Solid Organ Transplantation
Conditions
Keywords
Solid organ transplantation, Immunosuppression, Education, E-learning, Medication knowledge, Patient satisfaction, Medication adherence
Brief summary
Solid organ transplant recipients (SOTR) must follow complex medication regimens and require a substantial amount of education for effective self-management. The current standard of care for post-transplant medication teaching is a Self Medication education program conducted in hospital by the pharmacist. The Transplant Medication Information Teaching Tool (TMITT) is a web-based e-learning tool for SOTR developed at the Toronto General Hospital. The ability to control the content, sequence, pace and timing of education in order to achieve personal learning objectives, as well as the opportunity for ongoing review and reinforcement of information, may be an attractive, convenient and effective teaching modality. SOTR will be randomly assigned to receive the standard of care or the standard of care plus the TMITT intervention. Primary objectives are to compare patient satisfaction and medication knowledge between the two groups at baseline and 3 months using modified versions of previously published questionnaires. Medication adherence as measured by a multidimensional approach including both subjective and objective components, will also be compared at 3 months. Our hypothesis is that an education strategy that includes both the standard pharmacist teaching followed by a tailored online e-learning intervention post-discharge will lead to improved patient satisfaction, knowledge and medication adherence.
Interventions
OTHERTransplant Medication Information Teaching Tool
Online e-learning tool for post-transplant medication education.
Sponsors
Jennifer Harrison
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* all patients undergoing solid organ transplantation at Toronto General Hospital during the study period
Exclusion criteria
* non-English speaking/reading * no internet access at home * planned discharge to a rehab facility without internet access * not on a calcineurin inhibitor (CNI) or sirolimus * attending the Self Medication class on the same day as hospital discharge * cognitive impairment that precludes participation in Self Medication program (as per the assessment of the transplant pharmacist) * incapable of providing informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Medication Knowledge Score from baseline to 3 months | Baseline and 3 months | Medication Knowledge Score consists of 2 parts - recall of medication regimen and multiple choice knowledge questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction | Baseline and 3 months | Patient satisfaction with medication information received. |
| Medication Adherence | 3 months | Adherence to the immunosuppressant medication regimen is evaluated using the Multidimensional Adherence Classification System. This consists of patient self-report and measurement of standard deviation of immunosuppressant blood levels. |
Countries
Canada
Outcome results
None listed