Implementation of the kidney team at home intervention: Evaluating generalizability, implementation process, and effects

Autor: M. Mahangoe, R.M. Smulders, M. Lobeek, Sohal Y. Ismail, J.S.F. Sanders, H.G.K. Scholten‐Greben, L.B. Hilbrands, I. Clarisse, I.A.M. Hutten, Willem Weimar, M. Van Milgen‐Adriaens, I. van Berkel, J.H. Potgieter, M.J. Kisteman, E.K. Massey, P. van de Linde, C van Dijk, N.C.J. Brouns, Daan A. Hollander, J.J. Busschbach, S. Redeker, J Bemelman, A. de Rooij, S.Y. Ismail, C.A. Brugman, R. Schelfhout, M.J. Crop, L. Zwiers‐Visser, Jan J. Busschbach, Margriet Dekker‐Jansen, René M. A. van den Dorpel, D. Hollander, M.A. van den Dorpel, R.Y. Espineira‐Ramirez, J. Van der Laan, I. Poorterman‐Stokvis, Jacqueline van de Wetering, J. van de Wetering, Harald F. H. Brulez, H. Brulez, J. Waijer, A.C. Boonstra, M.M. Koevermans, G.C.A. van Dongen‐Segeren, I. Dooper, M.A. Dekker‐Janssen, K.A.M.I. van der Pant, Frederike J. Bemelman, N. Zwiers, Reinier Timman, S.P. Berger, Luuk B. Hilbrands, J.C. Wageveld‐Sanderson, A.S. van Krieken, S.J. Brok, B. Holling, Emma K. Massey, E.M. Wisse, A.C. van Kooij, Steef Redeker, Charlotte Boonstra, H. Kettelerij, S.P.F. Hopman, M.A.A. van Noord‐Haubrich, W. Fleur, T. van der Marel, E.E. Versluijs‐Rovers, D.L. Jansen, P.S. Dubbelman, Stefan P Berger
Přispěvatelé: Groningen Kidney Center (GKC), Groningen Institute for Organ Transplantation (GIOT), Psychiatry, Internal Medicine, Nephrology, AII - Inflammatory diseases, APH - Aging & Later Life
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Transplant International, 34(11), 2317-2328. Wiley
Transplant International, 34(11), 2317-2328. Wiley-Blackwell Publishing Ltd
Transplant International, 34, 11, pp. 2317-2328
Transplant International, 34, 2317-2328
Transplant international, 34(11), 2317-2328. Wiley-Blackwell
ISSN: 0934-0874
1432-2277
DOI: 10.1111/tri.14011
Popis: Research has shown that a home-based educational intervention for patients with chronic kidney disease results in better knowledge and communication, and more living donor kidney transplantations (LDKT). Implementation research in the field of renal care is almost nonexistent. The aims of this study were (1) to demonstrate generalizability, (2) evaluate the implementation process, and (3) to assess the relationship of intervention effects on LDKT-activity. Eight hospitals participated in the project. Patients eligible for all kidney replacement therapies (KRT) were invited to participate. Effect outcomes were KRT-knowledge and KRT-communication, and treatment choice. Feasibility, fidelity, and intervention costs were assessed as part of the process evaluation. Three hundred and thirty-two patients completed the intervention. There was a significant increase in KRT-knowledge and KRT-communication among participants. One hundred and twenty-nine out of 332 patients (39%) had LDKT-activity, which was in line with the results of the clinical trials. Protocol adherence, knowledge, and age were correlated with LDKT-activity. This unique implementation study shows that the results in practice are comparable to the previous trials, and show that the intervention can be implemented, while maintaining quality. Results from the project resulted in the uptake of the intervention in standard care. We urge other countries to investigate the uptake of the intervention.
Databáze: OpenAIRE
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