TY - JOUR
T1 - Exploring health literacy and self-management after kidney transplantation
T2 - A prospective cohort study
AU - Maasdam, Louise
AU - Timman, Reinier
AU - Cadogan, Monique
AU - Tielen, Mirjam
AU - van Buren, Marleen C.
AU - Weimar, Willem
AU - Massey, Emma K.
N1 - Acknowledgments:
We thank Mirjam Laging for support conducting the Cox analysis and Judith Kal for data management support.
Publisher Copyright:
© 2021 The Authors
PY - 2022/2
Y1 - 2022/2
N2 - Objective: Investigate the influence of health literacy and self-management on complications, kidney function and graft failure after kidney transplantation. Methods: We included patients who received a kidney transplant between May 2012 and May 2013 and monitored outcomes until December 2018. Health literacy was measured using the Newest Vital Sign and self-management using the Partner in Health scale (before discharge, and after 6 and 12 months). Subscales are aftercare & knowledge, coping, recognition and management of symptoms, healthy lifestyle. Complications were categorized as rejection, viral infections, and bacterial infections. Kidney function was measured using eGFR and graft survival using days until failure. Results: We included 154 patients. Higher health literacy at baseline and at 12 months was related to more viral infections (p = 0.02; p < 0.01). Lower ‘coping’ at baseline was related to more bacterial infections (p = 0.02). Higher ‘after-care and knowledge’ at 6 months (p < 0.01), and ‘recognition and management of symptoms’ at 6 months were associated with lower graft failure (p < 0.01). Conclusion: Health literacy did not influence kidney transplant related outcomes. Higher knowledge and management of symptoms were related to lower graft failure. Practice implications: Self-management support is a key focus for health care providers in the multidisciplinary team.
AB - Objective: Investigate the influence of health literacy and self-management on complications, kidney function and graft failure after kidney transplantation. Methods: We included patients who received a kidney transplant between May 2012 and May 2013 and monitored outcomes until December 2018. Health literacy was measured using the Newest Vital Sign and self-management using the Partner in Health scale (before discharge, and after 6 and 12 months). Subscales are aftercare & knowledge, coping, recognition and management of symptoms, healthy lifestyle. Complications were categorized as rejection, viral infections, and bacterial infections. Kidney function was measured using eGFR and graft survival using days until failure. Results: We included 154 patients. Higher health literacy at baseline and at 12 months was related to more viral infections (p = 0.02; p < 0.01). Lower ‘coping’ at baseline was related to more bacterial infections (p = 0.02). Higher ‘after-care and knowledge’ at 6 months (p < 0.01), and ‘recognition and management of symptoms’ at 6 months were associated with lower graft failure (p < 0.01). Conclusion: Health literacy did not influence kidney transplant related outcomes. Higher knowledge and management of symptoms were related to lower graft failure. Practice implications: Self-management support is a key focus for health care providers in the multidisciplinary team.
UR - http://www.scopus.com/inward/record.url?scp=85106666125&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2021.05.013
DO - 10.1016/j.pec.2021.05.013
M3 - Article
C2 - 34034938
AN - SCOPUS:85106666125
SN - 0738-3991
VL - 105
SP - 440
EP - 446
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -
