Medication Adherence
Conditions
Keywords
kidney transplantation, reminder text messages, medication adherence, surgical nursing
Brief summary
Aims and Objective: The study aimed to assess the impact of text message reminders on medication adherence among kidney transplant recipients. Background: One of the most common problems encountered in transplant patients is incompatibility with immunosuppressive drugs, one of the most important reasons for graft rejection. Design: A randomized controlled trial was conducted from January to October 2021 and conducted in accordance with the Consolidated Standards of Reporting Trials 2010 guidelines. Methods: This randomized controlled trial included a total of 100 patients receiving a kidney transplant, 50 in the intervention group and 50 in the control group. Patients in the intervention group were sent text message reminders four times a day during the 6th to 9th months after transplantation. Control patients received no such intervention. Tacrolimus concentrations in the bloodstream were monitored for all participants through measurements taken at months 7,8, and 9. Data collection tools included Sociodemographic and Descriptive Characteristics Form and Immunosuppressive Medication Adherence Scale. Research hypotheses H1- Sending text message reminders improves immunosuppressive medication adherence in kidney transplant recipients. H2- Utilization of text messages as reminders has a significant influence on tacrolimus blood profiles in kidney transplant recipients. H3- There is a correlation between the scores from the Immunosuppressive Medication Adherence Scale and mean tacrolimus plasma levels in kidney transplant recipients. H4- There is a correlation between the sociodemographic and descriptive characteristics of kidney transplant recipients and their mean scores from the Immunosuppressive Medication Adherence Scale.
Interventions
OTHERreminder text message
The study aimed to assess the impact of text message reminders on medication adherence among kidney transplant recipients.
Sponsors
Akdeniz University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years or older * Being a recipient of a kidney transplant for the first time * Being a kidney transplant recipient at post-transplant month 6 with scheduled follow-up until month 9 * Ongoing immunosuppressive drug therapy * Absence of any disability that hinders communication * No diagnosis of psychological and mental problems * Being an active cell phone user * Ability to read and write * Voluntary participation in the research.
Exclusion criteria
* Hospitalization for any reason during the research period * History of combined or dual organ transplantation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of sending reminder text messages on immunosuppressive medication adherence | baseline and 9 months | The IMAS is a validated an 11-item self-report questionnaire developed in 2015 to measure medication adherence in patients that have received solid organ transplants and are prescribed immunosuppressive drugs. |
Countries
Turkey (Türkiye)
Outcome results
None listed