Feelings of guilt towards the donor 4.3. Disclosure about having a transplant 4.4. Feelings and behaviour regarding medication adherence 4.5. Perceived responsibility to others 5. Quality of care, assessed using the "patient-centeredness" subscale of the American Consumer Assessment of Health Plan Surveys (CAHPS) 6. Social integration and support, assessed using the social integration and support subscale of the Health Education Impact Questionnaire (HEIQ) 7. Importance and attention to life domains, assessed using a 15-item scale using a 3-point Likert scale where answers of "1" or "2" were recorded as negative and "3" was recorded as negative 8. Fidelity - delivery of the intervention acc | — |
Countries
Netherlands
Outcome results
None listed