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Tytuł:
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Perspectives on implementing mobile health technology for living kidney donor follow-up: In-depth interviews with transplant providers.
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Autorzy:
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Eno AK; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ruck JM; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Van Pilsum Rasmussen SE; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Waldram MM; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Thomas AG; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina.
Purnell TS; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland.; Department of Health Behavior and Society, Johns Hopkins School of Public Health, Baltimore, Maryland.; Johns Hopkins Center for Health Equity, Johns Hopkins University, Baltimore, Maryland.
Garonzik Wang JM; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Massie AB; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland.
Al Almmary F; Division of Nephrology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.
Cooper LM; Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland.; Department of Health Behavior and Society, Johns Hopkins School of Public Health, Baltimore, Maryland.; Johns Hopkins Center for Health Equity, Johns Hopkins University, Baltimore, Maryland.; Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.
Segev DL; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland.; Department of Acute and Chronic Care, Johns Hopkins School of Nursing, Baltimore, Maryland.
Levan MA; United Network for Organ Sharing, Richmond, Virginia.
Henderson ML; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Department of Acute and Chronic Care, Johns Hopkins School of Nursing, Baltimore, Maryland.
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Źródło:
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Clinical transplantation [Clin Transplant] 2019 Aug; Vol. 33 (8), pp. e13637. Date of Electronic Publication: 2019 Jul 01.
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Typ publikacji:
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Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.
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Język:
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English
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Imprint Name(s):
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Original Publication: Copenhagen : Munksgaard,
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MeSH Terms:
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Health Plan Implementation*
Delivery of Health Care/*organization & administration
Health Personnel/*statistics & numerical data
Kidney Transplantation/*methods
Living Donors/*supply & distribution
Telemedicine/*organization & administration
Telemedicine/*standards
Delivery of Health Care/standards ; Follow-Up Studies ; Humans ; Interviews as Topic ; Nephrectomy/methods ; Tissue and Organ Procurement/methods
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References:
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Grant Information:
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K23 DK115908 United States DK NIDDK NIH HHS; K24 DK101828 United States DK NIDDK NIH HHS; K01 DK101677 United States DK NIDDK NIH HHS; K01 HS024600 United States HS AHRQ HHS; K24 AI144954 United States AI NIAID NIH HHS; K01 DK114388 United States DK NIDDK NIH HHS; R01 DK096008 United States DK NIDDK NIH HHS
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Contributed Indexing:
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Keywords: follow-up; living kidney donation; mHealth
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Entry Date(s):
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Date Created: 20190614 Date Completed: 20200911 Latest Revision: 20240216
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Update Code:
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20240216
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PubMed Central ID:
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PMC6690770
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DOI:
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10.1111/ctr.13637
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PMID:
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31194892
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Background: United States transplant centers are required to report follow-up data for living kidney donors for 2 years post-donation. However, living kidney donor (LKD) follow-up is often incomplete. Mobile health (mHealth) technologies could ease data collection burden but have not yet been explored in this context.
Methods: We conducted semi-structured in-depth interviews with a convenience sample of 21 transplant providers and thought leaders about challenges in LKD follow-up, and the potential role of mHealth in overcoming these challenges.
Results: Participants reported challenges conveying the importance of follow-up to LKDs, limited data from international/out-of-town LKDs, and inadequate staffing. They believed the 2-year requirement was insufficient, but expressed difficulty engaging LKDs for even this short time and inadequate resources for longer-term follow-up. Participants believed an mHealth system for post-donation follow-up could benefit LKDs (by simplifying communication/tasks and improving donor engagement) and transplant centers (by streamlining communication and decreasing workforce burden). Concerns included cost, learning curves, security/privacy, patient language/socioeconomic barriers, and older donor comfort with mHealth technology.
Conclusions: Transplant providers felt that mHealth technology could improve LKD follow-up and help centers meet reporting thresholds. However, designing a secure, easy to use, and cost-effective system remains challenging.
(© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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