PATIENT ENGAGEMENT- TO SUPPORT MEDICATION ADHERENCE IN KIDNEY TRANSPLANTATION
Author(s)
Low JK1, Crawford K1, Manias E2, Williams A1
1Monash University, Clayton, Australia, 2Deakin University, Burwood, Australia
OBJECTIVES: Medication adherence is critical for kidney graft survival. Yet, medication non-adherence is common in kidney transplantation, occurring in 36% of adult patients. Novel tools that effectively engage patients can help to improve medication adherence. The objective of this paper is to describe our experiences in developing a video compilation of patients’ stories with an aim to support medication adherence. METHODS: To investigate the issues of medication non-adherence, patients were recruited from all units that provide kidney transplantation in the state of Victoria, Australia. Twenty-two adult kidney transplant recipients who had maintained their kidney graft for at least eight months and three patients who had experienced a graft loss because of medication non-adherence were interviewed. Audio-recorded interviews were analysed to identify the plot, upon which all researchers agreed. Thirteen participants at different ages of both genders and different ethnicities were invited to share their stories and were video-recorded. Video footage from each participant was compiled into one video set. Using Lynn’s content validity tool, the video set was evaluated by five kidney healthcare professionals, two kidney transplant content experts, one educational expert and two kidney transplant patients. This video set was used as part of a multi-dimensional intervention for newly transplanted kidney recipients. RESULTS: The final eighteen-minute compilation of patients’ stories, divided into fifteen sections, addressed issues related to life after kidney transplantation. The video was well-received by thirty-three kidney transplant recipients at one to four months post-transplantation. They perceived the video clearly portrayed the relationship between medication adherence and health outcomes and contained useful tips to help them take their medications as prescribed. CONCLUSIONS: The video was well-received by healthcare professionals, content and educational experts, and kidney transplant recipients. Experiential information of patients is an important resource, which can be used to promote patient engagement about medication-taking activities.
Conference/Value in Health Info
2016-09, ISPOR Asia Pacific 2016, Singapore
Value in Health, Vol. 19, No. 7 (November 2016)
Code
PUK10
Topic
Patient-Centered Research
Topic Subcategory
Adherence, Persistence, & Compliance
Disease
Urinary/Kidney Disorders